摘要
目的：分析新生儿普遍听力筛查中3个月内诊断为听力障碍婴儿其听力恢复正常的原因。方法：2001年11月～2005年6月在上海市出生并接受新生儿普遍听力筛查未通过者，转至上海市儿童听力障碍诊治中心接受听力学评估，均在出生3个月内诊断为听力障碍，并进行听力学跟踪随访至少6个月，对听力恢复正常者进行分析。结果：出生3个月内诊断为听力障碍者681例，随访6～24个月听力恢复正常者94例（115耳），占13．8％。听力恢复正常者中发现有鼓室积液56例（64耳），占59．6％；未发现有明确器质性原因者38例（51耳），占40．4％。听力恢复正常115耳中听力障碍轻度105耳，占91．3％；中度8耳，占7．0％；中重度2耳，占1．7％；重度和极重度无恢复正常者。结论：出生3个月内诊断有听力障碍的患儿，随年龄增长其听力恢复正常的可能性以轻、中度聋为大。恢复原因主要是分泌性中耳炎自愈和听中枢生理性发育逐渐成熟。
Objective： To analyze the reasons of hearing recovery of newborns and infants which were diag- nosed hearing loss within 3 months old by universal newborn hearing screening（UNHS） system. Method： Newborns and infants born from Nov. 2001 to Jun. 2005 in Shanghai who failed UNHS were studied. Audiometric evaluations were performed in Shanghai Children＇s Hearing and Speech Center. Those with hearing loss were diagnosed within 3 months old and were followed-up at least 6 months. Analysis was carried out targeting for hearing recovery cases. Result： Six hundred and eighty-one Cases failed the UNHS and were confirmed hearing loss within 3 months old. During the 6-24 months period of sfollowed-up, 94 （13.8%） of 681 infants caught normal hearing. Among these 94 infants（115 ears）, otitis media with effusion was found in 56 cases（59.6%）, no reasonable cause was found in the other 38 cases（40.4%）. Among the 115 ears which recovered to normal, there were 105 ears （91.3%） with primary diagnosis of mild hearing loss, 8 ears （7.0%） with moderate hearing loss and 2 ears（1. 7%） with moderate-severe hearing loss. No recovery was found in the cases with primary diagnosis of severe and profound hearing loss. Conclusion：Newborns and infants with hearing loss diagnosed within 3 months old have possibility to recover as they are growing. The critical reasons might be self-recovery from otitis media with effusion and outcomes of central auditory system development.
出处
《临床耳鼻咽喉科杂志》
CSCD
北大核心
2006年第13期585-587,共3页
Journal of Clinical Otorhinolaryngology
关键词
新生儿听力筛查
听力障碍
中耳炎
分泌性
听力检查
Neonatal hearing screening
Hearing disorders
Otitis media with effusion
Audiometry
