新生儿听力筛查及早期干预临床研究.docVIP

新生儿听力筛查及早期干预临床研究【摘要】 目的 通过对沾化县2007~2009年出生的新生儿进行瞬态耳声发射(TEOAE)检查,探讨早期发现听力异常,早期干预的意义。方法 对9420名(包括高危儿430名)新生儿进行瞬态耳声发射测试,对三次测查未通过者在出生后三个月进行脑干听觉诱发电位(ABR)检查并确诊,对听力异常儿建档及追踪管理。结果 最后确诊听力障碍16 例,总发病率1.70‰。经语言训练,10例轻度听力障碍者语言发育正常;中度听力障碍4例中,1例语言发育稍落后,3例语言发育基本正常;2例重度听力障碍者已佩戴助听器,语言发育迟缓。结论 开展新生儿听力筛查,可早期发现听力异常,早期干预,促进语言发育。 【关键词】 新生儿;听力筛查;耳声发射;早期干预 Clinic analysis of hearing screening and early intervention on the newborns SUN Wei-hong,CHEN Feng-feng.Women and Childrens Health Station of Zhanhua, Shandong 256800,China 【Abstract】 Objective To explore the significance of early detection and intervention on hearing impairment,by examining transient evoked otoacoustic emissions(TEOAE) of the newborns in this station between 2007~2009.Methods A total of 9420 newborns(including 430 High-risk) born in this station received TEOAE,those with three abnormity received auditory brainstem reponse(ABR) test within three months and confirmed,then setting up the files of the infants with abnormal hearing and tracking management.Results Of 16 infants diagnosed as dysaudia accounting for 1.70‰. Through language training,there were 10 cases with mild dysaudia developed normal language.Of 4 cases with moderate dysaudia,3 cases with substantial normal language development and 1 case with latish language development;2 cases with severe dysaudia and stunt language development wore audiphone.Conclusion Developing screen of newborn’s hearing could detect early hearing abnormity and promote language development by early intervention. 【Key words】 Newborns; Hearing screen; Otoacoustic emission(OAE); Early intervention 作者单位:256800山东省沾化县妇幼保健站 新生儿听觉障碍分为先天性听觉障碍和与分娩诸多高危因素相关的获得性听力损伤,是常见的出生缺陷。我国正常新生儿中,听力障碍的发生率约为1‰-3‰,其中重度至极重度听力障碍的发生率约为1‰[1]。通过对新生儿进行听力筛查可以早期识别听力障碍儿童,早期进行治疗、康复,从而改善这些儿童在社会交往、教育和就业等方面的弱势地位。我站对沾化县2004年1月至2006年12月出生的新生儿进行瞬态耳声发射(TEOAE)检查,并对个案进行系统管理。 1 对象与方法 1.1 对象 2007年1月至2009年12月,沾化县所有接产医院共出生新生儿9916例,接受瞬态耳声发射检查9420例,占95%。其中,男4898例,女4522例。具有高危因素的新生儿430例,高危因素:听力障碍家族史,孕期感染史(如巨细胞病毒、风疹病