聊城市新生儿听力筛查状况调查探究.docVIP

聊城市新生儿听力筛查状况调查探究【摘要】 目的 了解聊城市新生儿听力筛查工作的状况，探讨开展新生儿听力筛查的可行性。方法 研究对象为2009年出生于聊城市9个县的新生儿71 797例。应用瞬态诱发性耳声发射(TEOAE)技术对出生3 d的新生儿进行听力普遍筛查，未通过者在产后42 d用同样的方法进行复查，仍未通过者，用听觉脑干诱发电位(ABR)技术检查，并跟踪随访。结果 初筛59 376例，初筛率82.70%，其中NICU高危因素患儿2432例,普通病房56 944例；初筛通过53 952例,未通过5424例,复筛1971例,复筛率36.33%,确诊的102例，先天性听力损失的检出率为1.72‰，NICU患儿检出率为2.55%,普通病房检出率为0.07%。其中81例接受了听力评估和治疗。结论 聊城市新生儿筛查覆盖率不高，检测系统不完善，治疗方式应系统化，在聊城市开展新生儿听力筛查非常必要。 【关键词】 新生儿； 听力筛查； 瞬态诱发性耳声发射； 听觉脑干诱发电位； 听力损失 Investigation and study on newborn hearing screening in Liaocheng YANG Qing-ju,WANG Xue-xia,XU Ling-zhong.Liaocheng People’s Hospital,Liaocheng 252000,China 【Abstract】 Objective To investigate the condition of newborn hearing screening，and to explore the feasibility of universal newborn hearing screening in the city of Liaocheng.Methods Subjects were 71 797 infants who were born in 9 counties from Jan 2009 to Dec 2009. Transient evoked otoacoustic emission(TEOAE) was used for the fast hearing screening. Infants were screened on the 3 days after the birth. The re-screening was conducted in 42 days if failed in the initial screening，the auditory brainstem response(ABR) was also used to diagnosed the disease and follow-up were provided continually if they also failed in the re-screening.Results 59 376 of 71 797 (82.70 %) were screened including 56 944 normal newborns and 2432 newborns with high-risk in newborn intensive care unit（NICU）. 53 952 newborns passed the initial screening，and 5424 people failed. Only 1971（36.33%）were re-screened on time. 102 infants（1.72‰） were diagnosed as hearing loss in the re-screening，and 81 of them received diagnostic assessment and therapy.Conclusion The coverage of newborn screening is lower in the city of liaocheng. The screening system is deficient. The treatment of congenital hearing loss should be systematic. It is feasible to conduct hearing screening program in the city of Liaocheng. 【Key words】 Newborns； Hearing screening； TEOAE； ABR； Hearing loss 听力障碍是发生率最高的人体感觉器官功能缺失之一。国外