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新生儿听力和聋病相关基因联合筛查的临床意义

王晓燕 潘拥军 蒋新液 张婷 吴志君 侍佳 孟西娜 许飞 卫雅蓉

中华耳科学杂志Issue(3):463-466,4.
中华耳科学杂志Issue(3):463-466,4.DOI:10.3969/j.issn.1672-2922.2014.03.029

新生儿听力和聋病相关基因联合筛查的临床意义

Clinical Significance of Combined Hearing and Deafness Predisposing Gene Screening in Newborns

王晓燕 1潘拥军 1蒋新液 1张婷 1吴志君 1侍佳 1孟西娜 1许飞 1卫雅蓉1

作者信息

  • 1. 南京医科大学附属无锡妇幼保健院 江苏 214002
  • 折叠

摘要

Abstract

Objective To analyze the results of hearing and gene screening in 1027 newborns and investigate the signifi-cance of combined hearing and gene screening. Methods Otoacoustic emissions (OAE) were used for both the first and sec-ond step hearing screening. Newborns failing OAE tests underwent auditory brainstem response (ABR) testing at 3 months af-ter birth. Matrix-Assisted Laser Desorption/Ionization Time of Flight Mass Spectrometry (MALDI-TOF-MS) was used to de-tect 20 mutations in 4 deafness predisposing genes (GJB2, GJB3, SLC26A4 and mtDNA 12SrRNA). Results Twenty four new-borns failed the first step hearing screening and 12 failed the second step hearing screening. Fifty two newborns carried muta-tions with a positive detection rate of 5.06%(52/1027). There were 31 GJB2 gene mutations carriers with a positive detection rate of 3.02%(31/1027) and 21 SLC26A4 gene mutations carriers with a positive detection rate of 2.04%(21/1027). Conclu-sions Combined newborn hearing and gene screening provids genetic etiology information and is significant for early diagno-sis of some newborn deafness. Gene screening results can also guide premarital and prenatal genetic counseling and interven-tion for patients and carriers in the future.

关键词

新生儿/听力筛查/基因筛查

Key words

Newborn/Hearing screening/Genes screening

分类

医药卫生

引用本文复制引用

王晓燕,潘拥军,蒋新液,张婷,吴志君,侍佳,孟西娜,许飞,卫雅蓉..新生儿听力和聋病相关基因联合筛查的临床意义[J].中华耳科学杂志,2014,(3):463-466,4.

基金项目

江苏省妇幼保健科研资助项目 ()

中华耳科学杂志

OA北大核心CSCDCSTPCD

1672-2922

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