中国妇幼健康研究2011，Vol.22Issue(6)：806-808,3.DOI:10.3969/j.issn.1673-5293.2011.06.032
1785例新生儿听力检查结果分析
Analysis of hearing examination results of 1785 newborns
李红娟 1姜亚平 1刘黎明2
作者信息
- 1. 西安市儿童医院耳鼻喉科,陕西,西安,710003
- 2. 西安交通大学医学院第一附属医院,陕西,西安,710061
- 折叠
摘要
Abstract
Objective To analyze the association between elective cesarean section ( ECS ) and newborn hearing by studying the newborn hearing examination results. Methods Newborns and their parents visiting ENT department and pediatric department of Xi' an Children' s Hospital between March 2006 and September 2009 were enrolled by two cohort study. These infants were divided into ECS cases ( ECS group, 889 infants with 1778 ears ) and spontaneous delivery cases ( spontaneous delivery group, 896 infants with 1792 ears ) according to self-designed questionnaire survey and their illness records. The infants underwent otoacoustic emission (OAE) hearing screening first, and then those who failed in OAE screening received another examination called distortion product otoacoustic emission ( DPOAE ) at 42 day after birth. The study was conducted with informed consent of parents and approved by Xi'an Children's Hospital Ethics Committee. Results 1785 infants ( 3570 ears ) were all screened by OAE, and the results showed that hearing of ECS group was significantly lower than that of spontaneous delivery group, and the difference was significant ( χ2= 26. 64, P < 0. 005 ). 145 infants needed DPOAE examination at 42 day after birth, but only 136 infants ( 272 ears ) participated. The results of second DPOAE examination showed that the hearing pass rate of ECS group was significantly lower than that of spontaneous delivery group, and the difference was significant (χ2 = 10. 80,P<0.005 ). Conclusion Two groups of infants are all screened by OAE, and the hearing pass rate of newborns spontaneously delivered is higher than that of ECS cases. The difference is significant. The hearing pass rate of spontaneous delivery newborns is still higher in DPOAE examination, and the difference is statistically significant. Therefore, caution on ECS should be taken and the possible harm caused by the risk factor should be reconsidered.关键词
社会因素剖宫产/新生儿听力筛查/耳声发射/畸变产物耳声发射Key words
elective cesarean section ( ECS )/ newborn hearing screening/ otoacoustic emission ( OAE )/ distortion product otoacoustic emission ( DPOAE )分类
医药卫生引用本文复制引用
李红娟,姜亚平,刘黎明..1785例新生儿听力检查结果分析[J].中国妇幼健康研究,2011,22(6):806-808,3.
