耳声发射与自动听性脑干反应联合应用对新生儿听力筛查的临床价值

The Clinical Value of Otoacoustic Emission Combined with Automatic Auditory Brainstem Response in Neonatal Hearing Screening

目的:探究耳声发射与自动听性脑干反应联合检查对新生儿听力筛查的临床意义。方法:选取笔者所在医院2018年12月-2019年6月接受听力筛查的98例新生儿作为研究对象,均进行瞬时诱发性耳声发射与自动听性脑干反应听力筛查。比较单纯瞬时诱发性耳声发射与瞬时诱发性耳声发射联合自动听性脑干反应检查的通过率与未通过率。结果:单一耳声发射检查通过率为97.96%,未通过率为2.04%;联合检查通过率为89.80%,未通过率为10.20%,两种检查方法通过率比较差异有统计学意义(P<0.05)。随访显示,联合检查结果符合率为100%。结论:在新生儿听力筛查中应用耳声发射联合自动听性脑干反应其筛查通过率更低,表明作为筛查方法,其检出率更高,更有利于及早发现听力障碍的新生儿,从而及早干预治疗,对于新生儿的生长发育具有重要的现实意义,值得推广。

Objective:To explore the clinical significance of the combined examination of otoacoustic emission combined with automatic auditory brainstem response in neonatal hearing screening.Method:A total of 98 neonates who received hearing screening in our hospital from December 2018 to June 2019 were selected as the research subjects.All of them underwent transient evoked otoacoustic emissions and automatic auditory brainstem response hearing screening.The pass rate and fail rate of transient evoked otoacoustic emission and transient evoked otoacoustic emission combined with automatic auditory brainstem response were compared.Result:The pass rate of single otoacoustic emissions examination was 97.96%,and the fail rate was 2.04%,the pass rate of combined examination was 89.80%,and the fail rate was 10.20%.The difference of pass rate between the two methods was statistically significant (P<0.05).Follow-up results showed that the coincidence rate of combined examination results was 100%.Conclusion:The application of otoacoustic emission combined with automatic auditory brainstem response in neonatal hearing screening has a lower screening pass rate,which indicates that as a screening method,the detection rate is higher,which is more conducive to early detection of hearing impairment of newborn,so as to early intervention and treatment,which has important practical significance for the growth and development of newborn,and is worth promoting.