2단계 자동화 청성 뇌간 반응 검사를 이용한 신생아청력선별검사의 결과:서울아산병원의 경험

임현우; 한명원; 이효숙; 김기수; 정종우; 김영진; 안중호; 이광선; 윤태현

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자료유형: 학술저널

저자정보: 임현우 한명원 이효숙 김기수 정종우 김영진 안중호 이광선 윤태현

저널정보: 대한이비인후과학회 대한이비인후-두경부외과학회지 대한이비인후과학회지 두경부외과학 제50권 제2호

발행연도: 2007.1

수록면: 108 - 114 (7page)

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Background and Objectives：Universal newborn hearing screening is widely accepted due to socioeconomic harm of congenital (AABR) is accept-able method for newborn hearing screning and to check the presence of potential false negative cases by using another criterion considering sweep number. Subjects and Method：Among 3761 neonates who were born from March 2004 to December 2005, 3053 healthy neonates (81.18%) whose parents agred to hearing screning protocol were screned with AABR. Failed neonates (refer) at first stage test and neonates showing high sweep number (>4000) on repeated test were received second stage retest tested with conventional ABR as a confirmative study within 3 months. Results：94 neonates (3.08%) were failed and 180 neonates (5.89%) showed high swep number on first stage ABR test. On second stage ABR test, neonates with final refer result were 46 (1.51%) and neonates with final high sweep number result were 44 (1.44%). Neonates with threshold of over 30 dB at ABR were 14 among final refer group and 5 among final high swep number group. Thre bilateral profound hearing showed moderate hearing loss. There is no clear relationship between predicting false negative case and sweep number. Conclusion：Our current two stage AABR test is useful tol for newborn hearing screening with acceptable referral rate and positive predictive value. False negative cases detected through our protocol have no clear relationship with high swep number. (Korean J Otolaryngol 2007 ;50 :108-14)

#신생아 선별검사·청성뇌간반응·자동화·위음성. #Neonatal screening· Auditory brainstem response· Automated· False negative.

참고문헌 (19)

참고문헌 신청

/ 1995 / American Academy of Pediatrics Joint Committee on Infant Hearing 95 (1) : 152 ~ 156

/ 1998 / Language of early- and later-identified children with hearing loss 102 (2) : 1161 ~ 1171

/ 1999 / Task Force on Newborn and Infant Hearing 103 : 527 ~ 530

/ 1999 / The role of the pediatrician in hearing los 46 (1) : 15 ~ 34

/ 1999 / Transient evoked otoacoustic emissions (TEOAEs) in new-borns: Normative data 47 (3) : 235 ~ 241

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