[新生儿重症监护病房及正常出生婴儿听力损失的新生儿筛查结果]

[Outcome of neonatal screening for hearing loss in neonatal intensive care unit and well-born nursery infants].

作者信息

Saitoh Yuko, Hazama Michio, Sakoda Takema, Hamada Hiroko, Ikeda Hiroki, Seno Satoshi, Dake Yoshihiro, Enomoto Tadao

机构信息

Department of Otolaryngology, Japanese Red Cross Society Wakayama Medical Center, Wakayama.

出版信息

Nihon Jibiinkoka Gakkai Kaiho. 2002 Dec;105(12):1205-11. doi: 10.3950/jibiinkoka.105.1205.

DOI:10.3950/jibiinkoka.105.1205

PMID:12607282

Abstract

A newborn hearing screening was conducted on 319 neonatal intensive care unit (NICU) and 1200 well-born nursery (WBN) infants. Mean NICU birth weight was 1997 g and mean gestational age 34 weeks. Auditory brainstem response was studied in screening in NICU infants. Otoacoustic emission (OAE) or automated auditory brainstem response (AABR) was used in primary WBN screening. All infants not bilaterally passing hearing screening before discharge were recalled for outpatient retesting. If the outcome was still failure, ABR screening was conducted. The prevalence of infants diagnosed with hearing loss was 1.1% (16 of 1519). Of these 16, 75% were from the NICU and 75% were at risk for hearing loss. Mean age at hearing loss identification was 12.9 weeks in the WBN and mean age at hearing aid fitting was 16.1 weeks. Mean age at hearing aid fitting was lower for WBN than for NICU infants. Hearing loss identification and hearing aid fitting are thus feasible in NICU and WBN infants in universal newborn hearing screening.

摘要

对319名新生儿重症监护病房（NICU）婴儿和1200名健康出生婴儿室（WBN）婴儿进行了新生儿听力筛查。NICU婴儿的平均出生体重为1997克，平均胎龄为34周。对NICU婴儿进行听力筛查时研究了听觉脑干反应。WBN初次筛查采用耳声发射（OAE）或自动听觉脑干反应（AABR）。所有在出院前未通过双侧听力筛查的婴儿均被召回进行门诊复查。如果结果仍为未通过，则进行ABR筛查。被诊断为听力损失的婴儿患病率为1.1%（1519名婴儿中有16名）。在这16名婴儿中，75%来自NICU，75%有听力损失风险。WBN中听力损失确诊的平均年龄为12.9周，助听器佩戴的平均年龄为16.1周。WBN婴儿助听器佩戴的平均年龄低于NICU婴儿。因此，在普遍的新生儿听力筛查中，对NICU和WBN婴儿进行听力损失确诊和助听器佩戴是可行的。