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目的:分析温岭市妇幼保健院2013年-2015年30 371名新生儿听力筛查结果。方法:选择温岭市妇幼保健院在2012年10月-2015年9月出生的30 371名新生儿作为研究对象,所有新生儿均于出生后48~72小时采用TEOAE或A-ABR进行听力筛查,对初、复筛查未通过的新生儿进行动态的筛查和基因检测联合筛查,以提高新生儿听力筛查的广普性、精确性和可靠性。结果:活产数30 371名中接受听力筛查29 921名,初筛率为98.51%(29 921/30 371),初筛未通过率7.84%(2 383/30 371),复筛率为90.85%(2 165/2 383),复筛未通过173例,经过耳鼻喉科诊断,34例新生儿听力正常,67例新生儿为中度听力损失,72例新生儿为重度听力损失。对173例复筛未通过的新生儿进行基因检测,得出30例新生儿基因异常,并对新生儿耳聋高危因素进行了Logistic回归分析。结论:2012年10月1日至2015年9月30日温岭市妇幼保健院新生儿听力损失检出率为4.57‰,听力筛查和基因检测联合筛查阳性率为17.34%,通过Logistic回归分析,高危因素:家族史、颅面畸形、宫内感染、NICU住院史、基因筛查异常有正相关性,脑膜炎、母亲孕期高危用药史、饮酒史无相关性。
OBJECTIVE: To analyze the hearing screening results of 30 371 newborns in Wenling MCH from 2013 to 2015. Methods: A total of 30 371 newborns born in Wenling MCH from October 2012 to September 2015 were selected as study subjects. All newborns were examined by TEOAE or A-ABR 48 to 72 hours after birth , The initial and secondary screening of newborns failed to carry out dynamic screening and genetic screening joint screening to improve neonatal hearing screening broadness, accuracy and reliability. Results: There were 29 921 hearing screening patients among 30 371 live births, the primary screening rate was 98.51% (29 921/30 371), the first screening failed rate was 7.84% (2 383/30 371), and the screening rate was 90.85% (2 165/2 383). There were 173 cases failed to pass the screening test. After the ENT diagnosis, 34 newborns were normal hearing, 67 newborns were moderate hearing loss and 72 newborns were severe hearing loss. A total of 173 newborns who did not pass the screening were enrolled in the genetic test. Thirty newborns were found to have genetic abnormalities. Logistic regression analysis was used to analyze the risk factors of neonatal deafness. Conclusion: From October 1, 2012 to September 30, 2015, the detection rate of neonatal hearing loss in Wenling MCH was 4.57 ‰, and the positive rate of hearing screening and genetic screening was 17.34%. Logistic regression analysis Risk factors: family history, craniofacial deformity, intrauterine infection, NICU hospitalization, genetic screening abnormalities have a positive correlation, meningitis, maternal high-risk medication during pregnancy, no correlation of drinking history.