【摘要】 本文阐述了造成新生儿期听力损害的主要因素:①围生期感染。②高胆红素血症。③新生儿窒息及缺血缺氧性脑病。④噪声。⑤遗传性聋。⑥耳毒性药物,以及其损害听觉系统的部位和发病方式;分析了各种听力检测方法在筛查中的优缺点。从而得出结论:高危新生儿的听力筛查策略应有别于正常新生儿。无论应用耳声发射筛查是否通过,都应在3～6个月时进行听力诊断,包括耳声发射、声阻抗、ABR和40Hz听觉相关电位,而且还应进行长期的听力监测和随访。更多还原

【Abstract】 This article reviews the main factors resulting in hearing impairment during neonatal period,which includes perinatal infection,hyperbilirubinemia,asphyxia of newborns and hypoxic ischemic encephalopathy,noise hereditory hearing loss,ototoxic drugs as well as their acting location and method in injurying auditory system.This article also analyzed the advantages and disadvantages of different auditory test in screening.So we can achieved this conclusion that Stratagy for hearing screening of high risk neonates should be different from that of normal newborn.No matter the OAE is passed or not,hearing diagnosis should be done during 3～6 months,which includes OAE、ABR、40HzAERP and acoustic impedance as well as long term hearing detection and following-up.更多还原