新生儿重症监护病房听力联合筛查结果及随访分析

发布时间：2019-06-14 00:29

【摘要】：目的:分析我院新生儿重症监护病房TEOAE加AABR联合听力筛查的结果及随访情况。方法:回顾分析我院新生儿重症监护病房574例高危新生儿的听力筛查结果,复查诊断结果。对未按时前来复诊的婴儿通过电话随访向其家长了解失访就诊的原因。结果:574例中,有472例通过了入院时的TEOAE和AABR联合筛查;102例未通过TEOAE和AABR联合筛查。33例参加复查的婴儿中13例通过了听力复筛;未通过复查的20例进行了听力学诊断,有8例听力正常,12例有不同程度的听力损失;69例失访,失访率高达67.6%。失访原因为:患儿家长联系方式的更改;医患沟通不畅导致家长对听力筛查结果不了解;家长自觉小孩听力尚可而认为不必复查;已在外院复查;婴儿患有其他严重疾病导致家长对患儿听力结果不再重视而最终失访等。结论:NICU患儿联合听力筛查未通过率为17.8%;听力损失检出率高;高达67.6%的失访率值得我们反思,应针对原因减少失访,使听力有问题的儿童能够早发现、早干预。
[Abstract]:Objective: to analyze the results and follow-up of TEOAE plus AABR hearing screening in neonatal intensive care unit of our hospital. Methods: the hearing screening results of 574 high risk neonates in neonatal intensive care unit of our hospital were analyzed retrospectively. the diagnostic results were reviewed. Infants who did not return on time were followed up by telephone to find out the reasons for the loss of visit. Results: of the 574 cases, 472 cases passed the combined screening of TEOAE and AABR at admission, 102 cases did not pass the combined screening of TEOAE and AABR. 13 of the 33 infants who participated in the reexamination passed the hearing re-screening, 20 cases were diagnosed by audiology, 8 cases had normal hearing, 12 cases had different degrees of hearing loss, 69 cases lost the visit, the loss rate was as high as 67.6%. The reasons for the loss of visit are as follows: the change of contact information between parents; the poor communication between doctors and patients leads to parents' lack of understanding of the results of hearing screening; parents realize that children's hearing is still available and do not need to be reviewed; they have been reviewed in external hospitals; and the infant's suffering from other serious diseases leads to parents not paying attention to the hearing results of the children and finally losing the visit, and so on. Conclusion: the failure rate of combined hearing screening in children with NICU is 17.8%, the detection rate of hearing loss is high, and the loss rate of hearing loss is as high as 67.6%. The loss of visit should be reduced according to the causes, so that the children with hearing problems can be detected early and intervened early.
【作者单位】：武汉市妇女儿童医疗保健中心;
【分类号】：R764;R722.1

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