本文關鍵詞： 普遍新生兒聽力篩查 弱聽嬰兒 感音神經(jīng)性聽力損失 傳導性聽力損失 早期聽力檢測與干預　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的情況,分析影響診斷及干預的因素。方法:對2014年2-9月間因單(雙)耳聽力篩查未通過或外耳畸形轉診至四川大學華西醫(yī)院進行確診的186例嬰兒進行早期診斷和干預,并對其診斷及干預情況進行統(tǒng)計分析。結果:186例外院轉診嬰兒中,167例(89.8%)確診,平均確診年齡為(4.0±1.4)個月。167例中,傳導性聽力損失31例(18.6%),其中一側外耳道閉鎖伴傳導性聽力損失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%);一側感音性聽力損失一側外耳道閉鎖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配率為30.7%(23/75),輕度、中度、重度、極重度聽力損失驗配率分別為:0(0/23)、24.0%(6/25)、66.7%(6/9)、61.1%(11/18)。單耳感音神經(jīng)性聽力損失驗配率為8.3%(2/24)。平均干預年齡為(5.0±2.1)個月。結論:本研究中轉診嬰兒的診斷及干預年齡接近國際要求,但仍有篩查未通過而沒有確診的嬰兒,且干預率低。因此,需進一步研究探討提高診斷及干預率的方法。
[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】： 四川大學華西醫(yī)院耳鼻咽喉-頭頸外科聽力中心聽覺言語科學實驗室;
【分類號】：R764
【正文快照】： 1四川大學華西醫(yī)院耳鼻咽喉-頭頸外科聽力中心聽覺言語科學實驗室(成都,610041)永久性聽力損失對嬰兒造成的損害是不可逆的,其不僅會影響嬰兒的言語-語言發(fā)育,同時還會影響嬰兒的認知能力、智力水平及社會適應能力。對弱聽嬰兒進行早期(特別是在6個月前)的聲音刺激,會有助于增

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