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目的:分析我院新生儿重症监护病房TEOAE加AABR联合听力筛查的结果及随访情况。方法:回顾分析我院新生儿重症监护病房574例高危新生儿的听力筛查结果,复查诊断结果。对未按时前来复诊的婴儿通过电话随访向其家长了解失访就诊的原因。结果:574例中,有472例通过了入院时的TEOAE和AABR联合筛查;102例未通过TEOAE和AABR联合筛查。33例参加复查的婴儿中13例通过了听力复筛;未通过复查的20例进行了听力学诊断,有8例听力正常,12例有不同程度的听力损失;69例失访,失访率高达67.6%。失访原因为:患儿家长联系方式的更改;医患沟通不畅导致家长对听力筛查结果不了解;家长自觉小孩听力尚可而认为不必复查;已在外院复查;婴儿患有其他严重疾病导致家长对患儿听力结果不再重视而最终失访等。结论:NICU患儿联合听力筛查未通过率为17.8%;听力损失检出率高;高达67.6%的失访率值得我们反思,应针对原因减少失访,使听力有问题的儿童能够早发现、早干预。
Objective: To analyze the results and follow-up of TEOAE plus AABR combined hearing screening in neonatal intensive care unit in our hospital. Methods: A retrospective analysis of our hospital neonatal intensive care unit in 574 high-risk neonatal hearing screening results, review the diagnostic results. The reasons for the lost follow-up visit to their parents are as follows: Results: Among 574 cases, 472 cases passed the combination of TEOAE and AABR on admission; 102 cases did not pass TEOAE and AABR combined screening. Thirteen of the 33 infants reviewed passed hearing screening, 20 did not pass the audiological diagnosis, 8 were with normal hearing, 12 had varying degrees of hearing loss, and 69 were lost or lost Up to 67.6%. The reasons for the loss of follow-up were: the change of the contact information of the parents of the children; the poor communication between doctors and patients caused the parents not to know the results of the hearing screening; the parents felt that the children could not hear the hearing of the children; they were reviewed in the outer court; and the baby had other serious diseases Resulting in parents no longer pay attention to the outcome of children with the final loss of hearing and so on. CONCLUSIONS: The unacceptable rate of combined hearing screening in children with NICU is 17.8%. The detection rate of hearing loss is high. The rate of loss of up to 67.6% deserves our reflection. The number of missed visits should be reduced according to the reasons, so that children with hearing problems can be found early Early intervention.