安庆市新生儿听力筛查5315例结果分析

Analysis on hearing screening results of 5 315 neonates in Anqing City

目的通过听力筛查了解安庆市新生儿听力损失的发生情况及相关高危因素，以便早期干预和治疗。方法采用瞬态诱发耳声发射（TEOAE）对5315例新生儿听力筛查结果从性别、分娩方式、高危因素方面进行分析。结果初筛通过率为91．38％，复筛通过率为69．91％，确诊听力缺陷率为0．11％。不同性别、不同分娩方式初筛通过率比较差异均无统计学意义（X^2值分别为0．246、2．257，均P〉0．05）。正常新生儿初筛通过率与高危儿初筛通过率比较差异有统计学意义（X^2=5．445，P〈0．05）。结论开展新生儿听力筛查，加强对高危儿、复筛人群管理监测与基础信息分析利用工作具有非常重要的意义。

Objective To investigate the occurrence of neonatal hearing loss and its high-risk factors with neonatal hearing screening in Anqing City, aiming to intervene and treat early. Methods Transient evoked otoacoustic emission （TEOAE） was used to screen hearing of 5 315 neonates, and the results were analyzed from the aspects of sex, delivery mode and high-risk factors. Results The passing rate of preliminary screening was 91.38% , and that of secondary screening was 69.91%. The auditorily handicapped rate was 0. 11%. The passing rate of preliminary screening was not statistically significant between different sex and delivery mode （X^2 value was 0. 246 and 2. 257, respectively, both P 〉 0.05 ） , but it was significantly different between normal neonates and high-risk neonates （X^2 = 5. 445, P 〈 0.05 ）. Conclusion It is very important to carry out hearing screening, particularly to strengthen the supervising and monitoring of high-risks neonates and secondary screening neonates, and to analyze and utilize of basic information.