脐带 pH 值对健康新生儿耳声发射听力筛查结果的影响

Víctor Aparisi-Climent , José Miguel Sequi-Sabater , José Ignacio Collar-Del Castillo , José Miguel Sequi-Canet
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引用次数: 0

摘要

众所周知,缺氧会影响耳蜗外毛细胞的功能,而耳蜗外毛细胞负责对新生儿听力筛查中使用的耳鸣做出反应。本研究旨在确定出生时脐带pH值的轻度至中度变化对无听力风险因素的健康新生儿耳鸣听力筛查结果的影响。结果显示,窒息组(<7.20)与 pH 值正常组的听力筛查结果无明显差异。Apgar≤7与pH值<7.20显著相关。总之,与健康新生儿分娩相关的轻度-中度窒息不会改变听力筛查的结果,没有听力风险因素。
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Influence of umbilical cord pH on the outcome of hearing screening with otoacoustic emissions in healthy newborns

The effect of hypoxia on the functioning of the outer hair cells of the cochlea, which are responsible for the response to otoemissions used in neonatal hearing screening, is well known.

The aim of this study is to determine the influence of mild to moderate variations in umbilical cord pH at birth on the outcome of hearing screening with otoemissions in healthy newborns without hearing risk factors.

The sample is composed of 4536 healthy infants. The results show no significant differences in the hearing screening outcome between the asphyctic (<7.20) and normal pH group. Nor is a figure below 7.20 detected in the sample that is related to an alteration in the screening.

When broken down into subgroups with known factors of variation in the screening result, such as gender or lactation, no significant differences in response were detected.

Apgar ≤7 is significantly related to pH < 7.20.

In conclusion, mild-moderate asphyxia associated with delivery of healthy newborns, without auditory risk factors, does not alter the outcome of otoemission screening.

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