Siddique Aneena K, Melkundi Renuka S, Karuppannan Arunraj, Patil Siddaram, Sreedevi N
Outreach Service Centre of AIISH, Gulbarga Institute of Medical Sciences, Kalaburagi, 585105 India.
Department of E.N.T, Gulbarga Institute of Medical Sciences, Kalaburagi, 585105 India.
Indian J Otolaryngol Head Neck Surg. 2023 Apr;75(Suppl 1):16-22. doi: 10.1007/s12070-022-03138-6. Epub 2022 Aug 19.
The study estimated the prevalence of hearing impairment in high-risk neonates and effect of high-risk factors on the hearing. A hospital-based cross sectional study was conducted on 327 neonates with high-risk factors. All the high-risk babies were screened using TEOAE and AABR followed by diagnostic ABR testing. Six (2%) of high-risk neonates were found to have bilateral severe sensorineural hearing loss. Risk factors associated with hearing impairment include multiple risk factors of Preterm delivery, hyperbilirubinemia, congenital anomalies, neonatal sepsis, viral or bacterial infection, positive family history of hearing loss and prolonged NICU stay. Further, the inclusion of AABR along with TEOAE has been shown to be a useful tool in reducing false-positive rates and identifying hearing loss.
该研究估计了高危新生儿听力障碍的患病率以及高危因素对听力的影响。对327例有高危因素的新生儿进行了一项基于医院的横断面研究。所有高危婴儿均采用瞬态诱发耳声发射（TEOAE）和自动听性脑干反应（AABR）进行筛查，随后进行诊断性听性脑干反应（ABR）测试。发现6例（2%）高危新生儿患有双侧重度感音神经性听力损失。与听力障碍相关的危险因素包括早产、高胆红素血症、先天性异常、新生儿败血症、病毒或细菌感染、听力损失家族史阳性以及新生儿重症监护病房（NICU）住院时间延长等多种危险因素。此外，TEOAE与AABR联合使用已被证明是降低假阳性率和识别听力损失的有效工具。
