【摘要】：目的分析7 840例新生兒聽力篩查結(jié)果,探討聽力損失高危因素與聽力損失的關(guān)系。方法采用畸變產(chǎn)物耳聲發(fā)射(DPOAE)對2013年4月~2015年3月清遠(yuǎn)市出生3~5天的7 840例新生兒進(jìn)行聽力篩查,其中正常新生兒7 216例,有聽力損失高危因素新生兒624例;分析家族史、孕期、分娩情況和圍產(chǎn)期情況等與新生兒聽力損失的關(guān)系。對初篩未通過者于出生30~42天采用DPOAE和自動(dòng)聽性腦干反應(yīng)(AABR)聯(lián)合復(fù)篩,復(fù)篩仍未通過者于3月齡進(jìn)行聽力學(xué)診斷,對結(jié)果進(jìn)行統(tǒng)計(jì)分析。結(jié)果 17 840例新生兒聽力初篩通過率為92.60%(7 260/7 840),復(fù)篩通過率為85.17%(494/580),聽力損失檢出率為0.32%(25/7 840)。2不同分娩方式、不同性別新生兒間聽力初篩、復(fù)篩通過率和聽力損失檢出率比較,差異無統(tǒng)計(jì)學(xué)意義(P0.05);早產(chǎn)、過期妊娠和高齡產(chǎn)婦的新生兒聽力初篩、復(fù)篩通過率和聽力損失檢出率高于足月兒及適齡產(chǎn)婦(P0.01)。3有聽力損失高危因素新生兒初篩、復(fù)篩通過率明顯低于正常新生兒(P0.01),聽力損失檢出率(3.04%,19/624)高于正常新生兒(0.08%,6/7 216)(P0.01);4新生兒先天性聽力損失檢出率由高到低排序的高危因素依次為:有聽力障礙家族史、有2種及以上高危因素、ICU住院≥24h、高膽紅素血癥、重度窒息、宮內(nèi)感染、早產(chǎn)兒、低體重。結(jié)論本組新生兒聽力損失檢出率為0.32%,有聽力損失高危因素的新生兒先天性聽力損失的檢出率較高。
[Abstract]:Objective to analyze the results of hearing screening in 7 840 neonates and to explore the relationship between high risk factors of hearing loss and hearing loss. Methods from April 2013 to March 2015, 7 840 neonates born from April 2013 to March 2015 were screened by distortion product otoacoustic emission (DPOAE), including 7216 normal neonates and 624 neonates with high risk factors of hearing loss. The relationship between family history, pregnancy, delivery and parturition and neonatal hearing loss was analyzed. The patients who failed the primary screening were screened with DPOAE and automatic auditory brainstem response (AABR) on the 42nd day of birth, and those who had not yet passed the screening were diagnosed by audiology at the age of 3 months. The results were statistically analyzed. Results the pass rate of hearing screening was 92.60% (7.260 鈮，

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