听力初筛未通过新生儿复筛方法及评估流程探讨

高胜利; 罗仁忠; 黄振云; 李煜; 刘文龙; 彭峤琛

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听力初筛未通过新生儿复筛方法及评估流程探讨

临床研究 | 更新时间：2026-10-28

- 听力初筛未通过新生儿复筛方法及评估流程探讨
- Exploring Re-Screening and Praisal Procedure in Neonatus Who Failed Initial Hearing-Screening
- 中国听力语言康复科学杂志 2022年20卷第3期页码：195-197
- 作者机构：
  
  广州市妇女儿童医疗中心
- 作者简介：
- 基金信息：
- DOI：
  中图分类号： R722.1
- 纸质出版：2022
- 稿件说明：
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高胜利, 罗仁忠, 黄振云, 等. 听力初筛未通过新生儿复筛方法及评估流程探讨[J]. 中国听力语言康复科学杂志, 2022,20(3):195-197.

高胜利, 罗仁忠, 黄振云, et al. Exploring Re-Screening and Praisal Procedure in Neonatus Who Failed Initial Hearing-Screening[J]. 2022, 20(3): 195-197.
高胜利, 罗仁忠, 黄振云, 等. 听力初筛未通过新生儿复筛方法及评估流程探讨[J]. 中国听力语言康复科学杂志, 2022,20(3):195-197. DOI：

高胜利, 罗仁忠, 黄振云, et al. Exploring Re-Screening and Praisal Procedure in Neonatus Who Failed Initial Hearing-Screening[J]. 2022, 20(3): 195-197. DOI：

摘要

目的比较耳声发射(otoacousticemissions

OAE)+OAE和OAE+快速脑干诱发电位（AABR）筛查方法的准确性及经济耗费，探讨有效的听力筛查模式。方法选取2014年1月～2020年8月因听力筛查未通过转我院听力门诊就诊的277例（417耳）患儿，年龄2～6月，男153例，女124例，平均年龄3.1月。依据复筛结果分为：A组复筛OAE+AABR均未通过（272耳），B组复筛AABR通过，OAE未通过（112耳），C组复筛OAE通过，AABR未通过（33耳），分别统计3组患儿的听力评估结果。结果 A组ABR反应阈值正常81耳；传导性耳聋40耳（其中轻度22耳，中度18耳）；感音神经聋148耳（其中轻度54耳，中度33耳，重度61耳）；混合性聋3耳。B组ABR反应阈值正常70耳；传导性耳聋16耳（其中轻度13耳，中度3耳）；感音神经聋26耳（其中轻度24耳，中度2耳）。C组ABR反应阈值正常12耳；传导性耳聋5耳（其中轻度3耳，中度2耳）；感音神经聋16耳（其中轻度4耳，中度3耳，重度9耳，9耳重度聋中有5耳为听神经损伤）。OAE+AABR均未通过组患儿听力评估异常比例最高且出现听力损失重度的比例最大，OAE未通过AABR通过组以轻度听力损失为主，OAE通过AABR未通过组听力评估异常比例稍高，蜗后病变发生几率高。结论新生儿听力复筛建议选用OAE+AABR联合筛查模式。

Abstract

Objective To compare the accuracy of otoacoustic emissions（OAE）+OAE and OAE + rapid brainstem evoked potential（AABR） screening methods

and to explore a more effective and economical system for hearing screening. Methods Clinical data from 277 child outpatients（417 ears） who failed in hearing screening from January 2014 to August 2020 were reviewed

including 153 boys and 124 girls. The average age of the patients was 3.1 months

ranged from 2 months to 6 months old. According to the results of the re-screening

patients were divided into three groups: group A

patients who failed in both OAE and AABR test（272ears）

group B

patients who passed AABR while failed in OAE test（112 ears）

and group C

patients who passed OAE while failed in AABR test（33 ears）. The hearing assessment results of the three groups were analyzed. Results The hearing assessment results of group A showed 81 ears with normal ABR threshold

40 ears with conductive hearing loss（22 ears with mild hearing loss and 18 ears with moderate hearing loss）

148 ears with sensory nerve hearing loss（54 ears with mild hearing loss

33 ears with moderate hearing loss

61 ears with severe hearing loss）

and 3 ears with mixed hearing loss. Group B hearing assessment results showed 70 ears with normal ABR threshold; 16 ears with conductive hearing loss（13 ears with mild hearing loss and 3 ears with moderate hearing loss）

and 26 ears with sensory nerve hearing loss（24 ears with mild hearing loss and 2 ears with moderate hearing loss）. Group C hearing assessment results showed 12 ears with normal ABR threshold

5 ears with conductive hearing loss（3 ears with mild hearing loss and 2 ears with moderate hearing loss）

and 16 ears with sensory nerve hearing loss（4 ears with mild hearing loss

3 ears with moderate hearing loss and 9 ears with severe hearing loss

and 5 of the 9 ears with auditory nerve impairment.） The data was analyzed with SPSS

and the results showed that the proportion of hearing abnormalities and severe hearing loss was both highest in group A. Mild hearing loss was more common in group B. In group C

the proportion of abnormalities was slightly higher than that of group B

and retrocochlear lesions were more common. Conclusion OAE+AABR screening mode is recommended for re-screening in neonatus.

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references

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