Elverland Hans H, Mjølsnes Olav, Hjørnevik Berit, Arnesen Atle Rønning
Øre-nese-halsavdelingen Universitetssykehuset Nord-Norge 9038 Tromsø.
Tidsskr Nor Laegeforen. 2002 Sep 20;122(22):2194-7.
Universal neonatal hearing screening can now be done by practical application of hearing physiology and automated techniques for registration of otoacoustic emissions and auditory brainstem responses.
This review gives the theoretical and practical background for implementation of neonatal hearing screening in Norway.
With the diagnostic methods used up to now, age at diagnosis of permanent hearing loss and start of habilitation has not been lowered during the last decades. Based on early diagnosis, habilitation of permanent hearing impairment can now be improved to an earlier unknown extent. The importance of continued efforts for diagnosis of postnatal hearing loss through infancy and adolescence is stressed. Disapproval of neonatal hearing screening based on methodological problems and possible parental concern is largely non-existent.
The benefits of early diagnosis of hearing loss outweigh the costs and efforts invested in screening.
通过听力生理学的实际应用以及耳声发射和听性脑干反应记录的自动化技术，现在可以进行新生儿听力普遍筛查。
本综述提供了挪威实施新生儿听力筛查的理论和实践背景。
基于目前所使用的诊断方法，在过去几十年中，永久性听力损失的诊断年龄和 habilitation 开始时间并未降低。基于早期诊断，现在可以在未知的更早程度上改善永久性听力障碍的 habilitation。强调了在婴儿期和青少年期持续努力诊断产后听力损失的重要性。基于方法学问题和可能的家长担忧而对新生儿听力筛查的反对意见在很大程度上并不存在。
听力损失早期诊断的益处超过了筛查所投入的成本和努力。
