分娩方式和麻醉方法对新生儿听力筛查 ABR 结果的影响。

IF 1.2 4区医学 Q3 OTORHINOLARYNGOLOGY

International journal of pediatric otorhinolaryngology Pub Date : 2025-01-01 DOI:10.1016/j.ijporl.2024.112185

Semih Guler , Ayse Sanem Sahli , Murat Dogan

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引用次数: 0

摘要

目的：本研究旨在探讨分娩方式和麻醉方式对新生儿听力筛查计划（NHCP）范围内新生儿ABR检测结果筛查的影响，并探讨检测结果与相关变量之间的关系。方法：选取441例新生儿作为研究对象。在这些新生儿中，221例为对照组（正常（阴道）分娩），220例为研究组（剖宫产，分娩）。在这项研究中，所有在新生儿筛查计划范围内进行听力评估的新生儿都进行了两次筛查。根据分娩方式（正常（阴道）或剖宫产）和麻醉方式（脊柱或全身）对应用的ABR筛查结果进行比较。研究了诸如婴儿从母亲子宫分离（解剖）的持续时间、暴露于麻醉剂的持续时间和手术过程的总持续时间等变量的影响。结果：本研究发现，分娩方式（正常（阴道）或剖宫产）、麻醉方式（脊柱或全身）与首次筛查ABR试验结果有统计学意义（p 0.05）。结论：在新生儿听力筛查方案范围内，新生儿的类型和分娩时使用的麻醉方法可能会影响ABR筛查的结果。因此，在最合适和正确的时间进行筛选测试是非常重要的。

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Effect of type of delivery and anesthesia method to ABR results on newborn hearing screening

Objectives

The aim of this study is to examine the effect of type of delivery and anesthesia method on the screening ABR test results of newborns within the scope of the Newborn Hearing Screening Program (NHCP) and to investigate the relationship between the test results and the relevant variables.

Methods

441 newborns were included in the study. Of these newborns, 221 constituted the control group (normal (vaginal) delivery), and 220 constituted the study group (cesarean section, delivery). In the study, all newborns whose hearing was evaluated within the scope of the Newborn Screening Program were screened twice. Screening ABR test results applied were compared considering the type of delivery (normal (vaginal) or cesarean section) and anesthesia method (spinal or general). The effects of variables such as the duration of the baby's separation (dissection) from the mother's womb, the duration of exposure to the anesthetic agent and the total duration of the surgical procedure were examined.

Results

As a result of the study, a statistically significant relationship was found between delivery type (normal (vaginal) or cesarean section) and anesthesia method (spinal or general) and first screening ABR test results (p < 0.001). While there was a statistically significant difference (p < 0.001) in terms of separation time from the mother's womb (p < 0.001) and exposure to an anesthetic agent among the first test screening ABR results of newborns born under general anesthesia, there was no statistically significant difference (p < 0.001) in terms of total surgical procedure time (p = 0.106) no difference was detected. There was no statistically significant difference between ABR test results and these three variables in newborns born under spinal anesthesia (p > 0.05).

Conclusions

The type of delivery newborns and the anesthesia method used at delivery may affect the results of screening ABR applied within the scope of a newborn hearing screening protocol. For this reason, it is very important to perform screening tests at the most appropriate and correct time.

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来源期刊

International journal of pediatric otorhinolaryngology 医学-耳鼻喉科学

CiteScore

3.20

自引率

6.70%

发文量

276

审稿时长

62 days

期刊介绍： The purpose of the International Journal of Pediatric Otorhinolaryngology is to concentrate and disseminate information concerning prevention, cure and care of otorhinolaryngological disorders in infants and children due to developmental, degenerative, infectious, neoplastic, traumatic, social, psychiatric and economic causes. The Journal provides a medium for clinical and basic contributions in all of the areas of pediatric otorhinolaryngology. This includes medical and surgical otology, bronchoesophagology, laryngology, rhinology, diseases of the head and neck, and disorders of communication, including voice, speech and language disorders.