Objective To investigate application value of automated auditory brainstem response (AABR) combined with acoustic immitance testing in hearing screening. Method Tympanometry and AABR were performed to 558 infants with suspected hearing loss and patients with suspected sensorineural hearing loss received hearing diagnosing routinely from Jan.2013 to Dec.2016. Results Among 1 116 ears, 504 ears passed joint screening initially, 79 ears reexamined after one month, 20 ears judged to be normal by hearing diagnosis. Eventually, 11 ears were diagnosed with secretory otitis media,46 ears as eustachian tube dysfunction,and 456 ears as sensorineural hearing loss. Conclusions Tympanometry could be used as an assisted way of hearing screening. AABR combined with tympanometry screening is helpful for early diagnosis and early intervention, and is worth to be popularized.
Key words
hearing screening /
automated auditory brainstem response /
acoustic immitance testing
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References
[1] 王秀菊,李月梅,张会丰,等.新生儿听力筛查与听力损害高危因素研究进展[J].中国妇幼保健,2013,28(16):2641-2644.
[2] 谭华章,张永红.襄阳市6241例新生儿听力筛查结果分析[J].听力学及言语疾病杂志,2015,23(4):414-416.
[3] 商莹莹,刁文雯,倪道凤,等.新生儿监护病房儿童听力筛查及诊断结果分析[J].中华耳科学杂志,2012,10(2):149-154.
[4] Mohd Kairi MD,Rafidah KN,Affizala,et al.Anxiety of the mothers with referred baby during Universal Newborn Hearing Screening[J].Int J Pediatr Otorhinolargngol,2011,75:513-517.
[5] 中华人民共和国卫生部.新生儿疾病筛查技术规范(2010版)[S].2010年12月.
[6] 郝文洋,商莹莹,倪道凤,等.正常出生新生儿瞬态诱发耳声发射与畸变产物耳声发射听力筛查结果比较[J]. 听力学及言语疾病杂志,2017,25(3):234-237.
[7] 陶方英,龚正鹏.TEOAE与AABR在高危新生儿听力筛查中的联合应用[J].中华耳科学杂志,2013,11(2):235-238
[8] Ito M,Takahashi H,Iino Y,et al.Clinical practice guidelines for the diagnosis and management of otitis media with effusion (OME) in children in Japan, 2015[J].Auris Nasus Larynx,2017,44(5):501-508.
[9] Roditi RE,Rosenfeld RM,Shin JJ.Otitis media with effusion: our national practice[J].Otolaryng Head Neck,2017,157(2):171-172.
[10] Tanaka Y,Enomoto H,Takada K,et al. Newborn hearing screening and subsequent diagnostic evaluation: analysis and outcomes of 6063 infants born in a community hospital[J]. Nihon Jibiinkoka Gakkai Kaiho,2016, 119(3):187-195.
[11] 张贤芬,曲玲.听力筛查未通过婴幼儿听力评估及转归[J]. 中华耳科学杂志,2016,14(4):531-534.
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