珠海市基层医院新生儿听力筛查工作调查

发布时间：2018-03-30 13:08

本文选题：新生儿听力筛查　切入点：信息化管理系统　出处：《听力学及言语疾病杂志》2017年03期

【摘要】：目的调查珠海市基层医院新生儿听力筛查工作开展现状及信息化管理模式运行情况,探讨进一步提升新生儿听力筛查质量及信息化管理水平的新模式。方法采用现场填写质控评分表、面向各医院听力筛查负责人发放调查问卷等方式,对珠海市24家助产医疗保健机构新生儿听力筛查工作进行质控,调查筛查工作普及状况、筛查率、转诊率及信息化管理现状。结果 (1)2014年全市新生儿分娩量30 808人,听力初筛25 295人,筛查率82.11%(25 295/30 808)。其中14家已开展听力筛查医院中有10家医院初筛率达95%以上,另外4家医院的初筛率分别为93.02%、66.79%、55.29%、48.37%;10家未全面开展听力筛查医院转诊率低于40%,各医院新生儿听力筛查工作开展情况差距较大。(2)全市2014年新生儿听力初筛阳性率9.34%(2 363/25 295),复筛阳性率7.98%(145/1 816),接受听力学诊断193人(64.14%,93/145);最后确诊双耳听力异常30人,新生儿听力损失检出率0.12%(30/25 295);需进行耳聋干预8人,其中6人已接受医学干预,干预率为75%(6/8)。(3)珠海市听力筛查信息化工作已推行近十年,但听力筛查系统使用情况不佳,没有充分发挥信息化管理的优势。结论基层医院新生儿听力筛查工作不仅要重视筛查率,更要提高筛查未通过者的复筛率、诊断率、干预率和回访率等,利用信息化管理的优势加强对听力损失高危儿及听力障碍者的长期跟踪随访,以提高听力筛查整体质量。
[Abstract]:Objective to investigate the present situation of neonatal hearing screening and the operation of information management model in basic hospitals of Zhuhai City. To explore a new mode of improving the quality of newborn hearing screening and the level of information management. Methods by filling out the quality control score form on the spot and issuing questionnaires to the heads of hearing screening in various hospitals, etc. The quality control of neonatal hearing screening in 24 midwifery health care institutions in Zhuhai was carried out, and the prevalence, screening rate, referral rate and information management status of screening work were investigated. Results 1) 30 808 newborns were delivered in 2014. The screening rate was 82.11% 25 295 / 30 8080.Of the 14 hospitals that had conducted hearing screening, the initial screening rate in 10 hospitals was over 95%. The primary screening rates of the other four hospitals were 93.02and 66.790.55.29 and 48.3710 hospitals with no overall hearing screening. The referral rate of the 10 hospitals that did not carry out hearing screening was lower than 40000. The gap in the development of newborn hearing screening in various hospitals was large. The positive rate of primary screening of newborn hearing in 2014 in the whole city was 9.343r25295. The positive rate of double sieve was 7.98 / 145 / 1 816%, 193 people were diagnosed by audiology, 64.14% of them were diagnosed by audiology, and 30 cases were diagnosed as having abnormal hearing in both ears. The detectable rate of neonatal hearing loss is 0.12 / 25 295; 8 people need to be treated with deafness intervention, of which 6 have received medical intervention, and the intervention rate is 75 / 6 / 8 / 5) Zhuhai City has been carrying out the information work of hearing screening for nearly 10 years, but the hearing screening system is not well used. Conclusion Neonatal hearing screening in grass-roots hospitals should not only pay attention to the screening rate, but also improve the re-screening rate, diagnostic rate, intervention rate and return visit rate of those who have not passed the screening. In order to improve the overall quality of hearing screening, we should make use of the advantage of information management to strengthen the long term follow-up of high risk children with hearing loss and hearing impairment.
【作者单位】：珠海市妇幼保健院耳鼻咽喉科;广东省妇幼保健院耳鼻咽喉科;
【基金】：广东省科技厅基金项目(2014A040401040)资助
【分类号】：R764.04

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