仪征市16674例婴幼儿听力筛查和随访结果分析

发布时间：2018-01-05 23:15

本文关键词：仪征市16674例婴幼儿听力筛查和随访结果分析　出处：《中国妇幼保健》2016年24期 　论文类型：期刊论文

【摘要】：目的通过对婴幼儿进行听力筛查,了解仪征市听力障碍发生情况及变化规律,为进一步做好儿童听力保健工作提供依据。方法采取耳声发射法(OAE)对婴幼儿进行听力筛查,初复筛均未通过≥1个月但3个月的婴幼儿或初筛未通过≥3个月的婴幼儿进听性脑干反应(ABR)检查,并跟踪随访。结果 2004-2014年共筛查16 674例,初筛通过率为94.99%,复筛率为73.33%,复筛通过率为78.86%,初复筛总通过率为99.10%,有效随访率为61.99%,听力发育结果不明率为0.85%,这6项在年度间比较,差异有统计学意义(P均0.05);外耳畸形发生率为0.36‰,男婴高于女婴(P0.05);听力障碍发病率为0.20%,性别间比较,差异无统计学意义(P0.05)。结论仪征市婴幼儿听力障碍发生发展情况与国内外报道相符,为避免漏筛漏诊而延误早期干预的时机,听力筛查工作还有待进一步完善。
[Abstract]:Objective to conduct hearing screening for infants, Yizheng, hearing impairment and changes, provide a basis for further improving hearing children work. Methods of otoacoustic emission (OAE) for hearing screening for infants, early screening were not more than 1 months but by 3 months of infant screening or not through more than 3 months in infants with auditory brainstem response (ABR) examination, and follow-up. Results 2004-2014 were screened in 16674 cases, screening rate was 94.99%, the re screening rate was 73.33%, rescreening by 78.86%, initial screening pass rate was 99.10%, effective follow-up rate was 61.99%. The unknown hearing growth rate was 0.85%, the 6 in the annual comparison, the difference was statistically significant (P < 0.05); external ear malformation rate was 0.36 per thousand, male was higher than that of female (P0.05); the incidence of hearing impairment was 0.20%, gender comparison, no statistically significant difference (P0 .05). Conclusion the occurrence and development of infants' hearing impairment in Yizheng is consistent with the reports both at home and abroad. In order to avoid premature missed intervention, we need further improvement in hearing screening.

【作者单位】：仪征市妇幼保健所;
【分类号】：R764.04
【正文快照】： 听力障碍是婴幼儿常见的出生缺陷,国内外报道其发生率约1‰~3‰[1-4]。听力障碍严重制约儿童语言、心理、认知和社会交往能力的发展[5-6],不仅影响儿童的生活质量,还会给家庭、社会带来负担。婴幼儿早期听力筛查,可以对听力障碍儿童早期发现、早期诊断、早期干预,促进其言语-

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