评估婴儿听力损失的技术

R. Soni, S. Kacker, N. Saboo
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引用次数: 0

摘要

听觉是五大感官之一,它使我们能够有效地与他人沟通。不幸的是,人们常常认为自己的听觉是理所当然的,直到听觉丧失或受损时才知道它的重要性。直到最近,听力损失才成为印度政府最关注的问题。预防、早期诊断和护理可以避免一半的耳聋和听力损伤。听觉对儿童的大脑发育至关重要。这也将减轻听力损失带来的压力,避免失去许多可能富有成效的岁月。减轻听力损失负担的最具成本效益的策略是对新生儿和婴儿进行筛查。听力损失是全世界最常见的感官缺陷。听力损失的严重程度从轻微到严重不等。Kapoor Set al.认为,通过筛查,可以更早地发现听力损失。由于急需预防传染病导致的死亡,印度没有定期对新生儿和刚出生的婴儿进行任何特定疾病的检查。位于印度南部的全印度语言与听力研究所(AIISH)的交流障碍预防部定期在其下属的不同医院开展婴儿听力障碍筛查,筛查方法包括行为观察测听、耳声发射(OAE)筛查和高风险登记(HRR)管理。在 2009-2010 年期间,与该研究所有联系的 10 家医院共对 12416 名新生儿进行了听力障碍筛查。下文将讨论与印度婴儿听力筛查有关的各种问题。研究方法:我们以 "听力、筛查、听力损失和婴儿 "为关键词,在 PubMed Central 和 Google Scholar 上搜索相关文章。下载了日期为 2022 年 7 月至 2022 年 9 月 19 日的全文文章。根据描述印度婴儿听力筛查理论的文章来判断相关性。结论。新生儿听力筛查对于检测先天性听力损失和提供早期治疗至关重要。每个人都有权享受健康的生活方式。听力障碍与交流障碍一样,在生命早期就已开始。只有实施系统的早期听力筛查计划,患有听力损失的婴儿才能充分发挥其潜能,成为社会中积极、有贡献和有融合能力的一员。新生儿听力筛查对于检测先天性听力损失至关重要。对于高风险新生儿(早产、缺氧、高胆红素血症),听觉神经病变的风险无法通过 OAE 测试检测出来,因此有必要进行 AABR。OAE 测试更快、更容易进行,但它的假阳性率高于 AABR。理想的听力检查程序仍在开发中。因此,听力筛查技术应适应每个中心的具体要求。
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Techniques for assessing hearing loss in infants
The ability to hear is one of the five major senses that allows us to communicate effectively with others. Unfortunately, individuals frequently take their sense of hearing for granted, and they do not know how important it is until it is lost or compromised. Hearing loss was not a top concern for the Indian government until recently. Prevention, early diagnosis, and care can prevent half of all occurrences of deafness and hearing impairment. The auditory sense is critical for a child’s brain development. This will also reduce the strain of hearing loss, preventing the loss of many potentially productive years. The most cost-effective strategy to lessen the burden of hearing loss is to screen new-borns and babies. Hearing loss is the most frequent sensory deficiency in people all over the world. The severity of hearing loss can range from mild to severe. Kapoor Set al. suggested that by screening, the condition is detected earlier than it would otherwise be diagnosed. Because of the urgent need to prevent infectious causes of mortality, neonates and new-borns are not regularly checked for any specific disease in India. The Department of Prevention of Communication Disorders of All India Institute of Speech and Hearing (AIISH) located in the Southern India, conducts infant screening for hearing disorder on regular basis in different hospitals attached to it using Behavioural Observational Audiometry, Otoacoustic Emissions (OAE) screening, and administering High Risk Register (HRR). In the year 2009-2010, a total of 12416 new-borns in 10 hospitals associated with AIISH were screened for hearing disorder. The following paragraphs deals with various issues related to the hearing screening of infants in India. Methodology of study was as we searched PubMed Central and Google Scholar for relevant articles with key words «hearing, screening, hearing loss and infants». Full-text articles were downloaded dated July 2022 to September 19, 2022. Relevance was judged according to articles describing theories of hearing screening of infants India. Conclusion. Hearing screening for new-borns is critical for detecting congenital hearing loss and providing early management. Every person has the right to live a healthy lifestyle. Hearing impairment, like communication disorders, begins early in life. Infants with hearing loss will only be able to reach their full potential as fully active, contributing, and integrated members of society if systematic early screening programmes are implemented. Hearing screening for new-borns is critical for detecting congenital hearing loss. The AABR is considered necessary for HRNHS in high-risk new-borns (prematurity, anoxia, hyperbilirubinemia) who are at risk of auditory neuropathy that cannot be detected using the OAE test. The OAE test is faster and easier to conduct, but it has a larger false positive rate than the AABR. The ideal hearing procedure is still being developed. As a result, the hearing screening technique should be adapted to the specific demands of each centre.
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