Hearing loss in children with very low birth weight: current review of epidemiology and pathophysiology.
Hearing loss in children with very low birth weight: current review of epidemiology and pathophysiology.
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DOI：
10.1136/adc.2007.124214
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发表时间：
2008-11
期刊：
影响因子：
--
通讯作者：
Oghalai JS
中科院分区：
文献类型：
--
作者：
Cristobal R;Oghalai JS
出生体重<1500 g（极低出生体重（VLBW））与听力损失之间的关系早已被认识到。随着普遍听力筛查计划的广泛实施，以及极低出生体重婴儿在现代重症监护病房的存活率增加，我们对这一问题的性质有了更好的了解。然而，我们的知识库中存在许多空白。该综述描述了有关极低出生体重人群听力损失的最新数据，并解释了目前对这些患者听力缺陷生理基础的了解水平。虽然VLBW本身可能不会对听力产生严重影响，但它通常与多种其他风险因素相关，这些因素可以协同方式改变听力。因此，听力损失的风险大大高于一般新生儿人群。此外，对于新生儿重症监护室的婴儿，进行比标准耳声发射筛查更全面的听力评估是很重要的，以免错过由于耳蜗后病变导致的听力损失。此外，极低出生体重儿童发生进行性或延迟性听力损失的风险也增加，因此在从新生儿重症监护室出院后应继续进行系列听力评估。
An association between birth weight <1500 g (very low birth weight (VLBW)) and hearing loss has been long recognised. As universal hearing screening programmes have become widely implemented and the survival rate of VLBW babies in modern intensive care units has increased, we have gained a substantially better understanding of the nature of this problem. However, many gaps in our knowledge base exist. This review describes recent data on hearing loss in the VLBW population and explains the current level of understanding about the physiological basis underlying the auditory deficits in these patients. Although VLBW alone may not have a severe impact on hearing, it is commonly associated with multiple other risk factors that can alter hearing in a synergistic fashion. Therefore, the risk of hearing loss is substantially higher than in the general newborn population. Also, it is important to perform a more comprehensive audiometric evaluation than standard otoacoustic emission screening for infants who are in the neonatal intensive care unit in order not to miss hearing loss due to retrocochlear pathology. Furthermore, children with VLBW are also at increased risk of experiencing progressive or delayed-onset hearing loss, and thus should continue to have serial hearing evaluations after discharge from the neonatal intensive care unit.
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影响因子：
8
作者：
Fligor, BJ;Neault, MW;Jones, DT
通讯作者：
Jones, DT
影响因子：
2.5
作者：
DEVRIES, LS;LARY, S;DUBOWITZ, LMS
通讯作者：
DUBOWITZ, LMS
影响因子：
2.1
作者：
Doyle, KJ;Kong, YY;Ray, RM
通讯作者：
Ray, RM
DOI：
10.3109/03005369209077875
发表时间：
1992-01-01
期刊：
British Journal of Audiology
影响因子：
--
作者：
DAVIS A;WOOD S
通讯作者：
WOOD S
影响因子：
3.7
作者：
Cone-Wesson, B;Vohr, BR;Norton, SJ
通讯作者：
Norton, SJ