發(fā)布時(shí)間：2018-01-21 09:53

  本文關(guān)鍵詞： 普遍新生兒聽力篩查 弱聽嬰兒 感音神經(jīng)性聽力損失 傳導(dǎo)性聽力損失 早期聽力檢測(cè)與干預(yù)　出處：《臨床耳鼻咽喉頭頸外科雜志》2014年22期 　論文類型：期刊論文

【摘要】：目的:了解0~9月齡弱聽嬰兒早期診斷及干預(yù)的情況,分析影響診斷及干預(yù)的因素。方法:對(duì)2014年2-9月間因單(雙)耳聽力篩查未通過或外耳畸形轉(zhuǎn)診至四川大學(xué)華西醫(yī)院進(jìn)行確診的186例嬰兒進(jìn)行早期診斷和干預(yù),并對(duì)其診斷及干預(yù)情況進(jìn)行統(tǒng)計(jì)分析。結(jié)果:186例外院轉(zhuǎn)診嬰兒中,167例(89.8%)確診,平均確診年齡為(4.0±1.4)個(gè)月。167例中,傳導(dǎo)性聽力損失31例(18.6%),其中一側(cè)外耳道閉鎖伴傳導(dǎo)性聽力損失5例(2.99%);感音神經(jīng)性聽力損失99例(59.3%),其中雙耳75例(44.9%),單耳24例(14.4%);一側(cè)感音性聽力損失一側(cè)外耳道閉鎖2例(1.20%);聽神經(jīng)病2例(1.20%);聽力正常33例(19.8%)。雙耳感音神經(jīng)性聽力損失患兒助聽器驗(yàn)配率為30.7%(23/75),輕度、中度、重度、極重度聽力損失驗(yàn)配率分別為:0(0/23)、24.0%(6/25)、66.7%(6/9)、61.1%(11/18)。單耳感音神經(jīng)性聽力損失驗(yàn)配率為8.3%(2/24)。平均干預(yù)年齡為(5.0±2.1)個(gè)月。結(jié)論:本研究中轉(zhuǎn)診嬰兒的診斷及干預(yù)年齡接近國際要求,但仍有篩查未通過而沒有確診的嬰兒,且干預(yù)率低。因此,需進(jìn)一步研究探討提高診斷及干預(yù)率的方法。
[Abstract]:Objective: to investigate the early diagnosis and intervention of 0 ~ 9 months old infants with weak hearing. Analysis of factors affecting diagnosis and intervention. Methods: single (double). Early diagnosis and intervention were carried out in 186 infants who had not passed ear hearing screening or were referred to the West China Hospital of Sichuan University for early diagnosis and intervention. The diagnosis and intervention were statistically analyzed. Results 167 cases (89.8%) of the infants referred to the hospital were diagnosed. Among the 167 patients with an average diagnosis age of 4.0 鹵1.4 months, 31 cases had conductive hearing loss, including 5 cases of unilateral atresia of external auditory canal with conductive hearing loss (2.99%). There were 99 cases of sensorineural hearing loss, of which 75 cases had bilateral hearing loss (44.9%) and 24 cases had monaural hearing loss (14.4%). Unilateral sensorineural hearing loss 2 cases with atresia of external auditory meatus; There were 2 cases of auditory neuropathy. Hearing was normal in 33 patients with normal hearing. The rate of hearing aids in children with hearing loss caused by hearing loss was 30.775%, mild, moderate and severe. The rates of extremely severe hearing loss were as follows: 1: 0 / 23 / 24. 0 / 25 / 66.7a / 6 / 9). The ratio of hearing loss to hearing loss caused by monosensory sensorineural hearing loss was 8.3%, with an average intervention age of 5.0 鹵2.1%. Conclusion: the age of diagnosis and intervention of referred infants in this study is close to international requirement. However, there are still infants who have not passed the screening and have not been diagnosed, and the intervention rate is low. Therefore, further research is needed to explore ways to improve the diagnosis and intervention rate.
【作者單位】： 四川大學(xué)華西醫(yī)院耳鼻咽喉-頭頸外科聽力中心聽覺言語科學(xué)實(shí)驗(yàn)室;
【分類號(hào)】：R764
【正文快照】： 1四川大學(xué)華西醫(yī)院耳鼻咽喉-頭頸外科聽力中心聽覺言語科學(xué)實(shí)驗(yàn)室(成都,610041)永久性聽力損失對(duì)嬰兒造成的損害是不可逆的,其不僅會(huì)影響嬰兒的言語-語言發(fā)育,同時(shí)還會(huì)影響嬰兒的認(rèn)知能力、智力水平及社會(huì)適應(yīng)能力。對(duì)弱聽嬰兒進(jìn)行早期(特別是在6個(gè)月前)的聲音刺激,會(huì)有助于增

【二級(jí)參考文獻(xiàn)】

相關(guān)期刊論文 前3條

1 孫喜斌;;第二次全國殘疾人抽樣調(diào)查聽力殘疾標(biāo)準(zhǔn)的制定[J];中國聽力語言康復(fù)科學(xué);2007年01期

2 陳振聲;韓睿;李炬;于麗玫;王樹峰;王曉力;張亞康;;聽障老年人的助聽器驗(yàn)配[J];中國聽力語言康復(fù)科學(xué)雜志;2007年05期

3 孫喜斌;于麗玫;曲成毅;梁巍;王琦;魏志云;;中國聽力殘疾構(gòu)成特點(diǎn)及康復(fù)對(duì)策[J];中國聽力語言康復(fù)科學(xué)雜志;2008年02期

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4 ;[J];;年期

5 ;[J];;年期

6 ;[J];;年期

7 ;[J];;年期

8 ;[J];;年期

9 ;[J];;年期

10 ;[J];;年期

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