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目的:探讨179例窒息新生儿听力筛查情况,达到早发现、早诊断听力障碍的患儿,以便及时干预治疗。方法:采用瞬态诱发耳声发射(transit evoked otoacoustic emission,TEOAE)听力筛查仪进行初筛,未通过的在生后42天左右进行复筛,复筛未通过则转诊至上级医院进行确诊和治疗。结果:初筛通过150例,初筛通过率83.80%;其中重度窒息组初筛通过20例,初筛通过率68.96%;轻度窒息初筛通过130例,初筛通过率86.67%。复筛通过21例,复筛通过率72.41%;其中重度窒息组复筛通过3例,复筛通过率33.33%;轻度窒息复筛通过18例,复筛通过率90.00%。复筛未通过8例,均到上级医院进行确诊,其中5例异常,异常率2.79%。结论:新生儿窒息越严重,听力筛查通过率越低,异常发生率越高;加强围产期保健和监护,提高对窒息新生儿的复苏质量,降低窒息程度,缩短窒息时间,可以减少听力障碍发生。
Objective: To investigate the hearing screening of 179 cases of asphyxia neonates, to achieve early detection, early diagnosis of hearing impairment in children, in order to timely intervention. Methods: The TEAPE audiometry was used to screen the patients. The patients who did not pass the test were reexamined 42 days after birth, and the patients who failed to pass the screening were referred to the superior hospital for diagnosis And treatment. Results: The initial screening through 150 cases, the initial screening pass rate of 83.80%; of which severe asphyxia group through 20 cases, the initial screening pass rate of 68.96%; mild asphyxia preliminary screening through 130 cases, the initial screening pass rate of 86.67%. In 21 cases of re-screening, the rate of re-screening was 72.41%. Among them, 3 cases were re-screened in severe asphyxia group, 33.33% passed re-screening, 18 cases re-screened with mild asphyxia and 90.00% rescaled. Re-screening failed in 8 cases, were diagnosed to the higher hospital, of which 5 were abnormal, abnormal rate 2.79%. Conclusion: The more serious neonatal asphyxia, the lower the screening rate of hearing screening, the higher the incidence of abnormalities; enhance perinatal care and guardianship, improve the quality of resuscitation of neonatal asphyxia, reduce the degree of asphyxia and shorten the time of asphyxia, reduce the hearing Obstacle occurred.