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【目的】了解本地区高危新生儿听力障碍发生率及相关的高危因素。【方法】对入住本院新生儿病区1 993例患儿在病情稳定后或出院前用瞬态诱发耳声发射技术进行听力筛查的初筛,未通过者生后30~42 d复筛,复筛二次仍未通过者,3个月龄内采用脑干听觉诱发电位确诊。【结果】初筛通过率为72.2%,复筛通过率85.4%,听力障碍发生率为1.15%。新生儿窒息、新生儿黄疸、早产儿为高危因素前三位。【结论】高危新生儿是听力障碍的高发人群,因此,应加强高危新生儿听力筛查工作,尽早发现听力障碍,尽早进行医学干预,并做好定期随访。
【Objective】 To understand the incidence of high-risk neonates with hearing impairment and related risk factors in this area. 【Methods】 A total of 1 993 children admitted to our hospital were enrolled in this study. Initial screening of hearing screening with transient evoked otoacoustic emission (AEP) was performed after stable condition or before discharge. Those who failed to pass the screening 30-42 days after birth , Secondary screening has not yet passed, 3 months old brainstem auditory evoked potential diagnosis. 【Results】 The initial screening rate was 72.2%, the screening pass rate was 85.4%, and the hearing loss rate was 1.15%. Neonatal asphyxia, neonatal jaundice, preterm children as the top three risk factors. 【Conclusion】 High-risk neonates are a high risk group of hearing-impaired children. Therefore, hearing screening should be strengthened in high-risk neonates, early detection of hearing impairment, medical intervention as early as possible, and regular follow-up.