关键词: 新生儿, 听力筛查, 听力损失

Abstract: Objective To analyze the hearing screening results of newborns in Jiaxing, in order to provide scientific reference for early diagnosis, intervention and treatment. Methods All newborns in Jiaxing who have performed hearing screening were selected in this study from January 2013 to December 2017.The relevant data were collected through screening institutions, maternal and child health institutions in city (county) district and city-level newborn hearing screening management center.Transient evoked otoacoustic emissions (TEOAE) and automatic auditory brainstem response (AABR) were used to screen high-risk neonates.Those who did not pass the test were screened again at the age of one month old.Those who had abnormal re-screening results were assessed by auditory brainstem response (ABR) in time. Results There were totally 268 187 live births in the five years from 2013 to 2017,among which 266 802 newborns were screened for hearing loss.The initial screening rate was 99.48% (266 802/268 187), and the failure rate was 8.91% (23 776/268 187).The actual re-screening rate was 94.89% (22 561/23 776), 2 269 cases should be referred, 2 167 cases received audiological diagnosis actually, and finally the referral rate was 95.50% (2 167/2 269).Totally 715 cases were diagnosed with hearing loss, and the detection rate of hearing loss was 2.68 ‰, of which 202 cases were mild, moderate, severe and extremely severe hearing loss cases were 202,372,127 and 57,respectively. Conclusion The rate of primary screening, re-screening and referral of newborn hearing screening in Jiaxing city is gradually increasing, which is of great help to the early diagnosis, follow-up and intervention of hearing impairment in infants.

Key words: newborn, hearing screening, hearing impairment