0~9月龄弱听婴儿早期诊断及干预状况研究

发布时间：2018-01-21 09:53

本文关键词： 普遍新生儿听力筛查弱听婴儿感音神经性听力损失传导性听力损失早期听力检测与干预　出处：《临床耳鼻咽喉头颈外科杂志》2014年22期 　论文类型：期刊论文

【摘要】：目的:了解0~9月龄弱听婴儿早期诊断及干预的情况,分析影响诊断及干预的因素。方法:对2014年2-9月间因单(双)耳听力筛查未通过或外耳畸形转诊至四川大学华西医院进行确诊的186例婴儿进行早期诊断和干预,并对其诊断及干预情况进行统计分析。结果:186例外院转诊婴儿中,167例(89.8%)确诊,平均确诊年龄为(4.0±1.4)个月。167例中,传导性听力损失31例(18.6%),其中一侧外耳道闭锁伴传导性听力损失5例(2.99%);感音神经性听力损失99例(59.3%),其中双耳75例(44.9%),单耳24例(14.4%);一侧感音性听力损失一侧外耳道闭锁2例(1.20%);听神经病2例(1.20%);听力正常33例(19.8%)。双耳感音神经性听力损失患儿助听器验配率为30.7%(23/75),轻度、中度、重度、极重度听力损失验配率分别为:0(0/23)、24.0%(6/25)、66.7%(6/9)、61.1%(11/18)。单耳感音神经性听力损失验配率为8.3%(2/24)。平均干预年龄为(5.0±2.1)个月。结论:本研究中转诊婴儿的诊断及干预年龄接近国际要求,但仍有筛查未通过而没有确诊的婴儿,且干预率低。因此,需进一步研究探讨提高诊断及干预率的方法。
[Abstract]:Objective: to investigate the early diagnosis and intervention of 0 ~ 9 months old infants with weak hearing. Analysis of factors affecting diagnosis and intervention. Methods: single (double). Early diagnosis and intervention were carried out in 186 infants who had not passed ear hearing screening or were referred to the West China Hospital of Sichuan University for early diagnosis and intervention. The diagnosis and intervention were statistically analyzed. Results 167 cases (89.8%) of the infants referred to the hospital were diagnosed. Among the 167 patients with an average diagnosis age of 4.0 卤1.4 months, 31 cases had conductive hearing loss, including 5 cases of unilateral atresia of external auditory canal with conductive hearing loss (2.99%). There were 99 cases of sensorineural hearing loss, of which 75 cases had bilateral hearing loss (44.9%) and 24 cases had monaural hearing loss (14.4%). Unilateral sensorineural hearing loss 2 cases with atresia of external auditory meatus; There were 2 cases of auditory neuropathy. Hearing was normal in 33 patients with normal hearing. The rate of hearing aids in children with hearing loss caused by hearing loss was 30.775%, mild, moderate and severe. The rates of extremely severe hearing loss were as follows: 1: 0 / 23 / 24. 0 / 25 / 66.7a / 6 / 9). The ratio of hearing loss to hearing loss caused by monosensory sensorineural hearing loss was 8.3%, with an average intervention age of 5.0 卤2.1%. Conclusion: the age of diagnosis and intervention of referred infants in this study is close to international requirement. However, there are still infants who have not passed the screening and have not been diagnosed, and the intervention rate is low. Therefore, further research is needed to explore ways to improve the diagnosis and intervention rate.
【作者单位】：四川大学华西医院耳鼻咽喉-头颈外科听力中心听觉言语科学实验室;
【分类号】：R764
【正文快照】： 1四川大学华西医院耳鼻咽喉-头颈外科听力中心听觉言语科学实验室(成都,610041)永久性听力损失对婴儿造成的损害是不可逆的,其不仅会影响婴儿的言语-语言发育,同时还会影响婴儿的认知能力、智力水平及社会适应能力。对弱听婴儿进行早期(特别是在6个月前)的声音刺激,会有助于增

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