新生儿听力筛查临床分析

目的：评价畸变产物耳声发射在新生儿听力筛查中的应用价值，获得新生儿听力损失发病的初步资料，以便早期干预。方法：新生儿出生3—4天及出生42天分别用畸变产物耳声发射技术（OAE）进行普遍听力初筛复筛，复筛未通过者3个月内转诊至成都市妇幼保健院听力中心接受脑干诱发电位（ABR）诊断。结果：筛查住院期间新生儿1508例，初筛通过1389例，通过率92％，42天后未通过初筛的119名中有116名接受复筛，最后未通过复筛的7例接受ABR诊断，最后确诊不同程度的听力损失3例，听力损失发病率1．98‰。结论：OAE是目前新生儿听力筛查理想的检测方法。通过筛查，新生儿听力损失可及早发现，并进行及早干预。

Hearing Screening of 1508 Newborns

Objective： To seek the pratical value of distortion productotoacoustic emissions （DPOAE） for evaluating in the universalnew born hearing screening. Methods： All newborns received hearing screen test by DPOAE in 72-96 hours and rescreened 42 days after they were born. Those in rants who failed to pass the rescreening test receivedauditory brainstem response （ABR） test in three months. Results： 1389 （92%, 1389/1508） new borns passed the DPOAE screening in the hospital. new borns receivedDPOAE rescreening and 109 （94%, 109/116） infants pass. 3 of 7 infants receiv ing ABR test failed to pass at their three month old. Conlusion： The OAE is an idea methods of present auditory screen in early neonales.