1000Hz探测音声导抗检查在新生儿听力筛查中的应用价值

Application Value of 1000Hz High Frequency Immitance Test in Newborn Hearing Screening

姚寿国;史波宁;陈淑飞;顾黎黎;

1:宁波大学医学院附属医院听觉与平衡医学中心

摘要

目的探讨1 000 Hz探测音声导抗检查在听力筛查未通过新生儿听力评估中的作用。方法回顾性分析2018年1月至2019年12月期间新生儿听力筛查未通过的531例(820耳)婴儿的临床资料,其中DPOAE及AABR均未通过者337例527耳为A组,DPOAE未通过但AABR通过者192例289耳为B组,DPOAE通过但AABR未通过者2例4耳为C组,以DPOAE及AABR均通过的1 000例(2 000耳)为对照组(D组),对四组新生儿行1 000 Hz探测音声导抗测试,分析各组Ya图形态及分型。结果四组1 000 Hz声导抗检查Ya图分型比较有显著差异,A组和B组异常率(分别为95.07%和85.81%)显著高于对照组(1.16%.),差异有统计学意义(P<0.05),C组2例4耳均为正常型。结论对新生儿听力初筛或复筛未通过的新生儿,再采用1 000 Hz探测音声导抗检查可早期判断新生儿中耳功能,降低DPOAE及AABR听力筛查的假阳性率。

关键词

新生儿;听力筛查;1000Hz探测音;声导抗检查

基金项目(Foundation):

作者

姚寿国;史波宁;陈淑飞;顾黎黎;

参考文献

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新生儿听力筛查 1000Hz探测音声导抗检查

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姚寿国史波宁陈淑飞顾黎黎