Clinical research of hearing development on different gestational age preterm infants.
- WANG Jing,YU Ya-bin,CHEN Xue-hui,ZHU Xue-na,LI Dong-yang.
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Abstract
Objective To explore the clinical significance of the hearing detection on different gestational age preterm infants. Methods With Transient evoked otoacoustic emissions(TEOAE) and auditory brainstem response(ABR),328 cases of premature infants hospitalized in neonatal intensive care unit(NICU) and 9 086 cases of full-term newborns(control group) rooming-in were done hearing screening from January 2012 to August 2012. Results Pass rate of hearing screening on the preterm infants was significantly lower than the full-term children(χ2=183.67,P＜0.01).And the smaller the gestational age was,the pass rate of hearing screening was lower on preterm infants.28 weeks≤gestational age＜31 weeks,a total of 35 cases by 16 cases,the pass rate was 45.71%;31 weeks≤gestational age＜34 weeks,a total of 124 cases by 81 cases,the pass rate was 65.32%;34 weeks≤gestational age＜37 weeks,a total of 169 cases by 135 cases,the pass rate was 79.88%.The differences were statistically significant(χ2=19.17,P＜0.01). Conclusion Preterm infants are the high-risk group of hearing lossing,the group should be monitored especially,diagnosed and treated early.
Key words
transient evoked otoacoustic emissions / auditory brainstem response / hearing screening / premature infant
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References
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[2] 李彤,王妮,于芳,等.新生儿听力筛查初筛最佳时间的探讨[J].中国中西医结合儿科学,2010,2(4):334-335.
[3] Kile JE.Identification of hearing impairment in children:A25-year review[J].Infant Toddler Intervention,1993,3,155-161.
[4] 沈晓明.新生儿听力筛查[M].北京:人民卫生出版社,2004.23-28.
[5] 忻蓉,娄志武,雷朝霞.听力筛查异常婴儿听性脑干反应测试随访[J].临床耳鼻咽喉头颈外科杂志,2008,22:976.
[6] Suppiej A.Rizzardi E.Zanardo V,et al.Reliability of hearing screening in high-risk neonates:Comparative study of otoacoustic emission,automated and conventional auditory brainstem response[J].Clin Neurophysiol,2007,118:869.
[7] Joint Committee on Infant Hearing.Year 2000 position statement:Principles and guidelines for early hearing detection and intervenetion programs[J].Pediatrics,2000,106:798-817.
[8] Valkama AM,Laitakari KT,Tolonen EU,et al.Prediction of permanent hearing loss in high-risk preterm infants at term age[J].Eur J Pediatr,2000,159:459-464.
[9] 丁海娜,赵亚丽,史伟,等.TEOAE和AABR联合应用在婴幼儿听力复筛中的意义[J].听力学及言语疾病杂志,2008,16(4):282-284.
[10] Yoon P,Price M,Gallagher K,et al.The need for longterm audiologic follow-up of neonatal intensive care unit(NICU)graduates[J].Int J Pediatr Otorhi,2003,67:353.
