Arslan S, Işik A U, Imamoğlu M, Topbaş M, Aslan Y, Ural A
Department of Otorhinolaryngology, School of Medicine, Karadeniz Technical University, Trabzon, Turkey.
B-ENT. 2013;9(2):122-31.
The purpose of this study is to describe the results of universal newborn hearing screening (UNHS) in 2229 newborns and to assess the effectiveness of a two-stage automated transient evoked otoacoustic emission (a-TEOAE) test protocol.
Between May 2007 and January 2008, a universal newborn hearing screening program, instituting two-stage a-TEOAE, was evaluated. The hearing status of the newborns who failed the two-stage screening tests were evaluated with the auditory brainstem response (ABR) test during the diagnostic stage. The risk factors for hearing loss determined by the Joint Committee on Infant Hearing Loss (JCIH) and prematurity, consanguineous marriage, and birth type as presumptive risk factors were recorded.
During the study period, 2229 newborns were screened. Sensorineural hearing loss (SNHL) was identified in 8 newborns. Fourteen newborns were lost to follow-up. One hundred thirty six newborns were high-risk neonatal intensive care unit (NICU) patients. The prevalence of SNHL was 2.9% (4/136) in NICU newborns, and 0.19% (4/2079) in the well-baby nursery. SNHL prevalence in the study group overall was found to be 0.36% (8/2215). Craniofacial anomalies and family history of hearing loss were found to be significantly related to SNHL in newborns. Prematurity and consanguinity that are not listed among JCIH risk factors were also found to be statistically significantly related with SNHL.
This is the first report of a universal hearing screening program in the Eastern Black Sea region of Turkey. Two-stage a-TEOAE is an efficient and feasible hospital-based screening protocol in newborns.
本研究旨在描述2229例新生儿的普遍新生儿听力筛查（UNHS）结果，并评估两阶段自动瞬态诱发耳声发射（a - TEOAE）测试方案的有效性。
在2007年5月至2008年1月期间，对一项采用两阶段a - TEOAE的普遍新生儿听力筛查项目进行了评估。对两阶段筛查测试未通过的新生儿，在诊断阶段采用听性脑干反应（ABR）测试评估其听力状况。记录由婴儿听力损失联合委员会（JCIH）确定的听力损失风险因素以及早产、近亲结婚和出生类型等推定风险因素。
在研究期间，共筛查了2229例新生儿。8例新生儿被诊断为感音神经性听力损失（SNHL）。14例新生儿失访。136例新生儿为高危新生儿重症监护病房（NICU）患者。NICU新生儿中SNHL的患病率为2.9%（4/136），健康婴儿护理室中的患病率为0.19%（4/2079）。研究组总体SNHL患病率为0.36%（8/2215）。发现颅面畸形和听力损失家族史与新生儿SNHL显著相关。未列入JCIH风险因素的早产和近亲结婚也被发现与SNHL在统计学上显著相关。
这是土耳其黑海东部地区普遍听力筛查项目的首份报告。两阶段a - TEOAE是一种在医院对新生儿进行筛查的有效且可行的方案。
