Objective To explore the risk factors for failing hearing screening in premature infants. Methods From January 1,2020 to December 31,2020,551 premature infants who underwent the first screening in the hearing screening clinic of the Newborn's Diseases Screening Center of Hefei Maternity & Child Health Center were selected as the investigation objects.Transient evoked otoacoustic emission (TEOAE) and automated auditory brainstem response (AABR) screening were performed on them.Meanwhile,the self-made hearing screening questionnaire of premature infants was used to collect their mothers' pregnancy and post-birth clinical data.Univariate analysis and multivariate logistic regression analysis were used to analyze the risk factors of premature infants failing hearing screening. Results A total of 551 patients were screened by TEOAE combined with AABR,and 132 failed,with a failure rate of 24.0％.Univariate analysis showed that there were statistically significant differences in home address,mother's age at delivery,whether there were auricle or external auditory canal malformation,family history of hearing impairment,months at detection,gestational age and corrected gestational age (P<0.05).The results of multi-factor analysis showed that rural home address (OR=1.931,95％CI:1.178-3.165),auricle or external auditory canal malforming (OR=7.524,95％CI:1.193-47.439),and family history of hearing impairment (OR=4.974,95％CI:1.348-18.354)were risk factors for hearing screening failure of preterm infants.Taking the age of premature infants≤1 month as reference,the three month age groups >1 and≤2 months (OR=2.847,95％CI:1.090-7.433),>2 and ≤3 months (OR=6.359,95％CI:2.250-17.971) and >3 months (OR=6.750,95％CI:2.343-19.449)were risk factors for premature infants failing hearing screening. Conclusion The combined application of TEOAE and AABR is recommended for hearing screening of premature infants.Premature infants have a high rate of hearing failure,and multiple factors affect the failure rate of hearing screening for premature infants.
Key words
Premature infants /
Hearing screening /
Failed /
Risk factors /
Multivariate logistic regression analysis
{{custom_sec.title}}
{{custom_sec.title}}
{{custom_sec.content}}
References
[1] 杨琨,杨希林,王燕,等.美国听力学会儿童听力筛查指南[J].听力学及言语疾病杂志,2017,25(2):119-136.
[2] 郝文洋,商莹莹,倪道凤,等.正常出生新生儿瞬态诱发耳声发射与畸变产物耳声发射听力筛查结果比较[J].听力学及言语疾病杂志,2018,26(3):247-250.
[3] 张峥嵘.自动听性脑干反应在新生儿缺氧缺血性脑病的相关因素的研究[J].中国医学创新,2017,14(16):113-115.
[4] 高湘杰,彭晓娟,邓忠,等.新生儿听力损失高危因素与听力筛查研究进展[J].中国耳鼻咽喉颅底外科杂志,2019,25(6):692-696.
[5] 吴皓,黄治物.新生儿听力筛查[M].2版.北京:人民卫生出版社,2014:78-81.
[6] 周津徽,张欣,王成禹,等.TEOAE 联合AABR在高危新生儿听力筛查中的价值研究[J].蚌埠医学院学报,2020,45(2):360-362.
[7] 徐孝玲,杨志红,魏健.耳声发射联合自动听性脑干反应对新生儿听力筛查的价值[J].宁夏医科大学学报,2019,41(8):853-855.
[8] 潘丹园.南宁市武鸣区2015年不同胎龄早产儿听力筛查结果分析[J].中国社区医师,2018,34(13):177-179.
[9] 涂彬.新生儿听力障碍发生情况及高危因素分析[J].包头医学院学报,2019,35(8):70-71.
[10] 赵秋华,张峥嵘,黄玲.新生儿缺氧缺血性脑病患儿听力障碍发生情况及危险因素分析 [J].中国医学创新,2020,17(15):18-22.
[11] 黄翠兰,肖厚兰,李婷.不同高危因素对早产儿听力障碍的影响分析[J].牡丹江医学院学报,2018,39(1):71-73.
[12] 赵岩,王靖明,郑睿,等.高危新生儿听力筛查结果及高危因素分析[J].中国听力语言康复科学杂志,2020,18(6):469-471.
[13] 赵洪春,车娟,张肖林,等.新生儿听力筛查结果及影响因素分析和临床指导意义[J].中华耳科学杂志,2020,18(4):734-737.
[14] 陈惠兰,赵娜,吴菲,等.不同胎龄早产儿听力筛查结果及高危因素分析[J].中国妇幼保健,2019,34(5):1077-1079.
[15] 刘一心,邬沃乔,刘世新,等.深圳市新生儿听力筛查情况及影响因素分析[J].中国公共卫生,2010,26(1):26-27.
[16] 刘云亮,李燕芳,张沁铭,等.2 893例早产儿听力筛查及随访研究[J].听力学及言语疾病杂志,2017,25(3):234-237.
[17] 田野,刘清明,於娟娟.耳声发射联合自动听性脑干反应在新生儿听力筛查中的应用价值[J].中外医学研究,2021,19(16):95-97.
PDF(769 KB)
