新生儿听力筛查未通过婴儿的听力评估

Audiologic Evaluations of Newborns After Failure of Universal Neonatal Hearing Screening

邹凌;陶宣华;蔡娟;张薇;

1:成都市妇幼保健院儿童听力检测中心

2:成都市儿童医院耳鼻咽喉科

摘要
目的评估新生儿听力筛查未通过婴儿的听力状况及其变化。方法对新生儿听力筛查未通过、诊断为听力损失的136例婴儿分别在2~3月龄及4~6月龄时应用ABR、TEOAE、声导抗检查进行听力损失的初诊及确诊,比较和分析2次检查结果。结果 2~3月龄时136例婴儿初诊为单耳听力损失64例,双耳听力损失72例;听力损失程度:轻度109例,中度9例,重度7例,极重度11例。4~6月龄时确诊为听力正常22例,听力损失114例,其中单耳听力损失62例,双耳听力损失52例;轻度听力损失87例,中度11例,重度4例,极重度12例。确诊和初诊结果比较,听力损失程度无变化87例,加重或减轻49例(初诊为轻度听力损失者42例,中度4例,重度3例),其中听力损失程度加重7例、减轻20例、22例恢复正常。结论新生儿听力筛查未通过的婴儿听力损失状况可能发生变化,在初诊为听力损失后,应注意随访。
关键词
新生儿听力筛查;转诊;听力评估
基金项目(Foundation):
四川省卫生厅科研课题项目(060190)
作者
邹凌;陶宣华;蔡娟;张薇;
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邹凌陶宣华蔡娟张薇