2107例新生儿听力初次筛查相关结果分析

目的分析2 107例新生儿听力初次筛查的相关结果,以提高新生儿听力筛查的检出率,指导筛查出的听力障碍儿童进行早期治疗。方法选择从2011年3月至2012年11月出生的2 107例新生儿,由专业听力筛查医师采用自动耳声发射听力筛查仪对各个时段的新生儿进行听力筛查。观察各个时期初次筛查通过率及探讨影响听力的若干因素。结果出生后小于或等于2d、3d、4～7d、8～28d和大于28d各组的初次筛查通过率分别为56.87%、89.85%、94.14%、97.71%、98.96%。以出生后小于或等于2天为基准,发现女婴的初次筛查通过率高于男婴,差异有统计学意义(χ2=27.22,P<0.05);不同异常分娩情况对新生儿初次筛查通过率有影响,差异有统计学意义(P<0.05)。结论新生儿听力初次筛查可以早期筛查出听力障碍儿童,有助于患儿的早期调整治疗;同时应尽量避免引起新生儿听力受损的各种高危因素;新生儿听力初次筛查意义重大,适合临床长期推广应用。

The analysis on relevant results of first hearing screening among 2 107 newborn cases

Objective To analysis related results of first hearing screening among among 2 107newborn cases,then improve the rate of newborn hearing screening and guide the screening out of hearing impairment children for early treatment.Methods Newborn hearing screening were conducted by professional hearing screening physicians,who adopt automatic oaes hearing screening instrument for each session among 2 107 infants Born from march 2011 to november 2012.Initial screening passing rate was observed in each period and hearing related factors were explored.Results Initial screening pass rate of within 2 days,3 days,4 to 7 days,8 to 28 days and more than 28 days after birth in each group′s was 56.87%,89.85%,94.14%,97.71%,98.96% respectively.Girls first screening pass rate was significantly higher than boys in 2 days after birth（χ2=27.22,P0.05）;Different abnormal labor situation had effect on neonatal screening for first pass rate,the difference was statistically significant（P0.05）.Conclusion First hearing screening in newborn could early screen out of hearing impairment children so that help children for early treatment;and avoiding cause neonatal high-risk factors of hearing loss at the same time;Firs hearing screening in newborn is of great significance for the time,suitable for clinical application for a long time.