影响新生儿听力功能筛查通过率的高危因素分析

Analysis of the impact of hearing screening function through the high risk factors of newborn

目的分析影响新生儿听力功能筛查通过率的高危因素。方法分析该院自2011—2012年应用瞬态诱发性耳声发射监测仪,对12072例新生儿行听力功能筛查的结果,对影响其结果的高危因素行如下分析。结果新生儿初筛未通过率为4.88%(589/12072)。复筛未通过率为33.85%(176/520)。本组2次筛查未通过听力检测新生儿共96例,影响听力检测的高危因素主要有孕周<37周,未通过率为2.74%(17/621),羊水异常未通过率为1.75%(19/1083),在统计学上具有显著性意义(P<0.005,P<0.05)。结论影响新生儿听力筛查通过率的因素有孕周<37周及噪声因素,早期诊断有利于临床治疗干预。

Objective To analyze the impact of hearing screening function through the high risk factors of newborn. Methods 12072 newborns in our hospital from 2011 January to 2012 January were tested for hearing screening by transient evoked otoacoustic emission monitor. High risk factors affecting the detection results were analyzed. Rusults The rate did not pass of neonatal screening was 4.88% （589/12072）. The second screening rate was 33.85% （176/520）. There were 96 cases of newborn which did not pass through in two tests. The effects of hearing detection risk factors include gestational age 〈 38 weeks, did not pass rate was 2.74% （17/621）, abnormal amniotic fluid did not pass rate was 1.75% （19/1083）, and there were significant statistically （P 〈 0.05）. Conclusion Influence factors of newborn hearing screening are gcstational age less than 38 weeks and abnormal amniotic fluid factors. Early diagnosis of neonatal hearing function is helpful for clinical intervention.