Zeng Qing-Xiang, Luo Ren-Zhong, Yan Sheng-Bao, Tang Yi-Quan, Wen Rui-Jin, Liu Wen-Long
Department of Otolaryngology, Guangzhou Women and Children's Medical Center Guangzhou Medical College Guangzhou China.
World J Otorhinolaryngol Head Neck Surg. 2022 Apr 18;8(3):257-261. doi: 10.1016/j.wjorl.2020.09.002. eCollection 2022 Sep.
To compare and analyze the pass rate and screening strategy of hearing rescreening for newborns with high risk factors.
Retrospective chart review of high-risk newborns who failed their initial newborn hearing screen and subsequently underwent secondary hearing tests from June 2011 to June 2018 in Guangzhou Women and Children's Medical Center were performed.
Eight hundred and sixty-eight newborns with high risk factors were included in the study. The 57-70 days (83.5%) and 71-84 days (83.4%) group had the highest pass rate compared with 42-56 days (75.8%) and < 42 days (68.3%) group. As for different screening strategies, the pass rate of OAE(otoacoustic emissions), AABR (auto auditory brainstem response) and OAE + AABR was the highest in 57-70 days group and 71-84 days group, respectively. The OAE + AABR had the lowest pass rate compared to the other two modalities. When the pass rate was compared as different risk factors, the 57-70 days and 71-84 days group also had the highest pass rate compared with 42-56 days and < 42 days group and the pass rate had no significant differences among various risk factors group.
Our results showed that all the pass rate of OAE, AABR and OAE + AABR was the highest in 57-70 days group and 71-84 days group with significant difference, suggesting that the delayed screening time (>57 days) may increase the re-screening pass rate and reduce anxiety of parents, which is of great significance for clinical work.
比较并分析具有高危因素的新生儿听力复筛的通过率及筛查策略。
对2011年6月至2018年6月在广州市妇女儿童医疗中心初次新生儿听力筛查未通过且随后接受二次听力检测的高危新生儿进行回顾性病历审查。
868例具有高危因素的新生儿纳入研究。57 - 70天组（83.5%）和71 - 84天组（83.4%）的通过率高于42 - 56天组（75.8%）和<42天组（68.3%）。对于不同的筛查策略，耳声发射（OAE）、自动听性脑干反应（AABR）以及OAE + AABR的通过率在57 - 70天组和71 - 84天组中分别最高。与其他两种方式相比，OAE + AABR的通过率最低。当按不同危险因素比较通过率时，57 - 70天组和71 - 84天组的通过率也高于42 - 56天组和<42天组，且各危险因素组之间的通过率无显著差异。
我们的结果表明，OAE、AABR以及OAE + AABR的通过率在57 - 70天组和71 - 84天组中均最高，且差异有统计学意义，提示延迟筛查时间（>57天）可能会提高复筛通过率并减轻家长的焦虑，这对临床工作具有重要意义。
