Baby's response to sound does not mean normal hearing

There are more than 30,000 newborn children in China every year. If patients with delayed deafness and drug-induced deafness are added, more than 60,000 new hearing-impaired children are added each year.

The reporter learned from Chen Xiaohong, the chief technician of the Department of Otorhinolaryngology, Southwest Hospital. Although the Southwest Hospital has more publicity on newborn hearing screening, the obstetrics also preached maternity and family, but in fact, the proportion of newborns receiving hearing screening Not high, only about 10%.

There are two reasons for the low rate of hearing screening. The first is that the newborn hearing screening program is a voluntary program and is not mandatory. The second is that after the child is born, the child responds when the child speaks to the child, or when there is a bang, the parents usually think that the child's hearing is no problem, so there is no hearing screening.

"Hey, after taking a few shots, I saw that the child responded and thought that the child's hearing was normal. This is the understanding of most families." Liu Dan, the attending physician of the ENT department of the Southwest Hospital, told reporters that it is like the eyes. Myopia is the same as the concept of blindness and blindness. Similarly, hearing problems and "scorpions" are also two concepts.

In the newborn hearing screening of Southwest Hospital, about 7% of the children did not pass the initial hearing screening. We can't say that these children are “scorpions” and can only say that their hearing is more or less problematic.

Liu Dan said that hearing screening is divided into five stages, namely, primary screening (3 days after birth), review (42 days after birth), comprehensive diagnostic assessment (3 months after birth), and hearing intervention (6 months after birth). ) and long-term follow-up. For infants who have not undergone primary screening and review, a series of hearing assessments are required, including otoscopy, otoacoustic emissions, acoustic impedance, brainstem auditory evoked potential (ABR), multi-frequency homeostasis (ASSR), behavior Related tests such as audiometry and early pre-linguistic assessment. In addition, some infants and young children also need genetic diagnosis and imaging examination to determine the next treatment plan.

"Ten-nine-nine dumb" is mostly dumb. Therefore, after the hearing loss of infants and young children is discovered, it is of paramount importance to start intervention therapy as soon as possible according to the condition.

Experts say that newborn hearing screening and deafness genetic screening can help early detection and early intervention, and most children can get better hearing and speech skills after intervention.