高危儿听力筛查及随访研究

doi:10.3969/j.issn.1006-9771.2016.12.021

摘要/Abstract

摘要： 目的　探索高危儿听力筛查情况及听力障碍的发生、变化及转归。方法　2015年3月~2016年3月，采用耳声发射(OAE)、听性脑干反应(ABR)及脑干听觉诱发电位(BAEP)的方法，对336例高危儿分别于生后0~1、3、6、12个月进行听力监测。结果　336例高危儿中，0~1个月内初检时29例未通过；3月龄复检时37例听力未通过；6月龄27例恢复正常；12月龄复检7例恢复正常，3例(0.89%)确诊耳聋。结论　OAE、ABR结合BAEP检查高危儿听力损伤可获得较全面的诊断，连续听力监测可有效动态观察高危儿听力损伤的发生、变化及转归。

关键词: 高危儿, 听力筛查, 耳声发射, 听性脑干反应, 脑干听觉诱发电位, 随访

Abstract: Objective To explore the hearing screening, and the change and outcome of hearing impairment of high risk infants.Methods From March, 2015 to March, 2016, 336 high risk infants were screened with otoacoustic emissions (OAE), auditory brainstem response (ABR) and brainstem auditory evoked-potential (BAEP) 0-1, 3, 6, 12 months after born, respectively.Results Among the 336 high risk infants, 29 failed the examinations within the 1st month, 37 cases failed in the 3rd month, 27 cases recovered in the 9th month, and 7 cases recovered in the 12th month, 3 cases were finally diagnosed as deafness (0.89%).Conclusion OAE, ABR combining with BAEP examination may obtain comprehensive diagnosis of hearing impairment for high risk infants, continuous listening comprehension monitoring can effectively dynamically observe the hearing impairment, changes and outcome of high risk infants.

Key words: high risk infants, hearing screening, otoacoustic emissions, auditory brainstem response, brainstem auditory-evoked potential, follow-up

中图分类号:

R246.81

吕攀攀，董荣芝，刘芳，王娜娜，徐冲锋，邴卫卫，耿立蒙. 高危儿听力筛查及随访研究[J]. 《中国康复理论与实践》, 2016, 22(12): 1459-1458.

Lü Pan-pan, DONG Rong-zhi, LIU Fang, WANG Na-na, XU Chong-feng, BING Wei-wei, GENG Li-meng. Hearing Screening and Follow-up of High Risk Infant　[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2016, 22(12): 1459-1458.

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