本文選題：新生兒　切入點(diǎn)：聽力篩查　出處：《青島大學(xué)》2017年碩士論文

【摘要】：目的:通過調(diào)查2015.1.1-2016.12.31濟(jì)寧市各區(qū)縣市接生醫(yī)院出生的新生兒聽力篩查現(xiàn)狀及篩查結(jié)果,以了解濟(jì)寧市新生兒聽力篩查通過率及先天性聽力受損發(fā)生率。通過比較不同胎齡早產(chǎn)兒與正常新生兒聽力篩查結(jié)果以及聽力損傷的發(fā)病率,分析其聽力損傷情況,以便及早對(duì)患有聽力障礙的新生兒進(jìn)行對(duì)癥干預(yù)治療,以減少聽損對(duì)新生兒成長和發(fā)育產(chǎn)生的影響。方法:(1)以2015.1.1-2016.12.31所有在濟(jì)寧市各區(qū)縣市接生醫(yī)院出生的新生兒為研究對(duì)象,包括常住人口及流動(dòng)人口(2015年共829.92萬,2016年共835.44萬),分析并計(jì)算濟(jì)寧市新生兒聽力篩查通過率及先天性聽力受損發(fā)生率。(2)選取2015.1.1-2016.12.31年入住濟(jì)寧市泗水縣人民醫(yī)院新生兒科的新生兒為研究對(duì)象,并根據(jù)胎齡將其分為早期早產(chǎn)兒、中期早產(chǎn)兒、晚期早產(chǎn)兒和足月兒共4組。使用瞬態(tài)誘發(fā)耳聲發(fā)射(TEOAE)進(jìn)行初篩(生后3-5天)和復(fù)篩(初篩未通過30-42天),對(duì)復(fù)篩未通過者于3月齡行自動(dòng)腦干聽覺誘發(fā)電位(ABR)檢測確診先天性聽力受損,比較各組聽力篩查未通過率的差異。結(jié)果:(1)2015.1.1-2015.12.31濟(jì)寧市新生兒初篩通過率94.23%,復(fù)篩通過率為89.20%,聽損發(fā)生率3.25‰,中重度以上聽損發(fā)生率0.43‰;2016.1.1-2016.12.31濟(jì)寧市新生兒初篩通過率93.72%,復(fù)篩通過率為88.19%,聽損發(fā)生率4.11‰,中重度以上聽損發(fā)生率0.94‰。(2)選取2015年1月1日-2016年12月31日入住濟(jì)寧市泗水縣人民醫(yī)院新生兒科行聽力篩查的822例新生兒,根據(jù)早產(chǎn)兒胎齡分為:(1)早期:胎齡32周;(2)中期:34周胎齡≥32周;(3)晚期:37周胎齡≥34周;(4)足月兒:≥37周,各組總?cè)藬?shù)分別54例、108例、220例、440例。初篩結(jié)果:四組未通過率分別為90.7%、82.4%、54.5%、49.3%,各組之間的未通過率比較差異有統(tǒng)計(jì)學(xué)意義(P0.05);復(fù)篩結(jié)果四組未通過率分別為分別有47.6%、24.5%、12.8%、8.2%,各組未通過率比較差異有統(tǒng)計(jì)學(xué)意義(P0.05);ABR檢查結(jié)果:四組未通過率分別為分別有25.0%、8.9%、4.9%、2.9%,四組未通過率逐漸減低,各組未通過率比較差異有統(tǒng)計(jì)學(xué)意義(P0.05)。結(jié)論:1.2015和2016年兩年濟(jì)寧市新生兒聽力篩查綜合覆蓋率達(dá)到96.02%,新生兒OAE初篩、復(fù)篩及ABR篩查結(jié)果中未通過率有升高的趨勢,可能與檢測手段提高、出生人口數(shù)升高等原因有關(guān),采用耳聲發(fā)射和腦干聽覺誘發(fā)電位結(jié)合的診斷方式增加了檢出率,說明聯(lián)合檢測的手段是目前最合適的新生兒聽力篩查方法。2.不同胎齡的新生兒聽力損傷發(fā)生率有所不同,胎齡越小聽力損傷發(fā)生的危險(xiǎn)性越高,采用瞬態(tài)耳聲發(fā)射和腦干聽覺誘發(fā)電位結(jié)合的診斷方式,可以更加及時(shí)的明確診斷,因此早產(chǎn)兒生后及早進(jìn)行聽力篩查,可以早期對(duì)聽力損傷的新生兒進(jìn)行早期干預(yù),預(yù)防后期并發(fā)癥。
[Abstract]:Objective: to investigate the present situation and results of hearing screening of newborns born in the district and county delivery hospitals of Jining, January 1, 2011 to December 31, 2011. In order to understand the pass rate of neonatal hearing screening and the incidence of congenital hearing impairment in Jining, the hearing screening results of premature infants and normal newborns of different gestational ages and the incidence of hearing loss were compared, and the hearing impairment was analyzed. In order to treat the newborns with hearing impairment as early as possible and reduce the influence of hearing loss on the growth and development of newborns, methods: take all the newborns born in the district and county delivery hospital of Jining city as the research object from January 1 to December 31, 2016.31. Including resident population and floating population (8.2992 million in 2015 and 8.3544 million in 2016, the pass rate of neonatal hearing screening and the incidence of congenital hearing impairment in Jining City are analyzed and calculated.) freshmen admitted to the people's Hospital of Sisui County in Jining City from January to December 31, 2015.2016.31. Pediatric newborns were the subjects of the study. And according to the gestational age, they are divided into early preterm infants, intermediate premature infants, Four groups of late premature infants and full-term infants were examined with transient evoked otoacoustic emission (TEOAE) for primary screening (3-5 days after birth) and double sieve (primary screen failed for 30-42 days) and automatic brainstem auditory evoked potential (ABR) for those who failed to pass the screening at 3 months of age. The diagnosis of congenital hearing loss, Results the primary screening pass rate of newborns in Jining City from January 1 to December 31, 2011 was 94.233.The pass rate of repeated screening was 89.20%, and the rate of hearing loss was 3.25 鈥，

本文編號(hào)：1691890