14560例新生儿听力筛查结果分析

发布时间：2018-03-01 05:16

  本文关键词： 听力筛查 新生儿 快速脑干诱发电位 高危因素　出处：《现代预防医学》2017年14期 　论文类型：期刊论文

【摘要】：目的分析14 560例新生儿听力筛查结果。方法采用快速脑干诱发电位(AABR)对2014年7月-2016年6月在某院出生的48~72 h新生儿14 560例进行听力筛查。初筛未通过者,于出生第30~42 d进行复筛;复筛仍未通过者,于3月龄进行听力诊断性检查。分析新生儿听力初筛通过率、复筛通过率和听力损失患病率,描述高危新生儿听力损失的高危因素。结果 14 560例新生儿听力初筛通过率为92.00%(13 395/14 560),复筛通过率为83.35%(971/1 165),听力损失患病率为0.24%(35/14 560)。适龄产妇的新生儿听力初筛、复筛的未通过率和听力损失患病率低于高龄产妇(P0.01)。高危新生儿听力初筛、复筛的未通过率和听力损失患病率高于正常新生儿(P0.01)。新生儿听力损伤的主要高危因素有:听力障碍家族史、其母孕期使用耳毒性药物、2种及以上高危因素,NICU住院≥5 d等。结论加强孕期管理,及时处理妊娠和分娩异常情况,加强对有听力损失高危因素的新生儿早期诊断与干预,有利于降低少新生儿听力损失患病率。
[Abstract]:Objective to analyze the results of hearing screening in 14 560 newborns. Methods 14 560 newborns born at 4872 hours from July 2014 to June 2016 were screened by rapid brainstem evoked potential (ABR). The screening was carried out at 30 ~ 42 days after birth, and the hearing diagnostic examination was performed at 3 months of age for those who had not passed the screening. The rate of primary screening, the rate of passing and the prevalence of hearing loss in newborns were analyzed. Results the primary screening pass rate of 14 560 newborns was 92.00 / 560, and the screening pass rate was 83.35 / 971 / 1 1650.The prevalence rate of hearing loss was 0.24% 35 / 14 560%. The rate of unpass and the prevalence of hearing loss in repeated screening were lower than those in elderly women (P 0.01). The rate of unpass and the prevalence of hearing loss were higher than those of normal neonates (P 0.01). The main risk factors of neonatal hearing loss were: family history of hearing impairment. Two or more kinds of ototoxic drugs were used during pregnancy in NICU for 鈮，

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