摘要
目的比较新生儿听力普遍筛查方案中两个不同的初筛时间的通过率和转诊率,探讨首次听力筛查时间与筛查效率的关系,为制定筛查方案提供参考。方法3653例在深圳妇幼保健院出生的新生儿分为两组:出生3日筛查组(A组,2305例)和30天筛查组(B组,1348例)。分别于出生后3天和30天体检时进行畸变产物耳声发射(DPOAE)听力筛查。未通过(refer)者,1个月后进行复筛。复筛阳性者转诊至听力评估中心进行听力学诊断。结果A组初筛通过率为81.9%(1888/2305),复筛通过率为85.2%(219/257);B组初筛通过率为93.9%(1266/1348),复筛通过率为62.7%(42/67)。两组初筛通过率、复筛通过率及总通过率比较差异有显著统计学意义(P<0.001)。两组的转诊率分别为1.65%和1.85%,差异无统计学意义(P>0.05)。6例(1.6‰)最后确诊为听力损失。结论出生后30天时进行听力筛查可提高初筛通过率,减少复筛人数,节约筛查成本。
Objective To compare the pass rates of two primary hearing screening times and to determine the appropriate screening time. Methods The newborns born in 2004 and 2005 at our hospital were divided into two groups： group A and group B. Group A received hearing screening with distortion product otoacoustic emission （DPOAE） on the 3rd day after birth, while group B screened in one month after birth. The newborns who failed the initial screening were rescreened one month later. The babies with positive screening findings were referred to full auditory assessments. Results Group A （n=2 305） bad pass rate 81.9% at the initial screening and 85.2% at rescreening. Group B （n=1 348） had pass rate 93. 9% （Х^2=103. 99, P〈0.001） and 62. 7% （Х^2=17. 22, P〈 0. 001）, respectively. The referral rate of group A was 1.65% while group B 1.85%. （Х^2 =0. 007, P=0. 932）. Six infants （1.6‰） were confirmed to have hearing loss. Conclusion Hearing screening at one month old after birth had higher pass rates than that on the 3rd day. It may be helpful for lowering the cost of neonatal hearing universal screening.
出处
《听力学及言语疾病杂志》
CAS
CSCD
北大核心
2009年第1期12-14,共3页
Journal of Audiology and Speech Pathology
基金
深圳市科技局资助项目(200404146)
关键词
新生儿
听力筛查
时间序列
效率
Neonate
Hearing universal screening
Time sequence
Efficacy
