Pedersen Louise, Møller Troels Reinholdt, Wetke Randi, Ovesen Therese
Arhus Universitetshospital, Arhus Sygehus, Øre-, Naese- og Halskirugisk Afdeling.
Ugeskr Laeger. 2008 Feb 18;170(8):642-6.
The annual birth rate in Denmark is 65,000. Approximately 100 of these children have a congenital bilateral hearing loss which requires treatment. Furthermore, it is expected that yet another 150 newborns have a unilateral hearing loss. Treatment of the hearing loss within the first six months is fundamental in order to ensure optimal use of speech and language, as well as normal social adaptation. The purpose of this study is to compare the two screening methods for hearing loss in newborns as recommended in Denmark--ie. Transient-Evoked Oto-Acoustic Emission (TEOAE) and Automatic Auditory Brainstem Response (AABR).
During a period of six months, 1627 children were bilaterally screened with both AABR and TEOAE. The equipment used was Bio-logic's ABaer hearing screening system. Time usage and the number of refers was recorded.
Of the 1627 children, 67 (4% ) were referred on one or both ears when using AABR, compared to 177 (11% ) when using TEOAE, which is a statistically significant difference (p = 2.43 x 10-16). Re-screening and further examinations in the Department of Audiology identified five children as suffering from a hearing loss. The average time used to perform AABR was 6.6 min.s compared to 3.8 min.s for TEOAE.
AABR is well chosen as primary screening method. The time usage and equipment costs related to AABR exceed those of TEOAE, but this seems acceptable considering the larger number of re-screenings and further examinations in the Department of Audiology when using TEOAE.
丹麦的年出生率为65000。其中约有100名儿童患有先天性双侧听力损失，需要进行治疗。此外，预计还有150名新生儿患有单侧听力损失。在出生后的头六个月内治疗听力损失对于确保言语和语言的最佳使用以及正常的社会适应至关重要。本研究的目的是比较丹麦推荐的两种新生儿听力损失筛查方法，即瞬态诱发耳声发射（TEOAE）和自动听性脑干反应（AABR）。
在六个月的时间里，对1627名儿童进行了AABR和TEOAE的双侧筛查。使用设备为Bio-logic公司的ABaer听力筛查系统。记录了时间使用情况和转诊人数。
在这1627名儿童中，使用AABR时，有67名（4%）儿童一只或两只耳朵被转诊，而使用TEOAE时为177名（11%），这在统计学上有显著差异（p = 2.43×10-16）。在听力学部进行的重新筛查和进一步检查确定了五名儿童患有听力损失。进行AABR的平均时间为6.6分钟，而TEOAE为3.8分钟。
AABR被很好地选为主要筛查方法。与AABR相关的时间使用和设备成本超过了TEOAE，但考虑到使用TEOAE时在听力学部进行的重新筛查和进一步检查数量较多，这似乎是可以接受的。
