摘要
目的探讨如何在农村地区开展新生儿听力筛查。方法调查2004年1-12月在山东省莱州市人民医院出生的3922例新生儿，2004年莱州市年鉴显示：农业人口约占79％。采用瞬态诱发耳声发射快速筛查程序对出生后2～7d的新生儿进行听力筛查。未通过者在生后的4～6周进行复筛，复筛仍未通过者随访并做诊断性检查。结果3612例接受筛查占该院总出生人数的92．1％（3612／3922）；其中6％贫困儿享受免费筛查。初筛通过2527例，占总筛查人数的69．96％；未通过1085例（30．4％）。未接受筛查310例（7．9％）。应复筛1085例，实际按时复筛633例（58．34％），未能复筛452例（41．66％）。其中高危新生儿163例，按时筛查114例（69．94％），放弃筛查49例（30．06％）。复筛未通过者共14例，11例接受了诊断性听性脑干反应检查，2例双耳中度听力损伤，2例双耳重度听力损伤，4例单耳轻度听力损伤，3例正常。结论在农村地区开展新生儿听力筛查是可行的，也是必要的，建议应该尽快地建立和完善农村地区新生儿听力筛查模式，让更多的贫困婴儿享受免费筛查，真正做到人人享有健康。
Objective To study how to perform the hearing screening on the infants in the rural area. Methods Three thousand nine hundreds and twenty-two infants, about 84% of them from rural, were born in the People Hospital of LaiZhou City from January to December in 2004. The infants were performed fast hearing screening by transient evoked otoacoustic emission （TEOAE） after the birth in 2-7 days. The fail cases were checked again after 4-6 weeks, and then were diagnosed if they still failed after following-up. Results The infants （3612/3922, 92.1%） have been checked by TEOAE, and the examination was free in the poverty cases. The rate passed on the first check was 69.96% （2527/3922）, but 1085 infants failed （30.4%）, while 310 infants have not been checked （7.9%）. In the 1085 cases that should be rechecked, there was only 633 cases （58.34%） accepted the check on time, while 452 cases （41.66%） missed. In the 163 cases with high-risk infants in 2004, 114 infants （69.96%） were checked, but 49 infants （29.04%） were not checked. Fourteen cases failed in the recheck, and 11 of them were checked by ABR. Two cases were found to be moderate and severe hearing loss in binaural respectively and 4 cases with mild hearing loss in monaural while 3 cases were normal. Conclusions It is necessary and viable for the infants on hearing screening in the rural area. It should be set up and perfected the model for infants on hearing screening in rural area as soon as possible; it should be free for the poor infants to make sure everyone enjoy the health care.
出处
《中华耳鼻咽喉头颈外科杂志》
CAS
CSCD
北大核心
2006年第2期104-106,共3页
Chinese Journal of Otorhinolaryngology Head and Neck Surgery
基金
国家自然科学基金资助项目(30100207)
中国博士后科学基金资助项目(2003033202)
首都医学发展基金资助项目(ZD199906)
关键词
农村人口
婴儿
新生
耳声发射
自发性
新生儿筛查
Rural population
Infant, newborn
Otoacoustic emissions, spontaneous
Neonatal screening
