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目的:为了解新生儿听力临床筛查的方法,总结临床筛查新生儿听力的经验和价值研究分析。方法:选择自2011年8月到2013年8月在我院进行听力筛查的新生儿3500名,所有新生儿均使用瞬态诱发耳声发射进行听力筛查,于未通过者出生1个月后进行复筛,其中有任何一项复筛未通过者均要在新生儿3个月时进行听性脑干反应、声导抗测试等诊断性检查。结果:实际筛查的3500名中,通过率为83.4%,实际复筛的396名中,通过率为91%,最后确诊有先天性听力损失的29例,其发病率为2.6%。结论:听力筛查可以提早发现新生儿听力损失,明确性质,避免漏诊、误诊,并提前进行干预,促进新生儿语言发育有积极意义。
Objective: To understand the method of neonatal hearing screening, summarize the clinical screening of neonatal hearing experience and value of research. METHODS: A total of 3,500 newborns with hearing screening in our hospital from August 2011 to August 2013 were selected. All newborns were assessed with transient evoked otoacoustic emissions for hearing screening and were born one month after the failure After the re-screening, including any one failed to pass the re-screening should be 3 months in neonates when the auditory brainstem response, acoustic impedance test and other diagnostic tests. Results: The actual screening rate was 83.4% in 3,500 of them. The actual screening rate was 91% in 396 patients. The final diagnosis was congenital hearing loss in 29 cases, the incidence was 2.6%. Conclusion: Hearing screening can detect neonatal hearing loss earlier, clarify the nature, avoid missed diagnosis, misdiagnosis, and intervention in advance, and promote newborn language development has a positive meaning.