中华耳科学杂志2012，Vol.10Issue(2)：169-173,5.DOI:10.3969/j.issn.1672-2922.2012.02.007
大连地区217641例新生儿听力筛查结果回顾性分析
Retrospective analysis of hearing screening in 217 641 newborns in Dalian
刘秀丽 1王路阳 1翟立杰 1马长宏 1王立志 1别旭 2丁伟 3牟书瑜 4李旭敬 1孙月华 1徐军1
作者信息
- 1. 大连医科大学附属一院耳鼻喉科 大连116011
- 2. 大连医科大学附属二院耳鼻喉科 大连116037
- 3. 大连市妇幼保健院 大连116021
- 4. 大连市友谊医院耳鼻喉科 大连116100
- 折叠
摘要
Abstract
Objectives To understand hearing loss among newboms in Dalian region and major problems in the screening process. Methods Newboms in Dalian region in recent five years were tested with OAE within 3~5 days of birth. Infants who failed were re-screened by DPOAE within 42 days after birth. Babies failed the re-screening were tested by ABR, ASSR, 40 Hz related potentials and immittance audiometry, as well as a complete auditory evaluation within 3 months after birth. Results The number of newboms who should take hearing screening in the five years was 233 856, and the number of newboms who actually received screening was 217 641 ( 93.1%). The first screening pass rate was 90. 6%( 197 254/ 217 641).The re-screening rate was 74. 3% with a pass rate of 90. 5%(12 194/15 151). Of the 2957 newboms who failed the re-screening, only 2069 (70%)were actually seen in the Newborn Hearing Disorder Center. Hearing loss (in one or both ears)was confirmed in 373 cases (1. 71%e), bilateral in 234 cases and unilateral in 139 cases'. The rate of mild, moderate, severe and profound hearing loss was 0.23%o, 0.36%o, 0.19%o and 0.29%o respectively. In 45 of the 106 newboms with serve to profound hearing loss, the diagnosis was not established within the first six months. Of these 45 newboms, 9 failed the first screening and did not go through re-screening, while the rest 36 cases failed both first screening and rescreening but did not
follow up on the referral for full audiological evaluation. Conclusion The incidence of hearing loss among newborns in Dalian region from this study is similar to previous reports. The key to reduce missed diagnosis in hearing loss in children is to improve follow up in screening, and to improve compliance in re-screening and full audiological evaluation when indicated. 关键词
新生儿/听力筛查/耳声发射/听觉脑干反应Key words
Newborn/ Hearing screening/ Otoacoustic emissions/ Auditory brainstem response
分类
医药卫生引用本文复制引用
刘秀丽,王路阳,翟立杰,马长宏,王立志,别旭,丁伟,牟书瑜,李旭敬,孙月华,徐军..大连地区217641例新生儿听力筛查结果回顾性分析[J].中华耳科学杂志,2012,10(2):169-173,5.
