新生儿听力查推婴儿的结果和管理
Sam D Schild1, Matthew A Mendelsohn1, Ann Plum1
1Department of Otolaryngology, State University of New York (SUNY) Downstate Health Sciences University, Brooklyn, NY, USA.
The Annals of otology, rhinology, and laryngology
|June 16, 2023
概括
大多数被转诊为新生儿听力查的婴儿都通过了后续测试. 感觉神经听力损失发生在3.8%的婴儿中,通常与遗传或子宫内因素有关,需要及时干预.
科学领域:
- 儿科耳鼻喉科 儿科耳鼻喉科
- 听力学 听力学是指听力学.
- 新生儿护理 新生儿护理
背景情况:
- 全球新生儿听力查 (UNHS) 加快了早期诊断.
- 许多被转诊查的婴儿通过了随后的耳声发射 (OAE) 或听觉脑干响应 (ABR) 测试.
- 了解初始失败查的婴儿的听力损失发病率和病因至关重要.
研究的目的:
- 确定从新生儿听力查中提及的婴儿听力损失的发生率和原因.
- 分析来自城市,三级护理儿科耳鼻喉实践的数据.
主要方法:
- 从2017年到2021年评估的婴儿的回顾性图表审查.
- 数据包括出生史,查结果,听力学和耳鼻喉学发现,诊断和结果.
主要成果:
- 83.8%的婴儿在重复测试后听力正常.
- 3.8%被诊断患有神经传感性听力损失 (SNHL),与遗传综合征和子宫内感染相关 (P=.004,P=.04).
- 7.8%的人患有带出血的中耳炎 (OME);6.0%的人患有膜/膜阻塞.
结论:
- 在这个队列中,SNHL的发病率为3.8%.
- 大多数被转诊查的婴儿在重复测试后听力正常.
- 需要干预的OME是常见的;密切监测至关重要,以防止后续事件.
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