摘要
目的了解影响听力损伤的相关因素,探讨降低听力残疾发生率的措施。方法应用畸变产物耳声发射测试(DPOAE)对1093例新生儿进行听力初筛、复筛,对筛查2次未通过者,建议至上级医院检查确诊。统计初筛、复筛通过率,比较不同性别、孕周、出生体重及有无听损伤高危因素者的未通过率,进行先天性听力障碍危险因素分析。结果 1093例新生儿初次听力筛查未通过95例占8.6%;出生体重、孕周未通过率组间比较差异有统计学意义(P<0.05),生产方式不同差异无统计学意义(P>0.05)。实际复筛49例,未通过6例占12.24%。结论 DPOAE法听力筛查筛查效果良好,普及新生儿听力筛查、听力保健知识,加强孕期保健,加强听力筛查宣教,以提高复筛率,是降低听力残疾发生率的重要措施。
Objective To investigate the risk factors of hearing damage and discuss how to reduce occurrence rate of hearing disability. Methods The newborns were screened by DPOAE within their first 3 ~ 5 days,those who were＂failed＂were re-screened at 42 days old. Newborns,those who didn＇t pass at the second screening,were suggested to attend the center for auditory assessment. Calculate the pass rate of primary screening and re-screening,compare the fail rate under different sex,gestational weeks,birth weight and whether had risk factors,and analyze the risk factors for congenital hearing disorder. Results During the first hearing screening 95 newborns failed,and the fail rate was 8. 60%,49 of them re-screened on the 42 day after birth,6（ 12. 24%） of them still indicated failed. The differences of fail rate under different brith weight, gestational weeks present statistically significant（ P 0. 05）. The differences of fail rate under differentchildbirth wayswere no statistically significant（ P 0. 05）. Conclusions The efficacy of DPOAE screening was satisfactory. It is necessary to enhance management and education forthe public in order to improve rates of screening and follow-up.
出处
《齐齐哈尔医学院学报》
2014年第3期396-397,共2页
Journal of Qiqihar Medical University
关键词
新生儿
DPOAE
听力筛查
Hearing screening
Distortion product otoacoustic emission
Newborn
