婴幼儿听力障碍：从精准诊断、个体化干预到系统性随访

doi:10.12372/jcp.2025.25e0851

临床儿科杂志 ›› 2025, Vol. 43 ›› Issue (12): 890-896.doi: 10.12372/jcp.2025.25e0851

婴幼儿听力障碍：从精准诊断、个体化干预到系统性随访

杨军^,^*(), 陈建勇^,^*()

上海交通大学医学院附属新华医院耳鼻咽喉头颈外科上海交通大学医学院耳科学研究所上海市耳鼻疾病转化医学重点实验室（上海 200092）

收稿日期:2025-07-16 录用日期:2025-08-27 出版日期:2025-12-15 发布日期:2025-11-28
通讯作者: 杨军，电子信箱：yangjun@xinhuamed.com.cn，陈建勇，电子信箱：chenjianyong@xinhuamed.com.cn E-mail:yangjun@xinhuamed.com.cn;chenjianyong@xinhuamed.com.cn
作者简介:第一联系人：
^* 具有同等贡献
基金资助:
国家重点研发计划(2024YFC2511100);国家自然科学基金面上项目(82271179);国家自然科学基金面上项目(82230035);上海交通大学医学院附属新华医院院级临床研究培育基金项目(21XHDB02)

Hearing impairment in infants and young children: from precision diagnosis to personalized intervention and systematic follow-up

YANG Jun^,^*(), CHEN Jianyong^,^*()

Department of Otolaryngology-Head & Neck Surgery, Xinhua Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Ear Institute Shanghai Jiao Tong University School of Medicine, Shanghai Key Laboratory of Translational Medicine of Ear and Nose Disease, Shanghai 200092, China

Received:2025-07-16 Accepted:2025-08-27 Published:2025-12-15 Online:2025-11-28

摘要/Abstract

摘要：

婴幼儿听力障碍的早期精准诊断是听力干预与康复有效性的前提和基础，如何科学、高效地实现精准诊断，成为听力学和耳鼻咽喉学界持续关注的课题。本文从“精准诊断”到“个体化干预”再到“系统性随访”3个维度进行全面深入阐述，以期为婴幼儿的听力障碍诊治工作提供借鉴和参考。

关键词: 听力障碍, 精准诊断, 个体化干预, 系统性随访, 婴幼儿

Abstract:

Early and precise diagnosis of hearing impairment in infants and young children is the essential prerequisite and foundation for the effectiveness of hearing intervention and rehabilitation. Achieving such diagnosis scientifically and efficiently remains a subject of ongoing focus within the fields of audiology and otolaryngology. This article provides a comprehensive and in-depth exploration across three key dimensions: from "precision diagnosis" to "personalized intervention", and finally "systematic follow-up". The aim is to offer insights and guidance for the diagnosis and management of hearing impairment in this pediatric population.

Key words: hearing impairment, precision diagnosis, personalized intervention, systematic follow-up, infants and children

中图分类号:

杨军, 陈建勇. 婴幼儿听力障碍：从精准诊断、个体化干预到系统性随访[J]. 临床儿科杂志, 2025, 43(12): 890-896.

YANG Jun, CHEN Jianyong. Hearing impairment in infants and young children: from precision diagnosis to personalized intervention and systematic follow-up[J]. Journal of Clinical Pediatrics, 2025, 43(12): 890-896.

图/表 2

参考文献 18

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测试频率	公式	特定ABR阈值的修正示例
测试频率	公式	20 dB nHL	40 dB nHL	60 dB nHL	80 dB nHL
500 Hz	y=－0.22x+5.90	5	－3	－7	－12
1 000 Hz	y=－0.13x+8.32	5	3	0	－2
2 000 Hz	y=－0.14x+7.31	5	2	－1	－4
4 000 Hz	y=－0.16x+9.32	6	3	0	－3

婴幼儿听力障碍：从精准诊断、个体化干预到系统性随访

Hearing impairment in infants and young children: from precision diagnosis to personalized intervention and systematic follow-up

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