中华耳科学杂志2012，Vol.10Issue(2)：149-154,6.DOI:10.3969/j.issn.1672-2922.2012.02.003
新生儿监护病房儿童听力筛查及诊断结果分析
Results of Hearing Screening and Diagnostic Audiology Assessment in NICU Infants
摘要
Abstract
Objective To evaluate the efficacy of current hearing screening methodology Methods The results of hearing screening (AABR and DPOAE) and auditory diagnostic tests (ABR) in infants with history of admission to the NICU and referral for diagnostic audiology assessment were analyzed Results Included in this study were 89 infants (177 ears) with complete screening AABR and DPOAE and diagnostic ABR test data . The fail rate was 45.8% for DPOAE screening and 46.3% for AABR screening. The rate of agreement between DPOAE and AABR screening was 64.4%. The false negative rate was 27.9% for AABR, 16.3% for DPOAE and 4.7% for the combination of the two. Diagnostic ABR was Abnormal in 26 infants (24.3%) (43 ears). Mild hearing loss was found in 22 ears, moderate in 7 ears, severe in 3 ears and profound in 9 ears. Bilateral hearing loss was found in 17 infants and monaural hearing loss in 9 infants. Among those with bilateral hearing loss, hearing loss was symmetrical in 12 infants and asymmetrical in 5. Risk factors for hearing loss in this population included: mechanical ventilation for more than 48 hours, birth weight lower than 1500g, NICU hospitaiization time longer than 5 days, hyperbilirubinemia and the serum bilirubin levels requiring exchange transfusion, maxillofaeial deformity, bacterial meningitis. Conclusions AABR or combined use of AABR and DPOAE screening can be used in NICU infants. Infants with high-risk factors of hearing loss should be considered for referral to diagnostic audiology assessment.关键词
听力筛查/高危因素/听性脑干反应/耳声发射Key words
Hearing screening/ High-risk factor/ Auditory brainstem response/ Otoacoustic emissions分类
医药卫生引用本文复制引用
商莹莹,刁文雯,倪道凤,徐春晓,李奉蓉,茹颖..新生儿监护病房儿童听力筛查及诊断结果分析[J].中华耳科学杂志,2012,10(2):149-154,6.基金项目
本研究受到公益性卫生行业科研专项项目支持项目名称《耳鼻重大疾病的早期发现、规范诊治和防控体系研究及推广应用》项目编号:201202005 （）
