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目的分析了听力筛查未通过婴儿实施听力学随访的有效性。方法对我院2009年到2011年婴幼儿保健科没有通过听力筛查的90例婴儿的听力学情况进行随访。结果 2次没有通过听力筛查以及第一次诊断性听性脑干反应的婴儿共90例,其中经过3次随访听力明显下降的婴儿65例,临床确诊率为72.22%(65/90),婴儿出现听力下降的发生率高达5.5%(65/8000)。对两次连续没有通过听力筛选的以3月龄为界进行随访,发现3月龄以后的临床确诊率显著性高于小于3月龄婴儿,。两者比较差异具有显著统计学意义(P<0.04)。随访发现有一小部分婴儿听力有下降,但是随着婴儿月龄的增加其听力能力可逐渐恢复到正常水平。结论对听力没有通过听力筛查的婴儿有必要进行2次或者以上的随访,随访时间应在婴儿3月龄之后。
Objective To analyze the effectiveness of hearing screening in the absence of audiologic follow-up through infants. Methods The audiology of 90 infants who did not pass hearing screening in the department of infant and child health care in our hospital from 2009 to 2011 was followed up. Results There were 90 infants who did not pass the hearing screening and the first diagnosis of auditory brainstem response. Among them, 65 infants with obviously decreased hearing after 3 follow-up visits showed 72.22% (65/90) The incidence of hearing loss in infants was as high as 5.5% (65/8000). Follow-up of 3-month-old children who did not pass the hearing screening twice consecutively found that the clinical diagnosis rate after 3 months of age was significantly higher than that of children younger than 3 months. The difference between the two was statistically significant (P <0.04). Follow-up found that a small number of infants hearing loss decreased, but as the baby’s age increased its hearing ability can gradually return to normal levels. Conclusion It is necessary to carry out 2 or more follow-up visits to infants who have not been hearing through audiometry, and their follow-up time should be 3 months after infancy.