7840例新生儿听力筛查和听力损失高危因素分析

发布时间：2019-05-28 18:03

【摘要】：目的分析7 840例新生儿听力筛查结果,探讨听力损失高危因素与听力损失的关系。方法采用畸变产物耳声发射(DPOAE)对2013年4月~2015年3月清远市出生3~5天的7 840例新生儿进行听力筛查,其中正常新生儿7 216例,有听力损失高危因素新生儿624例;分析家族史、孕期、分娩情况和围产期情况等与新生儿听力损失的关系。对初筛未通过者于出生30~42天采用DPOAE和自动听性脑干反应(AABR)联合复筛,复筛仍未通过者于3月龄进行听力学诊断,对结果进行统计分析。结果 17 840例新生儿听力初筛通过率为92.60%(7 260/7 840),复筛通过率为85.17%(494/580),听力损失检出率为0.32%(25/7 840)。2不同分娩方式、不同性别新生儿间听力初筛、复筛通过率和听力损失检出率比较,差异无统计学意义(P0.05);早产、过期妊娠和高龄产妇的新生儿听力初筛、复筛通过率和听力损失检出率高于足月儿及适龄产妇(P0.01)。3有听力损失高危因素新生儿初筛、复筛通过率明显低于正常新生儿(P0.01),听力损失检出率(3.04%,19/624)高于正常新生儿(0.08%,6/7 216)(P0.01);4新生儿先天性听力损失检出率由高到低排序的高危因素依次为:有听力障碍家族史、有2种及以上高危因素、ICU住院≥24h、高胆红素血症、重度窒息、宫内感染、早产儿、低体重。结论本组新生儿听力损失检出率为0.32%,有听力损失高危因素的新生儿先天性听力损失的检出率较高。
[Abstract]:Objective to analyze the results of hearing screening in 7 840 neonates and to explore the relationship between high risk factors of hearing loss and hearing loss. Methods from April 2013 to March 2015, 7 840 neonates born from April 2013 to March 2015 were screened by distortion product otoacoustic emission (DPOAE), including 7216 normal neonates and 624 neonates with high risk factors of hearing loss. The relationship between family history, pregnancy, delivery and parturition and neonatal hearing loss was analyzed. The patients who failed the primary screening were screened with DPOAE and automatic auditory brainstem response (AABR) on the 42nd day of birth, and those who had not yet passed the screening were diagnosed by audiology at the age of 3 months. The results were statistically analyzed. Results the pass rate of hearing screening was 92.60% (7.260 鈮，

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