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目的:探讨菏泽市新生儿听力障碍发病率及早期干预对听力康复的意义。方法:由8县1区妇幼保健院对本县区所有出生的新生儿出生后3天,采用耳声发射(OAE)进行听力筛查,连续2次监测异常者转送菏泽市新生儿疾病筛查中心进行听性脑干反射(ABR)检查确诊。结果:2004年4月～2007年2月,全市新生儿听力筛查共146 881例,确诊听力障碍466例,发病率为0.32%,男265例,女201例,男女性别比经统计学处理无明显差异(χ2=0.12,P>0.05),早产儿、足月异常新生儿听力障碍的发病率明显高于正常足月新生儿(χ2=122.69,P<0.01)。结论:开展新生儿听力筛查,可早期发现听力异常,建立健全听力保健,可有效地减轻听力损害,促进语言发育。
Objective: To investigate the incidence of hearing impairment in Heze City and the significance of early intervention on hearing rehabilitation. Methods: All 8 neonates born in this county were enrolled in the Heze Newborn Disease Screening Center by OAE (OAE) hearing screening for 8 days. Auditory brainstem reflex (ABR) examination confirmed. Results: From April 2004 to February 2007, a total of 146 881 newborns hearing screening were conducted in the city. 466 cases of hearing impairment were diagnosed. The incidence rate was 0.32%. There were 265 males and 201 females. The sex ratio of men and women was statistically significant There was no significant difference (χ2 = 0.12, P> 0.05). The incidence of hearing impairment in preterm infants and full term abnormal newborns was significantly higher than that of normal full term newborns (χ2 = 122.69, P <0.01). Conclusion: To carry out hearing screening of neonates, early detection of abnormal hearing and establishment of sound health care can effectively reduce hearing impairment and promote language development.