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摘要: 目的：分析我院新生儿重症监护病房TEOAE加AABR联合听力筛查的结果及随访情况。方法：回顾分析我院新生儿重症监护病房574例高危新生儿的听力筛查结果，复查诊断结果。对未按时前来复诊的婴儿通过电话随访向其家长了解失访就诊的原因。结果：574例中，有472例通过了入院时的TEOAE和AABR联合筛查；102例未通过TEOAE和AABR联合筛查。33例参加复查的婴儿中13例通过了听力复筛；未通过复查的20例进行了听力学诊断，有8例听力正常，12例有不同程度的听力损失；69例失访，失访率高达67.6%。失访原因为：患儿家长联系方式的更改；医患沟通不畅导致家长对听力筛查结果不了解；家长自觉小孩听力尚可而认为不必复查；已在外院复查；婴儿患有其他严重疾病导致家长对患儿听力结果不再重视而最终失访等。结论：NICU患儿联合听力筛查未通过率为17.8%；听力损失检出率高；高达67.6%的失访率值得我们反思，应针对原因减少失访，使听力有问题的儿童能够早发现、早干预。Abstract: Objective: To study the results of TEOAE and AABR hearing screening and follow-up in NICU. Method: Total 574 cases in NICU were included in this study, all cases received both TEOAE and AABR hearing screening while admission and rescreening when one-month-old. The cases that were abnormal on either test in rescreening were asked to return for diagnostic tests at 3 moths old. The patients who didn't return as required in 3 months were surveyed by call and analyzed. Result: Among 574 cases, 472 cases passed both TEOAE and AABR hearing screening while admission. While 102 cases had abnormal test results in either screening test. Thirty-three cases returned for follow-up, 13 of which passed rescreening test one month after discharge, the other 20 cases had ABR diagnostic tests after 3 months. Among them, 8 cases had normal hearing, 12 cases had various degree of hearing loss. Sixty-nine cases lost follow-up. The reason of lost follow-up was as follows,parents changed phone number/contact information, parents didn't understand the screening results, parents believe that their children having no need for further testing; parents had retest in other hospitals, parents didn't pay attention to hearing loss because of other severe complicated comorbidities. Conclusion: The passing rate (normal) of TEOAE and AABR hearing screening in NICU was 82.2%, non-passing rate wass 17.8%, and the prevalence of hearing loss was high in those followed cases. Hyperbilirubinemia was the main risk factors of hearing loss in our NICU patients. We reviewed the reason for high rate (67.6%) of losing follow-up.
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Key words:
- NICU /
- hearing screening /
- follow-up
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