[Characteristics of hearing loss in 299 high-risk neonates].
OBJECTIVE
To compare the occurrence of hearing loss in neonates with hyperbilirubinemia, hypoxic-ischemic encephalopathy (HIE) and very low-birth weight infant (VLBW) body mass, and to provide evidence for early intervention.


METHODS
Totally 299 high-risk neonates (598 ears) were divided into six groups: pure hyperbilirubinemia group, pure HIE group, hyperbilirubinemia with HIE group, hyperbilirubinemia with VLBW group, HIE with LBWI group, hyperbilirubinemia with VLBW and HIE mass group. Auditory brainstem response (ABR) was detected in all groups.


RESULTS
The hearing threshold of ABR and the abnormal rate of hyperbilirubinemia with LBWI and HIE were much higher than that of pure hyperbilirubinemia and pure HIE neonates.


CONCLUSIONS
Of the three high-risk factors, hearing loss occurs more often and more serious in neonates with hyperbilirubinemia and with VLBW while as HIE body mass. So the babies should receive hearing screening with ABR and be treated in time or following up as early as possible.
Chen
Ping
P
Department of Otorhinolaryngology, First Affiliated Hospital of Guangxi Medical University, Nanning 530021, China.
Tang
An-Zhou
AZ
Su
Ji-Ping
JP
Xu
Zhi-Wen
ZW
Zheng
Ming-Hua
MH
Huang
Dong-Hong
DH
D016057:Evoked Potentials, Auditory, Brain Stem; D005260:Female; D034381:Hearing Loss / Q000150:complications* / Q000503:physiopathology; D006801:Humans; D006932:Hyperbilirubinemia / Q000150:complications* / Q000175:diagnosis / Q000503:physiopathology; D020925:Hypoxia-Ischemia, Brain / Q000150:complications* / Q000175:diagnosis / Q000503:physiopathology; D007231:Infant, Newborn; D019102:Infant, Very Low Birth Weight; D008297:Male; D012307:Risk Factors