Bishnoi Ramchander, Baghel Surendra, Agarwal Sunita, Sharma Shitanshu
Department of Otorhinolaryngology and Head Neck Surgery, SMS Medical College and Hospital, Jaipur, Rajasthan 302004 India.
Indian J Otolaryngol Head Neck Surg. 2019 Nov;71(Suppl 2):1296-1299. doi: 10.1007/s12070-018-1352-1. Epub 2018 Apr 17.
The present study was carried out with the aim of assessing the outcomes of otoacoustic hearing screening in newborns coupled with the three stage protocol. It was a hospital based observational study which was conducted over a time period of twelve months at a tertiary care institute to screen 2000 live neonates for congenital hearing impairment using OAE, followed up by tympanometry and BERA, if required. 2000 neonates were screened for hearing impairment. 406 were in high risk group and the rest in non-high risk group. Seven neonates had absent V wave on BERA. Five of them were high risk babies and the rest two were non-high risk ones. In order to ensure that early detection and effective intervention are possible for all neonates with hearing impairment, UNHS should be performed. Three stage UNHS protocol using OAE and BERA showed that the implementation of UNHS for congenital childhood hearing loss for all neonates would be beneficial.
本研究旨在评估采用三阶段方案对新生儿进行耳声发射听力筛查的结果。这是一项基于医院的观察性研究，在一家三级医疗机构进行，为期十二个月，使用耳声发射对2000名活产新生儿进行先天性听力障碍筛查，如有需要，随后进行鼓室图和脑干听觉诱发电位检查。对2000名新生儿进行了听力障碍筛查。406名属于高危组，其余属于非高危组。七名新生儿脑干听觉诱发电位的V波缺失。其中五名是高危婴儿，其余两名是非高危婴儿。为确保所有听力障碍新生儿都能实现早期发现和有效干预，应开展普遍新生儿听力筛查。采用耳声发射和脑干听觉诱发电位的三阶段普遍新生儿听力筛查方案表明，对所有新生儿实施普遍新生儿听力筛查以预防儿童先天性听力损失将是有益的。
