在生病的新生儿听力障碍的评估:一个前性的观察性研究
Jatin Nagal1, Ramesh Choudhary2, Mahendra Jain3
1Department of Medical and Health, Government of Rajasthan, Jaipur, IND.
Cureus
|July 17, 2023
概括
在高危新生儿中,早期检测听力损失至关重要. 在自动听力脑干反应查之前,两阶段的耳声排放测试可以有效地识别听力障碍.
科学领域:
- 新生儿护理 新生儿护理
- 听力学 听力学是指听力学.
- 儿科神经学 儿科神经学
背景情况:
- 新生儿听力损失可能导致严重的发育问题.
- 患病的新生儿在NICU有明显更高的听力损失的风险.
- 在高风险婴儿中早期发现听力障碍至关重要.
研究的目的:
- 在高风险新生儿中识别听力障碍.
- 评估耳声发射和听觉脑干响应在检测听力损失方面的有效性.
- 分析与新生儿听力障碍相关的风险因素.
主要方法:
- 对150名高风险新生儿进行前性观察研究,这些新生儿被送往NICU.
- 在排放和六周时使用扭曲产品的耳声排放 (DPOAE) 进行听力评估.
- 自动听力脑干反应 (AABR) 测试在三个月的婴儿与异常DPOAE结果.
主要成果:
- 55.33%的婴儿最初在出院时接受DPOAE查.
- 一个两阶段的DPOAE在AABR.测试的33名婴儿中,在11名婴儿中发现了听力障碍.
- 在听力障碍和新生儿高胆血症,缺氧性缺血性脑病,出生体重非常低,机械通风的持续时间之间发现了显著的关联.
结论:
- 在AABR之前的两阶段DPOAE查有助于早期检测听力损失.
- 早期识别允许及时干预,以减轻发展后果.
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