NICU患儿听力筛查结果分析

The Analysis of Neonates Hearing Screening in Neonatal Intensive Care Unit

目的分析新生儿重症监护病房（NICU）患儿听力筛查结果。方法对2008年1月～2009年1月间3130例NICU患儿用TEOAE初筛、复筛，对复筛未通过患儿行ABR诊断性检查。结果未通过TEOAE初、复筛的513例（709耳）患儿中，以早产儿和肺部疾患阳性率最高，其中102例（156耳）患儿经诊断性ABR检查，确诊为听力损失130耳（83．33％，130／156），其中轻度听力损失38耳，中度55耳，中重度15耳，重度16耳，极重度6耳，肺部疾患、高胆红素血症和早产儿阳性率最高。结论NICU患儿听力损失发生率高，肺部疾病、高胆红素血症和早产儿是引起听力损失最主要的高危因素。

Objective To analyze the hearing screening results of infants in neonatal intensive care unit （N1CU）. Methods TEOAEs was used to screen 3 130 newborns in the NICU between January 2008 and January 2009. 102 NICU infants initially failed TEOAE screening were followed up with sedated ABR testing. Results Of the 3 130 subjects, 513 infants（709 ears） failed TEOAE. 102 subjects（156 ears） had experienced ABR, in which 79 cases（130 ears, 83.33%）were diagnosed as hearing loss with mild bearing loss in 38 ears, moderate in 55 ears, serere in 16 ears, and perfound in 6 ears. Infants with pneurnonic diseases, hyperbilirubinemia and prernaturity in the NICU were at significant risk of sensorineural hearing loss. Conclusion The data indicates that NICU neonates have a high incidence of abnormal hearing status. Pneurnonic diseases, hyperbilirubinernia and prernaturity are the high risk factors in the NICU population.