如皋市2006-2013年新生儿听力筛查质量指标评估分析

发布时间：2018-07-18 14:09

【摘要】：目的评估如皋新生儿听力筛查质量指标,为调整筛查方案提供参考依据。方法对如皋市2006-2013年新生儿听力筛查进行回顾性分析,计算相关质量指标并与国家质量控制标准对照比较。结果 8年新生儿听力筛查率为92.95%(79 802/85 857),超过国家"筛查规划"90%的要求(U=28.81,P0.05)。初筛通过率为91.55%(73 060/79 802),高于"听力检测干预指南"90%的要求(U=14.60,P0.05)。复筛率为95.85%(6 462/6 742),超过"听力检测干预指南"80%的要求(U=32.54,P0.05),复筛阳性率39.89%(2 578/6 462),复筛阳性转诊人数占筛查人数的2.19%(1 748/79 802),控制在"听力检测干预指南"规定的5%以内(U=36.42,P0.05),转诊率为67.80%(1 748/2 578)。听力障碍确诊率为0.99‰(79/79 802),确诊病例初筛日龄为(26.95±13.35)d(t=11.288,P0.05),复筛日龄为(58.16±15.50)d(t=9.268,P0.05),滞后于国家"筛查规范"要求;转诊日龄为(96.44±26.84)d(t=1.720,P0.05),符合国家"筛查规范"要求。结论如皋新生儿听力筛查主要存在问题是初筛日龄、复筛日龄滞后于国家"筛查规范"要求,需及时调整听力筛查方案,开展相关影响因素调查研究。
[Abstract]:Objective to evaluate the quality of hearing screening in Rugao neonates and to provide reference for adjusting the screening program. Methods the neonatal hearing screening in Rugao City from 2006 to 2013 was analyzed retrospectively and the relevant quality indexes were calculated and compared with the national quality control standards. Results the rate of neonatal hearing screening in 8 years was 92.95% (79,802 / 85,857), which exceeded the requirement of 90% of the national screening program (P 0.05). The primary screening pass rate was 91.55% (73,060 / 79,802), which was higher than the 90% requirement of the "intervention Guide for hearing Test" (UU 14.60% P 0.05). The re-screening rate was 95.85% (6,462 / 6,742), which exceeded the requirement of the "audiometric intervention guidelines" (80%). The positive rate of re-screening was 39.89% (2578 / 6462). The number of re-screen positive referrals accounted for 2.19% (1,748 / 79 802) of the screening population, and the referral rate was 67.80% (17482.578). The diagnostic rate of hearing impairment was 0.99 鈥，

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