目的:通过新生儿听力筛查,早期诊断新生儿听力障碍。了解正常产新生儿听力损害发病率。总结筛查经验,使筛查顺利进行。方法:对2009~2011年3年来本院产科正常产28 304例新生儿在出生72 h左右进行瞬态诱发耳声发射进行初筛,未通过者42天进行瞬态诱发耳声发射复筛,异常者约在3个月进行听性脑干反应诊断。结果:28 034例新生儿初筛率100%,初筛通过率94.88%(26 856/28 304),未通过率5.11%(1 448/28 304)。复筛率74.79%(1 083/1 448),复筛通过率78.30%(848/1 083)。235例未通过筛查的最终184例前来行听性脑干反应诊断检查,最终确诊听力损害者42例(57耳),发病率为1.50‰。结论:新生儿听力损害发病率即使在正常产儿中也较高,但新生儿听力筛查失访率仍较高,因此加强新生儿听力筛查极其重要。 Objective: Early diagnosis of neonatal hearing impairment through neonatal hearing screening. To understand the normal incidence of neonatal hearing loss. Summarize the screening experience so that the screening goes well. Methods: 28 304 newborns with normal obstetrics and gynecology in our hospital during the three years from 2009 to 2011 were tested for transient evoked otoacoustic emissions at about 72 hrs after birth. The subjects who failed to pass the test were subjected to transient evoked otoacoustic emissions (IFA) Abnormalities in about 3 months for diagnosis of auditory brainstem response. Results: The initial screening rate of 28 034 newborns was 100%, the initial screening pass rate was 94.88% (26 856/28 304) and the failure rate was 5.11% (1 448/28 304). The screening rate was 74.79% (1 083/1 448) and the screening rate was 78.30% (848/1 083). Of the 235 patients who did not pass the final screening, 184 patients were diagnosed by auditory brainstem response. The final hearing loss was confirmed in 42 patients (57 ears) with a prevalence of 1.50 ‰. CONCLUSIONS: The incidence of hearing impairment in newborns is high, even in normal children, but the rate of missed follow-up in newborn hearing screening is still high, so strengthening hearing screening in newborns is extremely important.