婴儿和儿童听力损失相关的危险因素:系统性审查
1Department of Otolaryngology-Head and Neck Surgery, Qassim University, Buraydah, SAU.
Cureus
|July 17, 2023
概括
本综述确定了儿童听力损失 (HL) 的关键风险因素,包括低出生体重,感染和重症监护需求. 早期识别和干预对受影响的儿童至关重要.
科学领域:
- 儿科 儿科 儿科
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 公共卫生 公共卫生
背景情况:
- 儿童听力损失 (HL) 是一个重大问题,涉及各种潜在的因素.
- 识别这些风险因素对于早期发现和干预策略至关重要.
研究的目的:
- 系统地审查和综合有关0-3岁儿童永久双边/单边听力损失 (BHL/UHL) 相关风险因素的证据.
- 基于十年的研究,提供统计学上显著的风险因素的全面概述.
主要方法:
- 在PubMed,Cochrane和Scopus数据库中系统搜索2013年1月至2022年12月期间发表的文章.
- 包括病例控制,RCT,队列和其他研究设计,重点关注0-3岁儿童永久HL.
- 使用纽卡斯尔-太华尺度 (NOS) 和JBI批判性评估检查清单进行质量评估,并进行双重独立审查.
主要成果:
- 17项高质量的研究被纳入了定性综合.
- 确定了统计学上显著的危险因素包括呼吸器支持,面异常,低出生体重 (LBW),子分娩,循环利尿剂,脑膜炎,窒息,重症监护,血缘关系,败血症,低Apgar分数,TORCH感染和高 bilirubinemia.
结论:
- 一些产前和产后因素显著增加了幼儿听力损失的风险.
- 了解这些风险因素可以指导儿童群体的有针对性的查和预防措施.
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