新生儿听力筛查临床分析

Hearing Screening of 1508 Newborns

目的：评价畸变产物耳声发射在新生儿听力筛查中的应用价值，获得新生儿听力损失发病的初步资料，以便早期干预。方法：新生儿出生3—4天及出生42天分别用畸变产物耳声发射技术（OAE）进行普遍听力初筛复筛，复筛未通过者3个月内转诊至成都市妇幼保健院听力中心接受脑干诱发电位（ABR）诊断。结果：筛查住院期间新生儿1508例，初筛通过1389例，通过率92％，42天后未通过初筛的119名中有116名接受复筛，最后未通过复筛的7例接受ABR诊断，最后确诊不同程度的听力损失3例，听力损失发病率1．98‰。结论：OAE是目前新生儿听力筛查理想的检测方法。通过筛查，新生儿听力损失可及早发现，并进行及早干预。

Objective： To seek the pratical value of distortion productotoacoustic emissions （DPOAE） for evaluating in the universalnew born hearing screening. Methods： All newborns received hearing screen test by DPOAE in 72-96 hours and rescreened 42 days after they were born. Those in rants who failed to pass the rescreening test receivedauditory brainstem response （ABR） test in three months. Results： 1389 （92%, 1389/1508） new borns passed the DPOAE screening in the hospital. new borns receivedDPOAE rescreening and 109 （94%, 109/116） infants pass. 3 of 7 infants receiv ing ABR test failed to pass at their three month old. Conlusion： The OAE is an idea methods of present auditory screen in early neonales.