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目的:通过对高危新生儿听力筛查,识别应当接受听力学评估的新生儿;发现和证实高危新生儿听损伤的高危因素。方法:用DPOAE初筛,对初筛未通过者用DPOAE加ABR进行复筛,复筛未通过者进行听力学诊断。应用Logistic逐步回归法分析听力障碍相关高危因素。结果:共筛查327例,初筛未通过率为37.0%;复筛未通过率为11.0%;确诊10例,听力障碍发病率为3.39%。高危因素为窒息、低体重(<1 500 g)和头颈部畸形。结论:①对高危儿进行听力筛查,DPOAE和ABR相结合是一种可靠、可行的筛查方法;②本资料中与听损伤相关的高危因素为窒息、低体重(<1 500 g)和头颈部畸形。
OBJECTIVE: To identify newborns who should undergo audiological assessment of high-risk neonatal hearing screening and to identify and confirm the risk factors for hearing loss in high-risk neonates. Methods: With DPOAE primary screening, DPOAE plus ABR were used to screen those who did not pass the screening, and those who did not pass the screening were diagnosed by audiometry. Logistic stepwise regression analysis of risk factors related to hearing impairment. Results: A total of 327 cases were screened, the failure rate of primary screening was 37.0%; the failed screening rate was 11.0%; 10 cases were diagnosed, and the incidence of hearing impairment was 3.39%. High-risk factors are asphyxia, low body weight (<1 500 g) and head and neck deformities. Conclusion: ①High-risk hearing screening, DPOAE and ABR combination is a reliable and feasible screening method; ② The risk factors associated with hearing impairment in this data are asphyxia, low body weight (<1 500 g) and Head and neck deformity.