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未通过听力筛查新生儿的听力跟踪和确认 被引量:24

Follow up after newborns and infants hearing screening
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摘要 目的 探讨未通过听力筛查新生儿的听力跟踪的意义。方法 回顾性分析 1 930 2名新生儿听力筛查中未通过筛查的 5 6例新生儿的围产期病史和听力学诊断资料。结果  1 930 2名新生儿中未通过新生儿听力筛查者共 5 6例 ,占筛查儿童的 0 2 90 % ,以后隔 2个月复查畸变产物耳声发射 (distortionproductotoacousticemission ,DPOAE)和听性脑干反应 (auditorybrainstemresponse,ABR)一次 ,共复查 2至 3次 ,其中 1例新生儿在 7个月龄时 ,听力达到正常范围 ,确诊为听力障碍的新生儿共 5 5例 ,未通过听力筛查新生儿经跟踪确认后 ,确认听力障碍的比率为 98 2 %。结论 新生儿听力筛查后 ,对于未通过听力筛查的新生儿应坚持至少为期 6个月的跟踪和随访 ,才能够确认其听力。 Objective To probe the follow up procedures after newborns and infants hearing screening. Methods 56 from 19 302 of newborns and infants who could not pass hearing screening were followed up and received routine audiologic evaluations(with procedures of auditory brainstem response and distortion product otoacoustic emission) at two month intervals for two or three times until they were six or eight month old. Results The hearing of one infant was determined to be normal after received three times routine audiologic evaluations when she was seven month old. And the other 55 of newborns and infants′ hearing was abnormal. The diagnostic rate of the newborns and infants with hearing loss is 98 2%. Conclusion Newborns and infants who could not pass hearing screening should be followed up for six or eight months and be received routine audiologic evaluations.
出处 《中华耳鼻咽喉科杂志》 CSCD 北大核心 2003年第5期332-335,共4页 Chinese Journal of Otorhinolaryngology
关键词 听力筛查 新生儿 诊断 听力障碍 耳声发射 Neonatal screening Hearing disorders Follow up studies Otoacoustic emissions,spontaneous Otoacoustic emissions, evoked
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二级参考文献6

  • 1Joint Committee On Infant Hearing.1994 position statement[].Pediatrics.1995
  • 2Park MS.Lee JH/ Diagnostic potential of distortion product otoacoustic emisssions in severe or profound sensorineural hearing loss[].Acta Oto laryngologica.1998
  • 3American Academy of Pediatrics APP.Newborn and infant hearing loss:detection and intervention[].Pediatrics.1999
  • 4National Institutes of Health.Early identification of hearing impairment in infants and young children[].NIH Consensus Statement.1993
  • 5Riko K,Hyde ML,Alberti PW.Hearing loss in early infancy:incidence, detection and assessment[].Laryngoscope.1985
  • 6Vohr BR,Carty LM,Moore PE,et al.The Rhode Island hearing assessment program: experience with statewide hearing screening (19931996)[].The Journal of Pediatrics.1998

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