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[先天性听力损失的早期诊断。耳声发射测试在听力损害风险增加的新生儿中的应用]

[Early diagnosis of congenital hearing loss. Use of oto-acoustic emission tests in newborn infants with increased risk of hearing impairment].

作者信息

Størdal K, Anderssen S H, Lunde J T, Andersen R, Sponheim L

机构信息

Barneavdelingen, Sykehuset Ostfold, Fredrikstad.

出版信息

Tidsskr Nor Laegeforen. 1998 Oct 30;118(26):4076-8.

PMID:9844511
Abstract

With the use of today's screening programme children with congenital hearing losses (prevalence about 1/1,000) get their diagnosis unacceptably late (median age 28 months). Newer screening methods as oto-acoustic emissions and auditory brain stem responses have been in use, separately or as combined tests. The methods are used both as universal screening and as screening of selected children with increased risk of congenital hearing impairment. On the basis of ten risk factors for congenital hearing loss, we present our results from screening in the neonatal period. 283 out of 8,980 children (3.2%) born in Ostfold county over a period of three years have been examined with the use of oto-acoustic emissions. 16 children had pathological emission tests bilaterally on repeated testing and underwent further examination in the ear-nose-and-throat department. One of these children has turned out to have hearing loss.

摘要

在当今的筛查项目中,先天性听力损失儿童(患病率约为1/1000)的诊断时间晚得令人无法接受(中位年龄为28个月)。较新的筛查方法如耳声发射和听性脑干反应已被单独使用或联合使用。这些方法既用于普遍筛查,也用于对先天性听力障碍风险增加的特定儿童进行筛查。基于先天性听力损失的十个风险因素,我们展示了我们在新生儿期筛查的结果。在三年时间里,在奥斯特福德郡出生的8980名儿童中有283名(3.2%)接受了耳声发射检查。16名儿童在重复测试时双侧耳声发射测试呈病理性,并在耳鼻喉科接受了进一步检查。其中一名儿童被证实有听力损失。

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