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目的:探讨温州地区早期新生儿听力筛查情况。方法:回顾2005年～2010年9月住院出生3～7天活产儿667953例,采用畸变产物耳声发射(DPOAE)或自动听性脑干反应(AABR)进行听力筛查501 503例,未通过者42天复筛,3月和6月各用DPOAE、听性脑干反应(ABR)、声导抗(AIM)、多频稳态听觉诱发反应(ASSR)诊断。结果:初筛未通过47 044例,未通过率9.38%,复筛31 362例,复筛未通过4 329例,未转诊1 641例(失访),占37.90%,转诊2 688例,听力损失327例,轻度听力损失6.50%(26/400),中度听力损失24.25%(97/400),重度听力损失18.75%,(75/400),极重度听力损失50.05%(202/400)。结论:早期新生儿听力筛查随访需要多学科人员共同参与和密切配合,才能提高复筛率、转诊率、随访率、干预率。
Objective: To investigate the early neonatal hearing screening in Wenzhou area. Methods: A retrospective review of 667,953 live births from 3 to 7 days hospitalized in our hospital from September 2005 to September 2010 was conducted, 501 503 cases of hearing screening were performed with Distortion Product Otoacoustic Emissions (DPOAE) or Automatic Auditory Brainstem Response (AABR) The patients were screened on day 42 and diagnosed by DPOAE, auditory brainstem response (ABR), acoustic impedance (AIM) and multi-frequency steady state auditory induction (ASSR) in March and June respectively. Results: There were 47 044 cases failed to pass the screening, 31 362 cases failed to pass screening, 31 362 cases failed to pass the screening, 4 329 cases failed to pass the screening, 1 641 cases failed to be referred, accounting for 37.90%, and 2 688 cases were referred , Hearing loss of 327 cases, mild hearing loss of 6.50% (26/400), moderate hearing loss of 24.25% (97/400), severe hearing loss of 18.75% (75/400), severe hearing loss of 50.05% (202 / 400). Conclusion: Early neonatal hearing screening follow-up requires multidisciplinary staff to participate in and cooperate closely in order to improve the screening rate, referral rate, follow-up rate and intervention rate.