5005例新生儿听力筛查结果分析

发布时间：2018-02-10 05:11

  本文关键词： 听力筛查 新生儿 初筛 复筛 瞬态诱发耳声发射　出处：《中国妇幼保健》2016年05期 　论文类型：期刊论文

【摘要】：目的探讨2013年和2014年新生儿听力筛查现状及未来工作发展方向,并分析其原因,为早期发现听力障碍并进行有效干预奠定基础。方法对2013年1月1日-2014年12月31在盘锦市中心医院出生的5 005名新生儿用瞬态诱发耳声发射(TEOAE)进行听力初筛,未通过者于生后42 d进行复筛,复筛未通过者于月龄满3个月时采用听觉脑干诱发电位仪(ABR)进行确诊。复筛通过者,定期跟踪随访每年至少1次,至3周岁;复筛未通过者,6个月时再次行诊断型听力学检查及行为测听,为进入干预程序提供依据。结果 2013年与2014年相比较,新生儿听力筛查初筛率由95.07%上升到95.49%,初筛通过率由76.14%上升到95.04%,复筛率由45.87%上升到73.88%,复筛通过率由90.15%下降到80.59%,2013年听力筛查异常3例,2014年听力筛查异常4例,确诊率由1.34‰上升到1.43‰。结论完善的听力学检测设备、先进的操作技术及科学化的管理,对新生儿听力筛查结果有非常重要的意义。
[Abstract]:Objective to explore the present situation of neonatal hearing screening in 2013 and 2014 and its future development, and to analyze its causes. Methods 5 005 newborns born in Panjin Central Hospital from January 1st 2013 to December 31st 2014 were screened for hearing by transient evoked otoacoustic emission (TEOAE). Those who did not pass were screened at 42 days after birth, and those who did not pass were diagnosed by auditory brainstem evoked potentiometer (ABR) at the age of 3 months. Those who passed the screen were followed up at least once a year until the age of 3 years. After 6 months, diagnostic audiology examination and behavioral audiometry were performed again to provide the basis for entering the intervention procedure. Results the results were compared between 2013 and 2014. The primary screening rate of newborn hearing screening increased from 95.07% to 95.49um, the primary screening pass rate increased from 76.14% to 95.04, the re-screening rate increased from 45.87% to 73.88. the screening rate decreased from 90.15% to 80.59. in 2013, 3 cases of hearing screening abnormality and 4 cases of 2014 hearing screening abnormality were found. The diagnostic rate increased from 1.34 鈥，

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