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目的观察分析1岁以下新生儿听力障碍临床资料,分析听力筛查未通过的原因。方法本研究研讨对象的选择采用随机抽签法,从我院2014年8月-2015年8月出生的新生儿中随机选取100例进行听力筛查,其中将42例拟诊听力障碍的新生儿转入耳鼻喉科,并对其进行诊断性听力学检查,对未通过筛查的新生儿进行耳声发射、声抗阻以及ABR检查,测定听力损失的程度。结果 100例新生儿中,初次筛查有23例未通过,占23%,再次筛查后,有5例患儿需要进行ABR检查,听力损伤1例;对42例拟诊听力损失的新生儿转诊至耳鼻喉科,确认听力受损24例,其中轻度听力损失患儿6例,中度听力损失患儿18例。结论针对1岁以下的新生儿,在3个月内可进行早期诊断,在6个月时可进行早期干预,尽早发现并给予干预。
Objective To analyze the clinical data of 1 year old infants with hearing impairment and analyze the causes of hearing screening failure. Methods The subjects of this study were randomly selected from 100 cases of neonates born from August 2014 to August 2015 in our hospital for hearing screening. Among them, 42 cases of suspected neonates with hearing impairment Into the otolaryngology, and its diagnosis of diagnostic audiology, non-screening of newborns otoacoustic emissions, acoustic impedance and ABR test to determine the degree of hearing loss. Results Of the 100 newborns, 23 failed primary screening, accounting for 23%. After re-screening, 5 children needed ABR examination and 1 hearing impairment. Of 42 newborn infants with suspected hearing loss Referral to otolaryngology, hearing loss confirmed in 24 cases, including 6 cases of mild hearing loss in children, 18 cases of moderate hearing loss in children. Conclusion For newborns under 1 year of age, early diagnosis can be carried out within 3 months, early intervention can be carried out at 6 months, and early detection and intervention can be made.