在新生儿听力查时,TEOAE参考/AABR合格概况是否表明风险?
Francesca Forli1, Silvia Capobianco2, Letizia Palazzo2
1Otolaryngology, Audiology, and Phoniatrics Unit, University of Pisa, Pisa, Italy; Hearing Implant Section, Karolinska Institutet, Stockholm, Sweden.
International journal of pediatric otorhinolaryngology
|February 4, 2026
概括
初始听力查问题 (参考暂时唤起的耳声发射,通过自动听力脑干反应) 的婴儿没有长期的永久性听力损失. 然而,持续的发育监测对于识别儿童的功能障碍至关重要.
科学领域:
- 儿科听力学 儿科听力学
- 新生儿查 新生儿查
- 发育儿科 发育儿科
背景情况:
- 新生儿听力查使用暂时唤起的耳声发射 (TEOAE) 和自动听力脑干响应 (AABR).
- "参考"TEOAE与双边"通过"AABR的特定查配置文件需要进一步调查长期影响.
研究的目的:
- 为了评估婴儿的长期结果 (>5年) 具有"参考"TEOAE和双边"通过"AABR结果的婴儿.
- 为了确定这个群体中永久性听力损失和功能后果的风险.
主要方法:
- 在皮萨大学医院2011-2019年间查的婴儿的回顾性分析.
- 通过电话问卷和面对面的听力学测试对儿童进行长期跟踪,这些儿童报告有功能障碍.
主要成果:
- 在74名具有TEOAE"参考"/AABR"通过"特征的婴儿 (0.45%) 中,有63名具有随访数据 (平均年龄9.2岁).
- 没有发现永久性听力损失;三名儿童 (4.7%) 患有与中耳炎或潜在疾病相关的导电性听力损失.
- 39.7%的儿童经历了功能困难,包括需要语音治疗,语言延迟或学校问题.
结论:
- 这项研究是第一个报告TEOAE"参考"/AABR"通过"新生儿查资料的长期结果.
- 虽然没有确定永久性听力损失,但功能困难的高率强调需要持续的儿科监测.
- 早期识别和管理发育问题对于具有这种查特征的儿童至关重要.
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