新生儿听力筛查14 265例结果分析

目的:通过对新生儿听力筛查,了解新生儿听力损失的发病状况,分析产生听力损失相关因素,以期早期干预,降低发病率。方法:初筛、复筛均采用耳声发射仪,对活产新生儿进行听力筛查。初筛选在生后48～72小时进行,复筛选在生后1个月进行;复筛仍未通过者于3～6个月龄进行听力学评估、医学诊断,并对该时间段在儿科NICU住院治疗、高危因素依次为:早产、高胆红素血症和窒息的200例新生儿进行调查分析。结果:正常新生儿需初筛14265人,实际初筛13550人,初筛率95.0%(13550/14265),初筛通过率91.1%(12340/13550);需要复筛1210人,实际复筛1101人,复筛率91.0%(1101/1210),复筛通过率82.0%(903/1101)。高危新生儿需初筛200人,实际初筛200人,初筛通过率64.0%(128/200);需要复筛72人,实际复筛72,复筛通过率43.1%(31/72)。正常新生儿初筛、复筛通过率与高危新生儿初筛、复筛通过率相比有统计学意义(P<0.05)。结论:新生儿听力筛查十分重要,须将高危因素的新生儿列为重点筛查对象,耳声发射检查可以及早发现听力损失;早期干预,可以降低发病率。

Objective： Through sieves to the newborn heating looks up, understood the newborn loss of hearing the morbidity condi- tion, the analysis has the loss of heating cor- relation factor, by the time early time inter- vention, reduces the disease incidence rate. Method ： Initially sieves, duplicate sieves u- ses the ear sound launch meter,2010 year in December carries on the heating to January, 2006 in this courtyard birth live birth new- born to sieve looks up. Initially screens after living 48 - 72h carries on, duplicate screen- ing is living the latter 1 month to carry on;Duplicate sieved still the passing 3 in June age not to carry on the audiology appraisal, the medicine diagnosis, and to this time sec- tion in my courtyard department of pediat- rics NICU hospital treatment, the high - risk factor was in turn：The premature delivery, the high bilirubinemia sickness and suffo- cates 200 example newborns carry on the di- agnosis. Results： The normal newborn must initially sieve 14 265 people, initially sieves 13 550 people actually, initially sieves rate is 95.0% （ 13 550/14 265 ） , initially sieves the capacity is 91. 1% （12 340/13 550） ; Needs duplicate to sieve 1210 people, actual duplicate sieves 1101 people, duplicate sieves rate is 91.0% （1101/1210）, dupli- cate sieves the capacity 82. 0% （903/ 1101 ）. The high - risk newborn must initial- ly sieve 200 people, initially sieves 200 peo- ple actually, initially sieves the capacity is 64.0% （128/200） ;Needs duplicate to sieve 72 people, actual duplicate sieves 72, dupli- cate sieves the capacity 43. 1% （31/72）. The normal at the beginning of newborn sieves, duplicate sieves the capacity and the high - risk at the beginning of newborn sieves, duplicate sieves the capacity to com- pare has statistics significance （ P 〈 0.05 ）. Conclusion： The newborn hearing sieves looks up extremely importantly, must list as key the high - risk factor newborn sieves the verification elephant, the ear sound launch inspection may discover early the loss of hearing ; The early intervention, may reduce the disease incidence rate.