在单人房新生儿重症监护室听力屏失效的危险因素 新生儿重症监护室
Rebecca Suflas1, Rebecca Cox2, Rose M Viscardi3
1Department of Pediatrics, Pediatrix Medical Group, Sinai Hospital of Baltimore, Baltimore, Maryland.
American journal of perinatology
|November 25, 2024
概括
在单个家庭房间的NICU中,17%的非常早产婴儿未能通过听力查. 支气管肺形和腹腔内出血被确定为听力屏失败的关键风险因素.
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.
- 儿科重症监护 儿科重症监护
背景情况:
- 新生儿重症监护室 (NICU) 对婴儿听力构成独特的挑战. 暴露于噪音和医疗干预措施可能会影响脆弱婴儿的听觉发育.
- 非常早产的婴儿 (<33周妊娠年龄) 患听力损伤的风险增加.
研究的目的:
- 为了确定非常早产婴儿的听力检查结果.
- 在这个人群中确定与听力屏幕失效相关的临床和环境风险因素.
- 在NICU中提供听力保护策略的信息.
主要方法:
- 追溯研究婴儿<33周妊娠年龄被录取到IV级单家庭房间 (SFR) NICU.
- 分析了自动听力脑干反应 (AABR) 结果,对那些幸存到出院的婴儿进行了分析.
- 人口,产前,产后和呼吸支持数据从电子医疗记录中收集.
主要成果:
- 在425名符合条件的婴儿中,17%的婴儿未能通过听力检查 (单边检查61%,双边检查39%).
- 听力屏失败与较低的妊娠年龄,较低的出生体重,男性性别,较晚的查年龄,较低的阿帕格分数,罗塞米德治疗,低血压,腹腔内出血 (IVH) ≥3级,和支气管肺功能失调 (BPD) 相关.
- 屏幕听力衰竭的婴儿更长时间暴露于呼吸辅助器. 双边失败显示显着更长时间暴露于高流量鼻腔管 (>2L/分钟). IVH ≥3级 (OR=3.22) 和 BPD (OR=2.27) 是显著的危险因素.
结论:
- 支气管肺张力症和腹腔内出血是非常早产婴儿听力屏失效的重要危险因素.
- 长期暴露于呼吸器辅助设备的噪音可能会导致听力损失.
- 建议在呼吸辅助期间实施听力保护措施,以保护处于危险的婴儿.
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