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

Abstract

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

CLC Number:

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.

Figures/Tables 2

References 18

[1]	沈晓明. 我国开展新生儿听力筛查的意义[J]. 临床儿科杂志, 2001, 19(2): 67.
[2]	Joint Committee on Infant Hearing, American Academy of Audiology, American Academy of Pediatrics, et al. Year 2000 position statement: principles and guidelines for early hearing detection and intervention programs[J]. Pediatrics, 2000, 106(4): 798-817. doi: 10.1542/peds.106.4.798
[3]	杨军, 陈建勇. 听障婴幼儿全面听力学诊断评估[J]. 中国听力语言康复科学杂志, 2021, 19(5): 321-326.
	Yang J, Chen JY. Comprehensive audiological assessment of hearing loss in infants and children[J]. Zhongguo Tingli Yuyan Kangfu Kexue Zazhi, 2021, 19(5): 321-326.
[4]	Farinetti A, Raji A, Wu H, et al. International consensus (ICON) on audiological assessment of hearing loss in children[J]. Eur Ann Otorhinolaryngol Head Neck Dis, 2018, 135(1S): S41-S48.
[5]	American Academy of Pediatrics, Joint Committee on Infant Hearing. Year 2007 position statement: principles and guidelines for early hearing detection and intervention programs[J]. Pediatrics, 2007, 120(4): 898-921. doi: 10.1542/peds.2007-2333 pmid: 17908777
[6]	沈佳丽, 陈建勇, 汪玮, 等. 婴儿不同频率短纯音听性脑干反应正常值研究[J]. 听力学及言语疾病杂志, 2020, 28(6): 620-624.
	Shen JL, Chen JY, Wang W, et al. Study on normal value of different frequencies of tone bursts auditory brainstem response in infants[J]. Tinglixue Ji Yanyu Jibing Zazhi, 2020, 28(6): 620-624.
[7]	陈建勇, 杨军. 婴幼儿听力损失评估国际共识[J]. 临床耳鼻咽喉头颈外科杂志, 2018, 32(12): 886-890.
	Chen JY, Yang J. International consensus (ICON) on audiological assessment of hearing loss in children[J]. Linchuang Erbiyanhou Toujingwaike Zazhi, 2018, 32(12): 886-890.
[8]	国家卫生和计划生育委员会新生儿疾病筛查听力诊断治疗组. 婴幼儿听力损失诊断与干预指南[J]. 中华耳鼻咽喉头颈外科杂志, 2018, 53(3): 181-188.
	Expert Group on Universal Newborns Hearing Screening of the National Health and Family Planning Commission. Guideline for the early diagnostic evaluation and intervention of hearing loss in infants[J]. Zhonghua Erbiyanhou Toujingwaike Zazhi, 2018, 53(3): 181-188.
[9]	中华医学会耳鼻咽喉头颈外科学分会听力学组. 中国听性脑干反应临床操作规范专家共识 (2020)[J]. 中华耳鼻咽喉头颈外科杂志, 2020, 55(4): 326-331.
	Subspecialty Group of Audiology, Society of Otorhinolaryngology Head and Neck Surgery,Chinese Medical Association. China expert consensus on the clinical practice of auditory brainstem response (2020)[J]. Zhonghua Erbiyanhou Toujingwaike Zazhi, 2020, 55(4): 326-331.
[10]	McCreery RW, Kaminski J, Beauchaine K, et al. The impact of degree of hearing loss on auditory brainstem response predictions of behavioral thresholds[J]. Ear Hear, 2015, 36(3): 309-319.
[11]	Kachniarz B, Chen JX, Gilani S, et al. Diagnostic yield of MRI for pediatric hearing loss: a systematic review[J]. Otolaryngol Head Neck Surg, 2015, 152(1): 5-22. doi: 10.1177/0194599814555837 pmid: 25389321
[12]	Bongers S, Slottje P, Kromhout H. Hearing loss associated with repeated MRI acquisition procedure-related acoustic noise exposure: an occupational cohort study[J]. Occup Environ Med, 2017, 74(11): 776-784. doi: 10.1136/oemed-2016-103750 pmid: 28601814
[13]	Liming BJ, Carter J, Cheng A, et al. International Pediatric Otolaryngology Group (IPOG) consensus recommendations: hearing loss in the pediatric patient[J]. Int J Pediatr Otorhinolaryngol, 2016, 90: 251-258. doi: 10.1016/j.ijporl.2016.09.016
[14]	Sloan-Heggen CM, Bierer AO, Shearer AE, et al. Comprehensive genetic testing in the clinical evaluation of 1119 patients with hearing loss[J]. Hum Genet, 2016, 135(4): 441-450. doi: 10.1007/s00439-016-1648-8 pmid: 26969326
[15]	刘宏彦, 刘慧坤, 冷俊宏. 天津市新生儿听力及耳聋基因联合筛查结果分析[J]. 临床儿科杂志, 2023, 41(2): 146-149.
	Liu HY, Liu HK, Leng JH. Analysis of the results of the combined hearing and deafness genetic screening of newborns in Tianjin[J]. Linchuang Erke Zazhi, 2023, 41(2): 146-149.
[16]	Lv J, Wang H, Cheng X, et al. AAV1-hOTOF gene therapy for autosomal recessive deafness 9: a single-arm trial[J]. Lancet, 2024, 403(10441): 2317-2325. doi: 10.1016/S0140-6736(23)02874-X
[17]	Lanzieri TM, Chung W, Flores M, et al. Hearing loss in children with asymptomatic congenital cytomegalovirus infection[J]. Pediatrics, 2017, 139(3): e20162610.
[18]	Vancor E, Shapiro ED, Loyal J. Results of a targeted screening program for congenital cytomegalovirus infection in infants who fail newborn hearing screening[J]. J Pediatric Infect Dis Soc, 2019, 8(1): 55-59. doi: 10.1093/jpids/pix105 pmid: 29373759

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

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

RichHTML

PDF (PC)

Like

Knowledge

Abstract

Cite this article

share this article

Figures/Tables 2

References 18

Related Articles 2

Metrics

Comments

Recommended 0

[1]	WANG Shuo, LI Yue, HUANG Lihui. Childhood hearing loss: construction of the screening, diagnosis, and intervention system in China [J]. Journal of Clinical Pediatrics, 2025, 43(12): 883-889.
[2]	YU Jun, ZHENG Yan, KANG Xiaoli . Clinically isolated syndrome causes visual and hearing impairment in children: a case report [J]. , 2018, 36(12): 942-.