高危新生儿瞬态耳声发射4734例听力筛查临床分析

Analysis on Hearing Screening of Transient Otoacoustic Emissions in 4734 High-risk Neonates

目的研究新生儿听力的筛查方法及听力筛查仪在新生儿听力筛查中的应用价值.方法采用丹麦(MADSEN公司)生产的AccuScreen全功能自动耳声发射听力筛查仪,诱发瞬态耳声发射法,对4 734例新生儿(包括新生儿肺炎2 627例55.49%,新生儿黄疸1 200例25.75%,新生儿ABO溶血症326例6.89%,其他581例12.27%)的双耳进行听力检测,规定新生儿双耳均通过者为通过人数,单耳或双耳未通过者为未通过人数.并对筛查情况进行了初步分析.结果 4 734例新生儿出生后3个月复查TEOAE,测试结果未通过104例,2.197%,其中15例确诊为听力障碍儿,占3.17‰,并采取了早配助听设备,早期进行科学语言训练治疗措施.结论全功能自动耳声发射听力筛查仪是较好的筛查工具,且检查速度快,携带方便,筛查准确率高,无创伤和不适,可早期发现听力障碍儿,早期采取干预治疗和康复措施.

Objective To study the hearing screening methods and the application value of newborn hearing screening instrument in newborn hearing screening,throght newborn hearing screening.Methods Using Danmark(MADSEN company)produced AccuScreen full-featured automatic otoacoustic emission hearing screening device,through transient evoked otoacoustic emission,we tested the binaural listening of 4734 newborns(including 2627 cases of neonatal pneumonia,55.49%,1200 cases of neonatal jaundice,25.75%,326 cases of neonatal ABO hemolytic disease,6.89%,the other 581 cases,12.27%).The number of newborns with passthrough of binaural listening was designated as the number of passthrough,and the number of newborns without passthrough of binaural listening or one ear listening was designated as the number of passthrough failure.Results TEOAE was reviewed in 4 734 newborns in 3 months after birth,104(2.197%)cases didn’t pass the test,in which 15 cases were diagnosed as hearing-impaired children,accounting for 3.17 ‰,and were given early with hearing aids and early treatment of the scientific language training measures.Conclusions Full-featured automated otoacoustic emission hearing screening instrument is a better screening tool,it is easy to carry,can check fastly with high accuracy,and has no invasion and discomfort,can early detect hearing-impaired children,so as to give early intervention and rehabilitation treatment measures.