许昌地区12972例新生儿听力筛查结果及相关因素分析

Relevant factor analysis of hearing screening results with 12972 subjects in Xuchang

目的分析许昌地区新生儿听力筛查的的现状,为制定合适的听力筛查和干预措施提供依据。方法对2006年9月—2011年12月本院产科出生的7180例正常新生儿和本科室住院患儿5792例进行瞬态诱发耳声发射(TEOAE)测试,听力初筛、复筛均采用TEOAE,初筛未通过的新生儿42 d进行复筛,复筛未通过新生儿行听性脑干反应(ABR)、40HZ听觉相关电位(40HZ-AERP)和声导抗进行听力损失诊断。结果可接受筛查的18270例新生儿,初筛率71.11%,初筛未通过618例,初筛未通过率4.77%。复筛率67.96%,复筛未通过率14.7%,影响因素分析结果显示胎龄、体重和新生儿疾病是听力筛查未通过的主要因素。结论许昌地区新生儿的初筛率和复筛率较低,失访严重,应加强听力筛查的普及工作,完善随访制度,减少致残率。

Objective To investigate newborn hearing screening current status of in xuchang and clinical high risk factors,In order to provide a scientific basis to set up proper strategies for hear screening and intervention. Methods Newborn babies and inpatient babies in Xuchang Central Hospital form September 2006 to December 2011 were included,The evoked otoacoustic emission （TEOAE） was used for the first and the second screening.The Babies who failed in the second tests would recieve diagnosis tests by auditory brainstem response,40 HZ hearing-related potential and acoustic impendence when at 42 days old. Results A total of 12972 were screened out of 18270newborns（71.11%）,618 babies failed the first screening with a rate of 4.77% .420 out of 618 fin- ished the second screening with a rate of 67.96%,Influence factors were analysed among 618 babies who failed in the first tests. Key factors of the neonates failed screening were gestationlage,weight and disease of newborns for search results.conclusion The rates of newborn hearing screening and rescreening and flowing-up in xuchang are low and The popular jobs of hearing screening must be strengthened ,Following-up institution must be perfected,Periodical following-up must be done in order to reduce disabili- ty rate for high risk infant.