论文部分内容阅读
目的分析新生儿重症监护病房(NICU)中患儿耳声发射筛查结果及多因素对耳声发射筛查结果的影响。方法对保健院244例NICU中新生儿进行瞬态诱发耳声发射(TEOAE)筛查,对2次筛查异常者行听力学跟踪和确诊,并对多种耳聋高危因素相互影响进行统计学分析。结果初筛通过率85.7%(209/244),复筛通过率71.4%(25/35)。复筛不通过的10人行2次间隔2个月以上听力学检查:其中2人双耳听力正常,3人双耳听力下降,5人单耳听力下降。NICU中新生儿耳聋患病率32.8‰(8/244)。多因素统计学分析发现,新生儿同时有2种或2种以上耳聋高危因素(窒息病史、高胆红素血症、肺部疾病等)初筛通过率显著降低,与不伴有该类疾病史者相比差异有统计学意义(P<0.05)。结论应高度重视2种或2种以上耳聋高危因素对NICU中新生儿听力损伤,积极预防和治疗,降低新生儿耳聋患病率。
Objective To analyze the screening results of otoacoustic emissions in children with neonatal intensive care unit (NICU) and the influence of multiple factors on the results of otoacoustic emission screening. Methods Totally 244 neonates with NICU were selected for transient evoked otoacoustic emission (TEOAE) screening in the hospital and audiological follow-up and confirmation were performed on the second screening abnormalities. Statistical analyzes were carried out on the mutual influence of various risk factors of deafness . Results The screening rate of primary screening was 85.7% (209/244), and the screening rate was 71.4% (25/35). Re-screening failed 10 people 2 times at intervals of more than 2 months audiological examination: two of them ears normal hearing, 3 ears decreased hearing, 5 ears decreased hearing. The prevalence of neonatal deafness in NICU was 32.8 ‰ (8/244). Multivariate statistical analysis found that newborns at the same time there are two or more high risk factors for deafness (history of asphyxia, hyperbilirubinemia, lung disease, etc.) screening rate was significantly lower, and not associated with these diseases The difference between the two groups was statistically significant (P <0.05). CONCLUSIONS: Two or more high risk factors for deafness should be paid great attention to neonatal hearing impairment in NICU, and active prevention and treatment should be given to reduce the prevalence of deafness in neonates.