| 摘要: |
| ［摘要］ 目的 了解新生儿重症监护病房（newborn intensive care unit, NICU）听力筛查阳性数据，分析不同疾病患儿畸变耳声发射（distortion product otoacoustic emission, DPOAE）阳性率。方法 采用GSI-70耳声发射仪，于生后3 d～出院前初筛，阳性儿于42 d复筛，3月龄进行第一次诊断。对照组为同期母婴同室的正常新生儿。结果 阳性率：NICU儿明显高于正常新生儿，差异有统计学意义（P<0.01)，早产儿为55.5%，低体重儿为52.2%，肺炎、窒息为42.3%，巨大儿为41.1%，其他高危儿为35%，高胆红素血症为33.2%，明显高于散发病种，多个率比较早产儿居高，差异有统计学意义。结论 NICU儿DPOAE筛查阳性率明显高于正常儿，有病种差异而无男女性别差异。应重视高阳性病种患儿听力的随访监护。 |
| 关键词: 听力筛查 畸变耳声发射 新生儿重症监护 |
| DOI：10.3969/j.issn.1674-3806.2009.06.08 |
| 分类号:R 722 |
| 基金项目:柳州市科技局科技攻关项目(项目号：2008031403） |
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| Analysis on the positive rate of hearing screening of 1956 neonates in NICU |
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ZHAO Heng-jing, LI Hong-hui, SU Qong-li
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The Woman and children′s Hospital of Liuzhou, Guangxi, 545001, China
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| Abstract: |
| ［Abstract］ Objective To analyze the data obtained in hearing screening in newborn intensive care unit（NICU）, in order to acquire the positive rate of distortion product otoacoustic emission（DPOAE）in the various diseased neonates in NICU. Methods The first screening was performed in third day after birth by the equipment of otoacoustic emission of GSI-70, the failed one should be performed the second screening after 42 days and the first audiometry after the third month was performed.The normal neonates was sened as the compare group.Results The positive rate of newborns with disease in NICU were obviously higher than that in compare group(P<0.01). Among the positive rates there was a highest rate in premature infant(P<0.05）.The positive rates were as follows:the premature infants, 55.5%; the lower weight, 52.2%;the pneumonia asphyxia, 42.3%;the great neonates, 41.4%;the rest of high risk，35%, and the infants Hyperbilirubinemia, 33.2%.Conclusion The positive rate of hearing screening of neonates with OAE is clearly higher than the normal newborn, and it has difference in the types of diseases but not sex.It is valuable to have a tracing care for babies who with disease high positive rate. |
| Key words: Hearing screening Distortion product otoacoustic emission(DPOAE） Newborn intensive care unit(NICU） |
