Division of Perinatology, Department of Obstetrics and Gynecology, Turkish Ministry of Health Ankara City Hospital.
Obstetrics and gynecology, Istanbul Universitesi-Cerrahpasa, Istanbul, Turkey.
Z Geburtshilfe Neonatol. 2021 Jun;225(3):262-266. doi: 10.1055/a-1253-8727. Epub 2020 Sep 29.
Hearing is essential for the healthy development of an infant as language is one of the main stimulants of intellectual capacity. We investigate the effect of anesthesia type during delivery on neonatal otoacoustic emission (OAE) hearing test results.
This retrospective cross-sectional study includes 1,493 healthy, full-term (39/0-40/6 gestational weeks) newborns of healthy women and who were delivered by cesarean section. Newborns were divided into 2 groups based on their anesthesia type during delivery: 1) general anesthesia group (n=160), and 2) spinal anesthesia group (n=1333). Maternal age, anesthesia type, birth weight, gestational age at birth, neonatal gender, 1-5 minute APGAR scores, and OAE results were compared between the groups.
1287 (86.2%) newborns were reported to have passed the first step of OAE; 206 (13.8%) newborns were reported to have failed the first step and passed the second test. In the general anesthesia group, 133 (83.1%) of the newborns passed the first OAE test and 27 (16.9%) newborns had false-positive results. In the spinal anesthesia group, 1,154 (86.6%) of the newborns passed the first OAE test and 179 (13.4%) newborns had false-positive results. The difference between the 2 groups by false-positive values was found to be statistically significant (p<0.001).
Type of delivery anesthesia may have an effect on the false-positive rates of OAE test results.
听力对婴儿的健康发育至关重要，因为语言是智力发展的主要刺激因素之一。我们研究了分娩时麻醉类型对新生儿耳声发射（OAE）听力测试结果的影响。
本回顾性横断面研究纳入了 1493 名健康、足月（39/0-40/6 孕周）、母亲健康并经剖宫产分娩的新生儿。根据分娩时的麻醉类型，将新生儿分为 2 组：1）全身麻醉组（n=160），2）椎管内麻醉组（n=1333）。比较组间产妇年龄、麻醉类型、出生体重、出生时胎龄、新生儿性别、1-5 分钟 APGAR 评分和 OAE 结果。
1287 名（86.2%）新生儿报告通过了 OAE 的第一步；206 名（13.8%）新生儿报告第一步未通过，但通过了第二步。在全身麻醉组中，133 名（83.1%）新生儿通过了第一次 OAE 测试，27 名（16.9%）新生儿出现假阳性结果。在椎管内麻醉组中，1154 名（86.6%）新生儿通过了第一次 OAE 测试，179 名（13.4%）新生儿出现假阳性结果。两组间假阳性值的差异有统计学意义（p<0.001）。
分娩时的麻醉类型可能对 OAE 测试结果的假阳性率有影响。
