DOI: https://doi.org/10.22263/2312-4156.2020.1.53
Lemeshko Y.I.1, Ustsinovich Y.A.2
Diagnostic significance of separate risk factors and their combinations in the development of hearing disorders in newborns
1Minsk Region Clinical Maternity Hospital, Minsk, Republic of Belarus
2Belarusian Medical Academy of Post-Graduate Education, Minsk, Republic of Belarus
Vestnik VGMU. 2020;19(1):53-58.
Abstract.
Neurosensory hearing loss in children at the present time is one of the urgent problems of pediatrics. Modern prevention of hearing impairment is based on predicting the manifestation of a hearing pathology in childhood. A pathological effect on the acoustic analyzer is most frequently produced by a combination of several factors, between the action of which there is a relationship.
Objectives. To identify the diagnostic significance of individual risk factors and their combinations in the development of hearing impairment in children.
Material and methods. A comprehensive examination of 206 full-term infants who were in the newborn ward of the Clinical Maternity Hospital of Minsk Region was conducted. An analysis of the course of pregnancy and childbirth in mothers was made, the somatic and neurological status of newborns were also assessed; a laboratory examination of capillary and venous blood in children was performed, the auditory function in newborns was evaluated by recording and analyzing the delayed induced otoacoustic emission.
Results. According to the statistical analysis results of the data obtained, a negative effect of the combination of maternal age, parity of pregnancy and childbirth, the type of anesthesia during cesarean section surgery, and hyperbilirubinemia in newborns on the development of auditory function was established.
Conclusions. The combination of neonatal hyperbilirubinemia with the maternal age over 30 years, repeated pregnancies and first births, the use of spinal anesthesia during delivery by cesarean section statistically significantly increases the likelihood of audiological disorders.
Key words: newborns, hearing loss, risk factors, hyperbilirubinemia, diagnostic significance, otoacoustic emission.
References
1. Zagoryanskaya ME, Rumyantseva MG. Epidemiology of hearing disorders in children. Defektologiia. 2005;(6):14-20. (In Russ.)
2. Khorov OG. Diagnosis of hearing impairment in newborns. Med Vestn. 2007;(11):5. (In Russ.)
3. UO Grodnenskii gosudarstvennyi meditsinskii universitet, GU Respublikanskii nauchno-prakticheskii tsentr otorinolaringologii; Khorov OG, Makarina-Kibak LE, Aleshchik ICh, Eremenko YuE, Zhuchko LI, Zavada EN, sost. Algorithm for early diagnosis of hearing impairment in newborns and young children: instruktsiia po primeneniiu № 178-1110: utv M-vom zdravookhraneniia Respubliki Belarus' 13.04.2012 g. Grodno, RB; 2012. 19 р. (In Russ.)
4. Swanepoll D, Hugo R, Brenda L. Infant Hearing Loss – Silent Epidemic of the Developing World. J Am Acad Audiol. 2005;17(4):12-7.
5. Ponomareva LP. Hearing impairment in newborn babies. Lechaщий врач. 2005;(1):4-6. (In Russ.)
6. Pal'chun VT, Magomedov MM, Luchikhin LA. Otorhinolaryngology: uchebnik. Moscow, RF: GEOTAR-Media; 2014. 3-e izd pererab i dop. 581 р. (In Russ.)
7. Gomella TL, Kanningam MD, Eyal' FG, red. Neonatology: per s angl: v 2 t. T 1. 6-e izd. Moscow, RF: BINOM Lab znanii; 2015. 708 р. (In Russ.)
8. Shabalov NP. Neonatology: ucheb posobie: v 2 t. T 2. Moscow, RF: GEOTAR-Media; 2016. 6-e izd ispr i dop. 733 р. (In Russ.)
9. Taeusch HW, Ballard RA, Gleason CA, ed. Avery's Diseases of the Newborn. 8th ed. Philadelphia: Lippincott Williams &Wikins; 2005. 1634 р.
10. How sample size affects the quality of clinical trials [Elektronnyi resurs]. StatSoft: [sait]. 2020. Rezhim dostupa: http://statsoft.ru/solutions/ExamplesBase/branches/detail.php?ELEMENT_ID=629. Data dostupa: 27.01.2020. (In Russ.)
Information about authors:
Lemeshko Y.I. – postgraduate of the Chair of Neonatology & Medical Genetics, Belarusian Medical Academy of Post-Graduate Education, neonatologist, Minsk Region Clinical Maternity Hospital;
Ustsinovich Y.A. – Doctor of Medical Sciences, associate professor, the head of Chair of Neonatology & Medical Genetics, Belarusian Medical Academy of Post-Graduate Education.
Correspondence address: Republic of Belarus, 223040, Minsk region, Minsk district, agrogorodok Lesnoy, 29a/3-29. E-mail: Этот адрес электронной почты защищён от спам-ботов. У вас должен быть включен JavaScript для просмотра. – Yuliya I. Lemeshko.
