Eur Arch Otorhinolaryngol:新生儿听力筛查不通过患儿的听力结果和病因

2021-09-21 AlexYang MedSci原创

评估了新生儿听力筛查失败患儿的听力结果和病因。

先天性听力障碍是一种常见的残疾,大约每1000个新生儿中就会有1-4个发生。早期发现听力障碍并进行康复治疗,可以最大限度地提高听力障碍儿童的语言和交流能力,从而确保他们能够更好的融入社会。评估先天性听力障碍的病因有助于识别潜在的感染性、代谢性、遗传性或综合症等情况,还能帮助医疗工作者确定适当的治疗、随访和预后,并对父母提供充分的咨询

如今,人们提倡在婴儿出生一个月内进行听力损失筛查,两个月内进行诊断,三个月内进行康复。目前主要使用的筛查技术是自动听觉脑干反应(AABR)测试和耳声发射(OAE)测试。OAE测试快速而便宜,但容易受到耳道阻塞或中耳灌注的影响,不能检测出耳蜗后的听力损伤。AABR检测速度较慢,费用较高,而且需要新生儿处于自然睡眠状态,但能够检测到耳蜗后的损伤,因此是首选方法。另外,听觉稳态反应(ASSR)测试也有一定的应用,它能够同时评估双耳不同频率下的听觉阈值。

目前,大多数发达国家已经实施了某种形式的新生儿听力筛查计划。先天性听力损失的早期识别和康复对功能结果很重要,确定听力障碍的病因也非常必要。

近期,来自比利时根特大学的研究人员在《Eur Arch Otorhinolaryngol》上发表文章,评估了新生儿听力筛查不通过患儿的听力结果和病因

研究人员对12年间(2007-2019年)因新生儿听力筛查不通过而转诊到研究人员所在三级转诊中心的患儿进行了分析。新生儿听力筛查基于自动听觉脑干反应(AABR)或AABR与听觉稳态反应(ASSR)联合这两种方法。研究人员进行了大量的听力测试来确定听力损失的类型和程度。如果是永久性的听力损失,则遵循标准化的病因学方法来确定原因。

在802名转诊的新生儿中,78%的新生儿的听力损失由ABR证实。听力损失的主要病因包括中耳炎伴流脓(56%,通过AABR/ASSR筛查的该病因患者比AABR筛查的多)、遗传性疾病(12%)、先天性巨细胞病毒感染(cCMV,5%)和外耳道闭锁/狭窄(5%)。在永久性听力损失患儿中,15%患儿的听力损失严重程度随时间推移而发生变化。

永久性听力损失患儿的病因细分情况

综上所述, 听力筛查不通过新生儿中的大多数确实患有听力障碍。主要病因是中耳炎引起的可逆性听力损失;约35%转诊新生儿的听力损失是永久性的,主要病因是遗传。另外,先天性听力损失患儿的随访很有必要,因为随着时间的推移,他们的病情会发生恶化或改善

原始出处:

Frederic R E Acke , Casper De Vriese , Helen Van Hoecke et al. Twelve years of neonatal hearing screening: audiological and etiological results. Eur Arch Otorhinolaryngol. Aug 2021

版权声明:
本网站所有内容来源注明为“梅斯医学”或“MedSci原创”的文字、图片和音视频资料,版权均属于梅斯医学所有。非经授权,任何媒体、网站或个人不得转载,授权转载时须注明来源为“梅斯医学”。其它来源的文章系转载文章,或“梅斯号”自媒体发布的文章,仅系出于传递更多信息之目的,本站仅负责审核内容合规,其内容不代表本站立场,本站不负责内容的准确性和版权。如果存在侵权、或不希望被转载的媒体或个人可与我们联系,我们将立即进行删除处理。
在此留言
评论区 (6)
#插入话题
  1. [GetPortalCommentsPageByObjectIdResponse(id=1688026, encodeId=94b316880268b, content=<a href='/topic/show?id=b9b03926382' target=_blank style='color:#2F92EE;'>#听力筛查#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=49, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=39263, encryptionId=b9b03926382, topicName=听力筛查)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=b83728436161, createdName=108807375_62823136, createdTime=Sun Apr 24 05:36:47 CST 2022, time=2022-04-24, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=2022319, encodeId=53282022319fc, content=<a href='/topic/show?id=b4e43926560' target=_blank style='color:#2F92EE;'>#听力结果#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=38, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=39265, encryptionId=b4e43926560, topicName=听力结果)], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/C4Qhy5XHSe503Qbjzc1UtDR83BCv66o6P2XRedX9ohsNGa3uEVicFFk2qkuX5zBSmpicepFySBrwoYknhqMdKmtw/132, createdBy=1aca2500179, createdName=12498d2fm51(暂无昵称), createdTime=Mon Apr 25 09:36:47 CST 2022, time=2022-04-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1058539, encodeId=ff7d10585395d, content=国内数据会更丰富吧, beContent=null, objectType=article, channel=null, level=null, likeNumber=63, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20210413/3d02b07873314a129f14c8d09fed86b4/4eaa961964624db2b9c3abbe4a99a61f.jpg, createdBy=5ca05477824, createdName=杭州听力师, createdTime=Fri Oct 08 09:47:07 CST 2021, time=2021-10-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1306705, encodeId=1a681306e053c, content=<a href='/topic/show?id=aeb639230b7' target=_blank style='color:#2F92EE;'>#听力#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=43, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=39230, encryptionId=aeb639230b7, topicName=听力)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=96d4340, createdName=ysjykql, createdTime=Thu Sep 23 06:36:47 CST 2021, time=2021-09-23, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1053655, encodeId=d2e01053655d9, content=大家最近车服不可热了热控, beContent=null, objectType=article, channel=null, level=null, likeNumber=52, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/Q0j4TwGTfTIrrxxDxnLic8t6EAs38Qfwo6H2h6JMleIgb9OSYf6LMnVDkQEqUXWoSDWboibjhOBI9SJDTXweqQIA/132, createdBy=50aa5321359, createdName=查查佳佳, createdTime=Wed Sep 22 08:05:54 CST 2021, time=2021-09-22, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1053594, encodeId=705910535949e, content=学习, beContent=null, objectType=article, channel=null, level=null, likeNumber=66, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=a3e25414385, createdName=ms2000000057946177, createdTime=Tue Sep 21 22:46:48 CST 2021, time=2021-09-21, status=1, ipAttribution=)]
  2. [GetPortalCommentsPageByObjectIdResponse(id=1688026, encodeId=94b316880268b, content=<a href='/topic/show?id=b9b03926382' target=_blank style='color:#2F92EE;'>#听力筛查#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=49, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=39263, encryptionId=b9b03926382, topicName=听力筛查)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=b83728436161, createdName=108807375_62823136, createdTime=Sun Apr 24 05:36:47 CST 2022, time=2022-04-24, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=2022319, encodeId=53282022319fc, content=<a href='/topic/show?id=b4e43926560' target=_blank style='color:#2F92EE;'>#听力结果#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=38, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=39265, encryptionId=b4e43926560, topicName=听力结果)], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/C4Qhy5XHSe503Qbjzc1UtDR83BCv66o6P2XRedX9ohsNGa3uEVicFFk2qkuX5zBSmpicepFySBrwoYknhqMdKmtw/132, createdBy=1aca2500179, createdName=12498d2fm51(暂无昵称), createdTime=Mon Apr 25 09:36:47 CST 2022, time=2022-04-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1058539, encodeId=ff7d10585395d, content=国内数据会更丰富吧, beContent=null, objectType=article, channel=null, level=null, likeNumber=63, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20210413/3d02b07873314a129f14c8d09fed86b4/4eaa961964624db2b9c3abbe4a99a61f.jpg, createdBy=5ca05477824, createdName=杭州听力师, createdTime=Fri Oct 08 09:47:07 CST 2021, time=2021-10-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1306705, encodeId=1a681306e053c, content=<a href='/topic/show?id=aeb639230b7' target=_blank style='color:#2F92EE;'>#听力#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=43, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=39230, encryptionId=aeb639230b7, topicName=听力)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=96d4340, createdName=ysjykql, createdTime=Thu Sep 23 06:36:47 CST 2021, time=2021-09-23, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1053655, encodeId=d2e01053655d9, content=大家最近车服不可热了热控, beContent=null, objectType=article, channel=null, level=null, likeNumber=52, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/Q0j4TwGTfTIrrxxDxnLic8t6EAs38Qfwo6H2h6JMleIgb9OSYf6LMnVDkQEqUXWoSDWboibjhOBI9SJDTXweqQIA/132, createdBy=50aa5321359, createdName=查查佳佳, createdTime=Wed Sep 22 08:05:54 CST 2021, time=2021-09-22, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1053594, encodeId=705910535949e, content=学习, beContent=null, objectType=article, channel=null, level=null, likeNumber=66, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=a3e25414385, createdName=ms2000000057946177, createdTime=Tue Sep 21 22:46:48 CST 2021, time=2021-09-21, status=1, ipAttribution=)]
  3. [GetPortalCommentsPageByObjectIdResponse(id=1688026, encodeId=94b316880268b, content=<a href='/topic/show?id=b9b03926382' target=_blank style='color:#2F92EE;'>#听力筛查#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=49, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=39263, encryptionId=b9b03926382, topicName=听力筛查)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=b83728436161, createdName=108807375_62823136, createdTime=Sun Apr 24 05:36:47 CST 2022, time=2022-04-24, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=2022319, encodeId=53282022319fc, content=<a href='/topic/show?id=b4e43926560' target=_blank style='color:#2F92EE;'>#听力结果#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=38, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=39265, encryptionId=b4e43926560, topicName=听力结果)], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/C4Qhy5XHSe503Qbjzc1UtDR83BCv66o6P2XRedX9ohsNGa3uEVicFFk2qkuX5zBSmpicepFySBrwoYknhqMdKmtw/132, createdBy=1aca2500179, createdName=12498d2fm51(暂无昵称), createdTime=Mon Apr 25 09:36:47 CST 2022, time=2022-04-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1058539, encodeId=ff7d10585395d, content=国内数据会更丰富吧, beContent=null, objectType=article, channel=null, level=null, likeNumber=63, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20210413/3d02b07873314a129f14c8d09fed86b4/4eaa961964624db2b9c3abbe4a99a61f.jpg, createdBy=5ca05477824, createdName=杭州听力师, createdTime=Fri Oct 08 09:47:07 CST 2021, time=2021-10-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1306705, encodeId=1a681306e053c, content=<a href='/topic/show?id=aeb639230b7' target=_blank style='color:#2F92EE;'>#听力#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=43, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=39230, encryptionId=aeb639230b7, topicName=听力)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=96d4340, createdName=ysjykql, createdTime=Thu Sep 23 06:36:47 CST 2021, time=2021-09-23, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1053655, encodeId=d2e01053655d9, content=大家最近车服不可热了热控, beContent=null, objectType=article, channel=null, level=null, likeNumber=52, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/Q0j4TwGTfTIrrxxDxnLic8t6EAs38Qfwo6H2h6JMleIgb9OSYf6LMnVDkQEqUXWoSDWboibjhOBI9SJDTXweqQIA/132, createdBy=50aa5321359, createdName=查查佳佳, createdTime=Wed Sep 22 08:05:54 CST 2021, time=2021-09-22, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1053594, encodeId=705910535949e, content=学习, beContent=null, objectType=article, channel=null, level=null, likeNumber=66, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=a3e25414385, createdName=ms2000000057946177, createdTime=Tue Sep 21 22:46:48 CST 2021, time=2021-09-21, status=1, ipAttribution=)]
    2021-10-08 杭州听力师

    国内数据会更丰富吧

    0

  4. [GetPortalCommentsPageByObjectIdResponse(id=1688026, encodeId=94b316880268b, content=<a href='/topic/show?id=b9b03926382' target=_blank style='color:#2F92EE;'>#听力筛查#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=49, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=39263, encryptionId=b9b03926382, topicName=听力筛查)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=b83728436161, createdName=108807375_62823136, createdTime=Sun Apr 24 05:36:47 CST 2022, time=2022-04-24, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=2022319, encodeId=53282022319fc, content=<a href='/topic/show?id=b4e43926560' target=_blank style='color:#2F92EE;'>#听力结果#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=38, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=39265, encryptionId=b4e43926560, topicName=听力结果)], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/C4Qhy5XHSe503Qbjzc1UtDR83BCv66o6P2XRedX9ohsNGa3uEVicFFk2qkuX5zBSmpicepFySBrwoYknhqMdKmtw/132, createdBy=1aca2500179, createdName=12498d2fm51(暂无昵称), createdTime=Mon Apr 25 09:36:47 CST 2022, time=2022-04-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1058539, encodeId=ff7d10585395d, content=国内数据会更丰富吧, beContent=null, objectType=article, channel=null, level=null, likeNumber=63, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20210413/3d02b07873314a129f14c8d09fed86b4/4eaa961964624db2b9c3abbe4a99a61f.jpg, createdBy=5ca05477824, createdName=杭州听力师, createdTime=Fri Oct 08 09:47:07 CST 2021, time=2021-10-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1306705, encodeId=1a681306e053c, content=<a href='/topic/show?id=aeb639230b7' target=_blank style='color:#2F92EE;'>#听力#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=43, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=39230, encryptionId=aeb639230b7, topicName=听力)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=96d4340, createdName=ysjykql, createdTime=Thu Sep 23 06:36:47 CST 2021, time=2021-09-23, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1053655, encodeId=d2e01053655d9, content=大家最近车服不可热了热控, beContent=null, objectType=article, channel=null, level=null, likeNumber=52, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/Q0j4TwGTfTIrrxxDxnLic8t6EAs38Qfwo6H2h6JMleIgb9OSYf6LMnVDkQEqUXWoSDWboibjhOBI9SJDTXweqQIA/132, createdBy=50aa5321359, createdName=查查佳佳, createdTime=Wed Sep 22 08:05:54 CST 2021, time=2021-09-22, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1053594, encodeId=705910535949e, content=学习, beContent=null, objectType=article, channel=null, level=null, likeNumber=66, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=a3e25414385, createdName=ms2000000057946177, createdTime=Tue Sep 21 22:46:48 CST 2021, time=2021-09-21, status=1, ipAttribution=)]
    2021-09-23 ysjykql
  5. [GetPortalCommentsPageByObjectIdResponse(id=1688026, encodeId=94b316880268b, content=<a href='/topic/show?id=b9b03926382' target=_blank style='color:#2F92EE;'>#听力筛查#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=49, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=39263, encryptionId=b9b03926382, topicName=听力筛查)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=b83728436161, createdName=108807375_62823136, createdTime=Sun Apr 24 05:36:47 CST 2022, time=2022-04-24, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=2022319, encodeId=53282022319fc, content=<a href='/topic/show?id=b4e43926560' target=_blank style='color:#2F92EE;'>#听力结果#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=38, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=39265, encryptionId=b4e43926560, topicName=听力结果)], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/C4Qhy5XHSe503Qbjzc1UtDR83BCv66o6P2XRedX9ohsNGa3uEVicFFk2qkuX5zBSmpicepFySBrwoYknhqMdKmtw/132, createdBy=1aca2500179, createdName=12498d2fm51(暂无昵称), createdTime=Mon Apr 25 09:36:47 CST 2022, time=2022-04-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1058539, encodeId=ff7d10585395d, content=国内数据会更丰富吧, beContent=null, objectType=article, channel=null, level=null, likeNumber=63, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20210413/3d02b07873314a129f14c8d09fed86b4/4eaa961964624db2b9c3abbe4a99a61f.jpg, createdBy=5ca05477824, createdName=杭州听力师, createdTime=Fri Oct 08 09:47:07 CST 2021, time=2021-10-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1306705, encodeId=1a681306e053c, content=<a href='/topic/show?id=aeb639230b7' target=_blank style='color:#2F92EE;'>#听力#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=43, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=39230, encryptionId=aeb639230b7, topicName=听力)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=96d4340, createdName=ysjykql, createdTime=Thu Sep 23 06:36:47 CST 2021, time=2021-09-23, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1053655, encodeId=d2e01053655d9, content=大家最近车服不可热了热控, beContent=null, objectType=article, channel=null, level=null, likeNumber=52, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/Q0j4TwGTfTIrrxxDxnLic8t6EAs38Qfwo6H2h6JMleIgb9OSYf6LMnVDkQEqUXWoSDWboibjhOBI9SJDTXweqQIA/132, createdBy=50aa5321359, createdName=查查佳佳, createdTime=Wed Sep 22 08:05:54 CST 2021, time=2021-09-22, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1053594, encodeId=705910535949e, content=学习, beContent=null, objectType=article, channel=null, level=null, likeNumber=66, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=a3e25414385, createdName=ms2000000057946177, createdTime=Tue Sep 21 22:46:48 CST 2021, time=2021-09-21, status=1, ipAttribution=)]
    2021-09-22 查查佳佳

    大家最近车服不可热了热控

    0

  6. [GetPortalCommentsPageByObjectIdResponse(id=1688026, encodeId=94b316880268b, content=<a href='/topic/show?id=b9b03926382' target=_blank style='color:#2F92EE;'>#听力筛查#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=49, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=39263, encryptionId=b9b03926382, topicName=听力筛查)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=b83728436161, createdName=108807375_62823136, createdTime=Sun Apr 24 05:36:47 CST 2022, time=2022-04-24, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=2022319, encodeId=53282022319fc, content=<a href='/topic/show?id=b4e43926560' target=_blank style='color:#2F92EE;'>#听力结果#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=38, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=39265, encryptionId=b4e43926560, topicName=听力结果)], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/C4Qhy5XHSe503Qbjzc1UtDR83BCv66o6P2XRedX9ohsNGa3uEVicFFk2qkuX5zBSmpicepFySBrwoYknhqMdKmtw/132, createdBy=1aca2500179, createdName=12498d2fm51(暂无昵称), createdTime=Mon Apr 25 09:36:47 CST 2022, time=2022-04-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1058539, encodeId=ff7d10585395d, content=国内数据会更丰富吧, beContent=null, objectType=article, channel=null, level=null, likeNumber=63, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20210413/3d02b07873314a129f14c8d09fed86b4/4eaa961964624db2b9c3abbe4a99a61f.jpg, createdBy=5ca05477824, createdName=杭州听力师, createdTime=Fri Oct 08 09:47:07 CST 2021, time=2021-10-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1306705, encodeId=1a681306e053c, content=<a href='/topic/show?id=aeb639230b7' target=_blank style='color:#2F92EE;'>#听力#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=43, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=39230, encryptionId=aeb639230b7, topicName=听力)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=96d4340, createdName=ysjykql, createdTime=Thu Sep 23 06:36:47 CST 2021, time=2021-09-23, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1053655, encodeId=d2e01053655d9, content=大家最近车服不可热了热控, beContent=null, objectType=article, channel=null, level=null, likeNumber=52, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/Q0j4TwGTfTIrrxxDxnLic8t6EAs38Qfwo6H2h6JMleIgb9OSYf6LMnVDkQEqUXWoSDWboibjhOBI9SJDTXweqQIA/132, createdBy=50aa5321359, createdName=查查佳佳, createdTime=Wed Sep 22 08:05:54 CST 2021, time=2021-09-22, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1053594, encodeId=705910535949e, content=学习, beContent=null, objectType=article, channel=null, level=null, likeNumber=66, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=a3e25414385, createdName=ms2000000057946177, createdTime=Tue Sep 21 22:46:48 CST 2021, time=2021-09-21, status=1, ipAttribution=)]
    2021-09-21 ms2000000057946177

    学习

    0

相关资讯

J Sex Med:后非那雄胺综合征患者的差异性基因表达

由使用5-α还原酶抑制剂(5ARIs)的后非那雄胺综合征男性报告的一系列持续的性功能、神经精神和身体症状,其有机病因到目前尚有争议。有研究人员认为神经类固醇水平或雄性激素受体表达的持续变化

J Int Med Res:妊娠期突发感音神经性听力损失的病因、治疗和结果

最近,有研究人员分析了妊娠期感音神经性听力损失(SSNHL)的病因、治疗方法和结果。

Stroke:基于非管腔狭窄性高危颈动脉斑块下的缺血性脑卒中分类

颈动脉斑块并管腔<50%可能不是脑卒中发生机制的主要原因。本研究评估经参考非管腔狭窄性高危斑块对脑卒中重新再分类的价值。

Nature:阿兹海默症的罪魁祸首竟然是感染?

老年痴呆症(Alzheimer’s disease, AD)是在导致人类死亡的主要原因之一,并影响全球影响约5000万人的健康和生活。

Science :专家点评!重大发现,轮状病毒引起严重腹泻的原因被解密

轮状病毒(RV)通过广泛失调肠内稳态而导致全世界儿童严重腹泻病。RV腹泻的机制是多方面的,但仍不完全清楚。RV感染的标志是RV失调宿主细胞的钙信号传导途径,从而增加了RV复制所需的胞质钙。

Prog Neurobiol :研究解开酒精成瘾之谜,同时发现了一种治疗酒瘾的潜在方法

酒瘾的成因一直是人类想破解的谜题,酒精诱发大脑的神经免疫反应,促进酒精使用障碍(AUD)的发展和维持。与此同时,促炎介质可以启动和驱动神经免疫反应,而抗炎介质则提供了一个重要的稳态机制。