重庆医学Issue(21)：2709-2711,3.DOI:10.3969/j.issn.1671-8348.2014.21.008
952例新生儿未通过听力筛查的高危因素和听力学特点分析
The high-risk factors and audiology characteristics analysis of 952 cases of neonatal failed hearing screening
摘要
Abstract
Objective To analyze the related factors in new born failed in hearing screening and its audiological characteristics . Methods From May 2009 to Febrary 2012 ,952 infants within the 3 to 6-month-old with detailed birth records and hearing screen-ing records were reviewed in the study .They were born in Chongqing and surrounding areas ,but failed in the first and second hear-ing screening .They were tested by auditory brainstem response (ABR) ,distortion product otoacoustic emissions (DPOAE) ,tympan-ometry and stapedius reflex .Results The normal ratio of tympanogram ,normal group(74 .25% ) was higher than the high-risk group(69 .61% )(P<0 .05);The pass proportion of DPOAE in normal group(34 .57% ) was higher than high-risk group(27 .94% ) (P<0 .05);In normal group ,ABR response threshold >30 dBnHL was 55 .80% ,60 .36% in high-risk group .High-risk group′s hearing abnormality rate was significantly higher than the normal group (P<0 .05);In normal group ,mean threshold of ABR was (47 .64 ± 22 .86)dBnHL .While it was(50 .58 ± 25 .02)dBnHL in high-risk group .The threshold was higher in normal group than high-risk group(P<0 .05) .Conclusion premature birth ,low birth weight(<1 500 g) ,hyperbilirubinemia ,neonatal asphyxia ,pal-ace the virus infection ,mechanical ventilation ≥ 5 days ,≥ 2 high-risk factors are risk factors for hearing loss .Newborn hearing screening is a long and arduous task ,We should enhance screening efforts in infant with high risk factors ,and actively prevent and treat neonatal perinatal risk factors and reduce the incidence of hearing loss .关键词
新生儿听力筛查/高危因素/耳声发射/听性脑干反应Key words
neonatal screening/high risk factors/otoacoustic emissions/auditory brainstem response分类
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邹彬,王冰,徐洁,李年琼,姚红兵..952例新生儿未通过听力筛查的高危因素和听力学特点分析[J].重庆医学,2014,(21):2709-2711,3.基金项目
重庆市卫生局医学科学技术研究项目 （）
