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新生儿听力普查分析

Analysis on universal newborn hearing screening

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【作者】 朱伟斌陈蓓珍徐莹周天文陈月梅邱龙美舒怡

【Author】 ZHU Wei-bin,CHEN Bei-zhen,XU Ying,ZHOU Tian-wen,CHEN Yue-mei,QIU Long-mei,SHU Yi.(Department of Pediatrics,Huangpu District Central Hospital,Shanghai 200002,China)

【机构】 上海市黄浦区中心医院儿科上海市黄浦区中心医院儿科 200002200002

【摘要】 目的探讨新生儿听力普查的意义。方法采用美国WelchAllyn公司的Audiopath耳声发射仪,使用诱发性耳声发射法(evoked otoacoustic emission,EOAE)中的畸变产物耳声发射法(otoacoustic emission of products,DPOAE),对2002年4月-2006年6月黄浦区中心医院产科出生的新生儿729例进行普遍性听力筛查。结果729例新生儿耳声发射法听力初步筛查结果:通过638例,占87.5%;未通过91例,占12.5%,其中转诊15例,占2.1%,噪声76例,占10.4%。42天产后检查时来医院复查的新生儿38例,通过28例,占73.7%,未通过10例,占26.3%。黄浦区中心医院新生儿听力初步筛查复查的未通过率为3.3%。结论黄浦区中心医院新生儿听力障碍筛查的各项资料符合相关医学文献。新生儿听力初步筛查未通过的原因以环境、噪声因素、耳道或探头堵塞及仪器操作不当等为多见,有一定比率的假阳性。

【Abstract】 Objective:To investigate the significance of universal newborn hearing screening.Methods:Evoked otoacoustic emission(EOAE)was recorded with Welch Allyn Audiopath in 729 newborns,who were birthed in Huangpu District Central Hospital from April 2002 to June 2006.Results:Of 729 newborns,the Pass of EOAE was 87.5﹪(638/729)and Fail was 12.5﹪(91/729),(Refer was 2.1﹪(15/729),Noise was 10.4﹪(76/729)).Of 38 newborns who was counterchecked in 42 days,the Pass of EOAE was 73.7﹪(28/38)and Fail was 26.3﹪(10/38).Therefore,total Fail was 3.3﹪.Conclusion:The data of universal newborn hearing screening accord with medical literature.Many of the Fails are due to environment,noise,jam of external ear or probe,improper operation of apparatus,etc.Some newborns have false positive.

  • 【文献出处】 中国优生与遗传杂志 ,Chinese Journal of Birth Health & Heredity , 编辑部邮箱 ,2007年04期
  • 【分类号】R764
  • 【被引频次】3
  • 【下载频次】44
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