中国医科大学学报

中国医科大学学报
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中国医科大学学报 ›› 2017, Vol. 46 ›› Issue (10): 939-941.doi: 10.12007/j.issn.0258‐4646.2017.10.019

• 论著 • 上一篇    下一篇

1 045例新生儿听力筛查结果分析

崔丹,宋岩,马秀岚   

  1. 中国医科大学附属盛京医院耳鼻咽喉科,沈阳 110004
  • 收稿日期:2017-01-10 出版日期:2017-10-30 发布日期:2017-10-16
  • 通讯作者: 马秀岚 E-mail:maxl1@sj-hospital.org
  • 作者简介:崔丹(1990-),女,技士,本科

Analysis of Hearing Screening Results in 1 045 Newborns

CUI Dan,SONG Yan,MA Xiulan   

  1. Department of Otorhinolaryngology,Shengjing Hospital,China Medical University,Shenyang 110004,China
  • Received:2017-01-10 Online:2017-10-30 Published:2017-10-16

摘要: 目的 应用相同测试方法,探讨相同测试状态下新生儿听力筛查结果的相关影响因素。方法 随机选取2014年1月至6月于我院产科出生的母婴同室新生儿1 045例,应用ACCUSCREEN型耳声发射仪在出生后2 d进行听力筛查,记录筛查结果和新生 儿出生时相关数据,包括胎数、出生体质量、孕周、耳别、性别和分娩方式,应用SPSS 19.0统计软件进行统计学分析。结果 1 045 例新生儿中,860例新生儿听力筛查通过,185例新生儿听力筛查未通过,通过率为82.3%。胎数、出生体质量、孕周、耳别与瞬态诱 发耳声发射(TEOAE)通过率之间存在统计学差异,足月产新生儿通过率高于早产新生儿(P < 0.001),体质量较大的新生儿通过 率高于低体质量新生儿(P = 0.003),右耳通过率高于左耳通过率(P < 0.001),单胎通过率高于多胎通过率(P < 0.001),而不同性 别(P = 0.361)、不同分娩方式(P = 0.892)的TEOAE通过率无统计学差异。结论 胎数、出生体质量、孕周、耳别影响新生儿听力 初筛通过率,性别和分娩方式对听力筛查结果无明显影响。

关键词: 新生儿听力筛查, 瞬态诱发耳声发射

Abstract: Objective To evaluate factors influencing pass rates for newborn hearing screening under the same test conditions and using the same test methods. Methods Newborn hearing screening was carried out in 1 045 randomly selected newborns in Shengjing Hospital from January to June 2014. The newborns were screened at 2 days of age using transient evoked otoacoustic emissions(TEOAE). Related factors,including the number of embryos,birth weight,gestational age,gender,and mode of delivery were recorded. Data were analyzed using SPSS 19.0 software. Results Of 1 045 newborns,860(82.3%)passed the hearing screening test and 185 failed. The number of embryos,ear-side tested,gestational age,and birth weight significantly influenced the pass rate using TEOAE. Term infants had a higher pass rate than premature ones(P < 0.001). Heavier infants were more likely to pass(P = 0.003). Right ears had a higher pass rate than left ears(P < 0.001). Single babies had a higher pass rate than twins(P < 0.001). Gender(P = 0.361)and delivery mode(P = 0.892)did not affect the pass rate. Conclusion The number of embryos,birth weight,gestational age,and ear-side tested affect newborn hearing screening results,but gender and mode of delivery show no significant effects on screening.

Key words: newborn, hearing screening, tensiently evoked otoacoustic emission

中图分类号: 

  • R764
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