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目的探讨未通过TEOAE听力筛查婴儿进行听力学随访的必要性。方法回顾性分析60例未通过TEOAE听力筛查的婴儿听力学随访情况。结果2次未通过TEOAE筛查及并行第一次诊断性ABR测试的婴儿共60例,经2~3次随访后确诊听力下降44例,确诊率为73.3%(44/60),听力下降发病率为5.6‰(44/7800)。对2次TEOAE筛查未通过婴儿随访时间以3月龄为界,3月龄后确诊率明显高于小于3月龄婴儿,有统计学差异(P=0.040)。部分听力下降婴儿,特别是高危儿随月龄增加听力逐渐恢复正常。结论对于1耳或双耳未通过TEOAE听力筛查的患儿必须有2次以上听力学随访,随访时间最好在婴儿3月龄后进行。
Objective To investigate the necessity of audiologic follow-up of infants who did not pass TEOAE hearing screening. Methods Retrospective analysis of 60 cases of audiologic follow-up of infants who did not pass TEOAE hearing screening. Results A total of 60 infants who did not pass the TEOAE screening and the first diagnostic ABR were included in this study. Forty hearing-impaired children were diagnosed after 2 to 3 follow-ups, with a confirmed rate of 73.3% (44/60) and hearing loss The rate was 5.6 ‰ (44/7800). The 2-year TEOAE screening failed to follow the 3-month-old infant’s follow-up. The diagnosis rate after 3 months of age was significantly higher than that of children younger than 3 months (P = 0.040). Some hearing loss in infants, especially high-risk children with the increase of age, hearing gradually returned to normal. Conclusions There must be more than two audiological visits in children with hearing impairment of the ear or both ears without TEOAE. The follow-up is best performed at 3 months of age.