新生儿听力筛查结果假阳性的影响因素研究进展

Research Progress in Influence Factors on False Positive Results of Neonatal Hearing Screening

先天性听损伤是发病率逐年升高的出生缺陷,其对新生儿的生长发育有巨大影响,而进行新生儿听力筛查工作是早期诊断、及时干预及预防言语残疾的必要手段。随着该项工作在全国各地的普遍展开,听力筛查的假阳性结果广泛出现,其可能的影响因素主要包括新生儿健康状态、筛查时间、新生儿耳别及性别、母体的分娩方式、筛查方式、外耳及中耳的发育情况和筛查时的干扰因素等。在临床工作中,医技人员应不断完善听力筛查假阳性者及具备听损伤高危因素者的长期随访资料,以提高新生儿听力筛查的质控水平。

Congenital hearing impairment is a birth defect with a gradual increase in morbidity. It has a great influence on the growth and development of the neonatal, and the neonatal hearing screening is the necessary means of early diagno- sis, timely intervention and prevention of language disability. With the work generally starting all over the country, the false positive results of hearing screening is widely seen. Its possible influence factors include neonates＇ health status,screening time, neonates＇ ear and gender, delivery manners, screening methods, the development of the auris externa and auris media, and interference factors during screening. In clinical work, medical technicians should constantly improve the long-term follow-up data of false positive and high risk factors of hearing loss, in order to improve the control of the neonatal hearing screening.