耳声发射在足月新生儿听力筛选中的临床意义

【摘要】 目的 通过瞬态诱发耳声发射（ＴＥＯＡＥ）和畸变产物耳声发射（ＤＰＯＡＮ）探讨其在新生儿听力筛选中的临床要意义。方法应用Ｃｅｌｅｓｔａ５０３型耳声发射仪对３９３名足月新生儿（７８６耳）进行ＴＥＯＡＥ和ＤＰＯＡＥ听力测定。结果３９３名新生儿中有１１８名双耳听力异常，其中正常新生儿占１８．４４％（２６／１４１），窒息新生儿占３９．４％（５４／１３７），黄疸新生儿占３３．０４％（３８／１１５），Ｐ＜０．０１，有显著差异。结论新生儿窒息及黄疸是听损伤的主要病患，应及早干预及治疗。而耳声发射是一种快而有效的新生儿听力筛选方法之一。更多还原

【Abstract】 Objective To study the clinical significane in newborn hearing screening by transient evoked otoacoustic emission (TEOAE) and distortion product otoacoustic emissions (DPOAE). Methods There hhundred and ninety-there newborn(786 ears) were screened by TEOAE and DPOAE Results The data showed that the abnormal otoacoustic emission was 118 newborns. Among them normal newborn rate was 18.44% (26/ 141), neonatal asphyxia was 39.42%(54/137),neonatal jaundice was 33 .04% (38/115). Which was statictically significant difference between them (p < 0.01). CONCLUSION Neonatal asphyxia and jaundice are mainly diseases which cause newborn infants hearing handical. So it is important for early interventionand treatment. OAE proved to be an objective tool for rapid and effective test in universal newborn hearing screening.更多还原