目的:探讨宁波市新生儿听力筛选状态,并分析新生儿听力障碍分布特点,为临床诊疗提供参考。方法:选择宁波市妇女儿童医院收治的1 934例新生儿,统计听力筛查鼓室导抗图、听性脑干反应、畸变产物耳声发射初诊未通过率、复诊未通过率以及听力损失程度,对高危与非高危新生儿未通过率进行对比,分析新生儿听力特点。结果:DPOAE初诊未通过1 357例,未通过率为70.17%,确诊未通过1 124例,未通过率为58.12%;鼓室导抗初诊未通过755例,未通过率为39.04%,确诊未通过542例,未通过率为28.02%;ABR初诊未通过357例,其中轻度损失281例,中度损失55例,重度及以上损失21例,未通过率为18.46%,确诊未通过率为11.94%,确诊正常1 703例,听力轻度损失175例,中度损失42例,重度及以上损失14例;非高危组未通过率为49.79%,高危组合计未通过率为83.33%,对比差异有统计学意义(χ2=6.514,P=0.004);高危组中新生儿窒息、早产儿、低体重、听力障碍家族史、缺氧缺血性脑病、高胆红素新生儿未通过率均明显高于非高危组,两者比较,差异均有统计学意义(P均<0.05)。结论:新生儿听力复诊通过率高于初诊,总体未通过率较高,高危新生儿未通过率明显高于非高危新生儿。 Objective: To investigate the status of neonatal hearing screening in Ningbo and to analyze the distribution of neonatal hearing impairment, so as to provide a reference for clinical diagnosis and treatment. Methods: A total of 1 934 newborns admitted to Ningbo Women’s and Children’s Hospital were enrolled in this study. The tympanogram, auditory brainstem response, initial failure rate, The non-high-risk and non-high-risk neonatal non-adoption rate comparison, analysis of neonatal hearing characteristics. Results: The DPOAE did not pass the first visit of 1 357 cases, the failure rate was 70.17%, the diagnosis did not pass 1 124 cases, the failure rate was 58.12%; tympanogram did not pass the first visit 755 cases, the failed rate of 39.04%, the diagnosis failed 542 cases, the failed rate was 28.02%; ABR did not pass the first visit of 357 cases, of which 281 cases of mild loss, moderate loss of 55 cases, 21 cases of severe and above loss, the failure rate was 18.46%, the confirmed failed rate of 11.94 %, 1 703 cases were diagnosed as normal, mild hearing loss was 175 cases, moderate loss was 42 cases and severe cases were 14 cases. The non-high-risk group failed to pass 49.79% and the high-risk group failed to pass 83.33% There was statistical significance (χ2 = 6.514, P = 0.004). In the high-risk group, the incidence of neonatal asphyxia, premature babies, low birth weight, family history of hearing loss, hypoxic-ischemic encephalopathy, Higher than non-risk group, the difference between the two groups was statistically significant (P all <0.05). Conclusion: The passing rate of newborn hearing consultation is higher than that of the first visit, the overall failure rate is high, the high-risk neonates failed to pass rate was significantly higher than non-high risk neonates.