耳声发射和自动听性脑电反应联合进行新生儿听力筛查结果分析

Results analysis of neonatal hearing screening by otoacoustic emission combined with automatic auditory electroencephalic response

目的探讨耳声发射和自动听性脑电反应联合进行新生儿听力筛查的效果。方法选取2016年1~12月来我院门诊进行听力筛查的足月新生儿300例作为研究对象,将其按照就诊顺序奇偶性随机分成观察组和对照组,每组150例。其中,观察组150例新生儿采取耳声发射筛查仪联合自动听性脑电反应的方式实施听力筛查,对照组150例新生儿单纯应用耳声发射筛查仪实施听力筛查。比较两组新生儿听力筛查的筛选结果。结果观察组新生儿的听力筛查通过率为85.3%,显著低于对照组的92.0%(χ~2=3.573,P<0.05);观察组新生儿的听力筛查未通过率14.7%,显著高于对照组的8.0%(χ~2=3.573,P<0.05)。结论耳声发射筛查仪联合自动听性脑电反应的方式筛查新生儿听力可有效提高筛查准确率,减少误诊、漏诊情况的发生,同时可为临床准确判断新生儿病变部位及病变程度提供诊断依据。

Objective To explore the effect of otoacoustic emission （OAE） and automatic auditory electroencephalic re- sponse （AAEER） on the neonatal hearing screening.Methods A total of 300 neonates in full term visited our clinic for hearing screening in our hospital from January to December 2016 were selected as research objects.According to the odd and even sequence of visiting doctors,they were evenly divided into observation group and control group in random. In the observation group,combination of OAE and AAEER was adopted,while in the control group,only OAE was used. The screening outcome between the two groups was compared.Results The passing rate of hearing screening was 85.3% in the observation group,which was much lower than that in the control group accounting for 92.0% ,which was dis- played statistical difference （X2=3.573,P〈0.05）.Accordingly,the rate of failing to pass hearing screening test was 14.7% in the observation group,which was significantly higher than that in the control group accounting for 8.0%（X2=3.573,P〈 0.05）.Conclusion Combination of OAE and AAEER can effectively improve accuracy rate of screening,reduce the oc- currence of misdiagnose and missed diagnosis,and simultaneously provide the diagnostic basis for accurate judgment of neonatal disease location and degree in clinic.