本文關(guān)鍵詞： 新生兒聽力篩查 篩查時間 自動聽性腦干反應　出處：《聽力學及言語疾病雜志》2017年05期 　論文類型：期刊論文

【摘要】：目的探討應用自動聽性腦干反應(automatic auditory brainstem response,AABR)對不同分娩方式新生兒進行聽力初篩的最佳時間。方法應用Chirp聲誘發(fā)的AABR(Chirp-AABR)對2016年8月1日至2016年10月31日出生的550例新生兒(順產(chǎn)組300例,剖宮產(chǎn)組250例)進行聽力初篩,順產(chǎn)組各有100例分別在出生后24h、24~48h、48~72h三個時間段進行聽力初篩,剖宮產(chǎn)組分別有50、100和100例在上述三個時間段進行聽力初篩;未通過者42天采用畸變產(chǎn)物耳聲發(fā)射和AABR進行復篩,復篩未通過者3個月內(nèi)進行聽力學診斷。結(jié)果順產(chǎn)組新生兒出生后24~48h內(nèi)初篩通過率(93.00%)顯著高于24h者(83.00%)(χ~2=4.735,P=0.030.05),而與48~72h初篩者通過率(95.00%)比較差異無統(tǒng)計學意義(χ~2=0.355,P=0.550.05);剖宮產(chǎn)組新生兒出生后24~48h初篩通過率(83.00%)顯著高于24h者(68.00%)(χ~2=4.371,P=0.040.05),而顯著低于48~72h的通過率(94.00%)(χ~2=5.944,P=0.020.05)。結(jié)論順產(chǎn)新生兒應用AABR聽力初篩可在出生后24~48h進行,而剖宮產(chǎn)新生兒AABR聽力初篩時間應選擇出生后48h。
[Abstract]:Objective to explore the application of automatic auditory brainstem response in automatic auditory brainstem response. The best time of hearing screening for newborns with different delivery modes was obtained. Methods AABR Chirp-AABR induced by Chirp sound was used. From August 1st 2016 to October 31st 2016, there were 550 newborns (300 cases in the normal delivery group). Hearing screening was performed in 250 cases in cesarean section group, 100 cases in normal delivery group and 50 cases in caesarean section group at 24 hours after birth and 48 hours after birth, respectively. 100 and 100 cases were screened in the above three time periods. Distortion product otoacoustic emission (DPOAE) and AABR were used to screen the patients who failed for 42 days. Results the rate of primary screening pass within 24 to 48 hours after birth was significantly higher than that of 24 hours after birth in the normal delivery group (83.00%) than that in the 24 h group (83.00%) (P < 0.05). 蠂 2 + 4.735. There was no significant difference in the pass rate between the two groups (蠂 ~ (2 / 2) 0.35 ~ (5)) and that of the first sieve at 48 ~ 72 h (蠂 ~ (2 / 2) 0.355A ~ (0.550.05)), and there was no significant difference between the two groups (蠂 ~ (2 +)). The rate of primary screening in cesarean section group was significantly higher than that in 24 hours after birth (蠂 ~ 2, P = 4.371, P = 0.040.05), which was significantly higher than that in the group with 24 hours of cesarean section (蠂 ~ 2, P = 4.371a, P = 0.040.05). But the passing rate was significantly lower than that of 48 ~ 72h (蠂 ~ 2 + 5.944). Conclusion the primary screening of hearing with AABR can be carried out at 24 to 48 hours after birth, while the time of hearing screening for newborn with AABR in cesarean section should be chosen at 48 hours after birth.
【作者單位】： 北京大學第一醫(yī)院耳鼻咽喉頭頸外科;北京大學第一醫(yī)院婦產(chǎn)科;
【分類號】：R764
【正文快照】： 1北京大學第一醫(yī)院耳鼻咽喉頭頸外科(北京100034);2北京大學第一醫(yī)院婦產(chǎn)科網(wǎng)絡(luò)出版時間:2017-8-29 15:40網(wǎng)絡(luò)出版地址:http://kns.cnki.net/kcms/detail/42.1391.R.20170829.1540.004.html隨著全面二胎政策落實,我國進入生育小高峰,在助產(chǎn)機構(gòu),順產(chǎn)母嬰如無特殊情況多數(shù)于24h

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