28304例正常产新生儿听力筛查结果报告及筛查体会

发布时间：2018-07-03 14:49

  本文选题：新生儿听力筛查 + 听力障碍　； 参考：《中国妇幼保健》2014年14期

【摘要】：目的:通过新生儿听力筛查,早期诊断新生儿听力障碍。了解正常产新生儿听力损害发病率。总结筛查经验,使筛查顺利进行。方法:对2009~2011年3年来本院产科正常产28 304例新生儿在出生72 h左右进行瞬态诱发耳声发射进行初筛,未通过者42天进行瞬态诱发耳声发射复筛,异常者约在3个月进行听性脑干反应诊断。结果:28 034例新生儿初筛率100%,初筛通过率94.88%(26 856/28 304),未通过率5.11%(1 448/28 304)。复筛率74.79%(1 083/1 448),复筛通过率78.30%(848/1 083)。235例未通过筛查的最终184例前来行听性脑干反应诊断检查,最终确诊听力损害者42例(57耳),发病率为1.50‰。结论:新生儿听力损害发病率即使在正常产儿中也较高,但新生儿听力筛查失访率仍较高,因此加强新生儿听力筛查极其重要。
[Abstract]:Objective: to diagnose neonatal hearing impairment early through neonatal hearing screening. To understand the incidence of hearing impairment in neonates with normal delivery. Summing up the experience of screening, so that the screening is carried out smoothly. Methods: the transient evoked otoacoustic emissions of 28 304 newborns with normal obstetrical delivery in our hospital during the past 3 years from 2009 to 2011 were screened at about 72 hours of birth, and the second screen of transient evoked otoacoustic emissions was performed at 42 days after birth. Abnormal patients were diagnosed with auditory brainstem response at about 3 months. Results the first screening rate of 28 034 newborns was 100%, the primary screening rate was 94.88% (26 856 / 28 304) and the unpassed rate was 5.11% (1 448 / 28 304). The screening rate was 74.79% (108.3 / 1 448), and the screening pass rate was 78.30% (848 / 1083) .235 cases of final 184 cases who failed to pass the screening were examined for auditory brainstem response. 42 cases (57 ears) with hearing impairment were diagnosed and the incidence was 1.50 鈥，

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