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目的:探讨以新生儿行为神经测定(NBNA)进行听力筛查的可行性。方法:新生儿出生后2~7 d分别进行新生儿行为神经测定和瞬态声耳声发射检查,将两项结果进行比较。结果:①NBNA听行为能力评分与TEOAE通过率呈正相关关系;②未通过TEOAE筛查的听力障碍患儿,存在NBNA满分的现象;③高危儿有NBNA及听行为能力低分而听力正常的现象。结论:NBNA用于听力筛查有一定的实用性,但运用NBNA听行为能力评分进行新生儿听力筛查还需进一步改进和完善。
Objective: To investigate the feasibility of neonatal behavioral neurological assessment (NBNA) hearing screening. Methods: Newborns were subjected to behavioral neuroimaging and transient otoacoustic emission testing 2 to 7 days after birth, and the results were compared. Results: (1) There was a positive correlation between NBNA listening ability and TEOAE passing rate. (2) There was a phenomenon of NBNA full score in children with hearing impairment who did not pass TEOAE screening. (3) High-risk children had NBNA and hearing ability. Conclusion: NBNA is useful for hearing screening. However, it is necessary to further improve and perfect the screening of neonatal hearing using NBNA listening ability.