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目的:了解新生儿听力筛查工作的运行结果,探索新生儿听力筛查临床策略。方法:采用美国GSI70型便携式全自动新生儿耳声发射仪,对新生儿进行诱发畸变产物发射法检查和脑干诱发电位技术诊断并跟踪随访。结果:2005年常州市武进区可供听力筛查的新生儿12978名,筛查率为64.84%,初筛通过率为80.86%;第1次阳性应复筛1611名,通过率为85.50%,第2次阳性应复筛181名,通过率为77.63%。确诊先天性听力损失4名,先天性听力损失在筛查儿中的发病率为0.48‰。结论:新生儿听力筛查十分必要,耳声发射技术是适用于临床的一种快速可行的新生儿听力筛查方法。新生儿听力损失可通过筛查及早发现,有利于婴幼儿语言发育。
Objective: To understand the operation of neonatal hearing screening and to explore the clinical strategies of neonatal hearing screening. Methods: The United States GSI70 portable automatic neonatal otoacoustic emission apparatus, the newborn induced by induced product emission test and brain stem evoked potential diagnosis and follow-up. Results: 12,978 newborns were enrolled for hearing screening in Wujin District of Changzhou in 2005 with a screening rate of 64.84% and a primary screening pass rate of 80.86%. The first positive screening should be 1611 with a passing rate of 85.50% The second positive 181 should be sieved, the passing rate of 77.63%. Confirmed congenital hearing loss 4, the incidence of congenital hearing loss in screening for children was 0.48 ‰. Conclusion: Neonatal hearing screening is very necessary. Otoacoustic emission technique is a fast and feasible neonatal hearing screening method suitable for clinical application. Newborn hearing loss can be detected early detection, is conducive to infant language development.