论文部分内容阅读
目的:了解新生儿听力功能障碍与黄疸严重程度的相关性,探索听力功能筛查在辅助诊断新生儿黄疸中的应用价值。方法:选择2009年1月～2010年10月慈溪市2 900例黄疸新生儿,回顾性分析其听力功能筛查结果,比较听力功能障碍儿童和听力功能正常儿童TSB检测值及B/A值。结果:共筛查2 900例黄疸新生儿,TSB检测值156.2～672.4μmol/L,B/A值在(3.2～10.5)×10-3,10例新生儿被确定为听力功能障碍,其中男6例,女4例;黄疸新生儿中的听力功能障碍发生率为0.3%。听力功能障碍儿童TSB检测值为(482.5±112.5)μmol/L,B/A值为(6.3±2.8)×10-3;听力功能正常儿童TSB检测值为(185.4±28.9)μmol/L,B/A值为(4.2±1.7)×10-3,听力功能障碍儿童TSB值及B/A值显著高于正常儿童(P<0.05)。结论:听力功能筛查有助于诊断新生儿黄疸病情,值得临床推广应用。
Objective: To understand the correlation between neonatal hearing impairment and the severity of jaundice, and to explore the value of hearing function screening in the diagnosis of neonatal jaundice. Methods: A total of 2 900 newborns with jaundice in Cixi from January 2009 to October 2010 were retrospectively analyzed. Results of hearing screening were compared with those of hearing-impaired children and hearing-impaired children. Results: A total of 2900 neonates with jaundice were screened, TSB was 156.2 ~ 672.4μmol / L, B / A was (3.2 ~ 10.5) × 10-3, and 10 newborns were identified as hearing impaired 6 cases and 4 females; the incidence of hearing impairment in neonates with jaundice was 0.3%. TSB was (482.5 ± 112.5) μmol / L in children with hearing impairment, (6.3 ± 2.8) × 10-3 in B / A, and (185.4 ± 28.9) μmol / L in children with hearing impairment) / A was (4.2 ± 1.7) × 10-3, TSB and B / A in children with hearing impairment were significantly higher than those in normal children (P <0.05). Conclusion: Hearing functional screening is helpful to diagnose neonatal jaundice and deserves clinical application.