黄石市2025例学龄前儿童听力筛查结果分析

发布时间：2018-04-07 17:58

本文选题：学龄前儿童　切入点：听力筛查　出处：《听力学及言语疾病杂志》2017年05期

【摘要】：目的探讨学龄前儿童的听力筛查方式及其可行性。方法采用随机抽样法抽取黄石地区30所幼儿园共2 025例2~6岁儿童,以声导抗、瞬态诱发耳声发射和畸变产物耳声发射检测进行听力初筛,未通过者一个月后同法进行复筛,复筛未通过者行纯音听阈测试或行为测听、听性脑干反应(auditory brain-stem response,ABR)、听性稳态反应(auditory steady-state response,ASSR)及影像学等检查。结果本组对象听力初、复筛总通过率为94.02%(1 904/2 025),其中初筛通过者1 842例(90.96%,1 842/2 025);183例初筛未通过者进入复筛,其中62例通过复筛(33.88%,62/183),121例未通过2次筛查(5.98%,121/2 025);最终有72例(3.56%,72/2 025)诊断为听力损失,其中,分泌性中耳炎47例;感音神经性聋22例(中度8例,重度4例,极重度10例),单耳18例,双耳4例;单侧外耳道畸形伴不同程度耳道闭锁3例,其中,2例伴双耳大前庭水管综合征。结论耳声发射及声导抗检测可用于学龄前儿童听力筛查;黄石地区学龄前儿童听力损失的原因主要为分泌性中耳炎和不同程度的感音神经性听力损失。
[Abstract]:Objective to explore the hearing screening method and its feasibility of preschool children.Methods A total of 2025 children aged 26 years old from 30 kindergartens in Huangshi area were selected by random sampling. The hearing was screened by acoustic conductance, transient evoked otoacoustic emission and distortion product otoacoustic emission.Pure tone audiometry or behavioral audiometry, auditory brainstem response (auditory brain-stem response), auditory steady-state response (auditory steady-state response) and imaging examination were performed in those who failed the screening.Results at the beginning of hearing, the total pass rate of the double screen was 94.02%. Among them, 1 842 cases (1 842 cases) passed through the first screening, including 1 842 cases (90.96%) and 183 cases (1 842 / 2 025 5) who failed the screening to enter the double screen.There were 4 cases with double ears and 3 cases with unilateral deformity of external auditory meatus with different degrees of atresia, of which 2 cases were accompanied with biaural vestibular aqueduct syndrome.Conclusion Otoacoustic emission and acoustic impedance can be used for hearing screening of preschool children, the main causes of hearing loss in Huangshi are secretory otitis media and sensorineural hearing loss.
【作者单位】：湖北省黄石市中心医院耳鼻咽喉头颈外科;上海中医药大学岳阳医院;
【基金】：黄石市医药卫生科研项目(2016-269-32)
【分类号】：R764.04

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