各级保健机构新生儿听力筛查状况分析  

Discussion of a Mould for Universal Newborn Hearing Screening in Every Grade Health Care Unit

作　　者：罗红裔 陶宣华[1] 邹凌[1] 蔡娟[1] 

机构地区：[1]成都市妇幼保健院,四川成都610031

出　　处：《中华妇幼临床医学杂志（电子版）》2009年第4期16-18,共3页Chinese Journal of Obstetrics & Gynecology and Pediatrics(Electronic Edition)

基　　金：四川省卫生厅科研课题(040141)~~

摘　　要：目的通过对成都市各级保健机构新生儿听力状况状况的分析、研究,寻求有效管理方法,进一步完善听力筛查工作。方法2007年1月至2007年12月,由成都市妇幼保健院牵头,各级妇幼保健院为枢纽,组建成都市三级新生儿听力筛查网运作模式,对全市新生儿听力状况进行初筛、复筛、转诊、诊断、干预工作和信息监测、质量控制等工作。结果2007年全市待接受听力筛查新生儿为104584例,实际接受筛查为46018例,初筛率为44.00%。最终确诊为听力损失新生儿为96例(2.09‰,96/46018),双耳听力损失在筛查儿中的发病率为1.11‰(51/46018)。城区妇幼保健机构新生儿听力筛查的初筛率为64.96%(33097/50949),县级妇幼保健机构为24.09%(12921/53635)。在各级保健机构中,听力筛查未通过率比较,差异无显著意义(P>0.05),而城区保健机构复筛率明显高于县级妇幼保健机构(P<0.05),转诊流失率,后者明显高于前者(P<0.05)。结论各级保健机构新生儿听力筛查工作存在一定差距,与听力筛查运作状况密切相关,今后工作的重点还要加强对基层保健机构听力筛查工作的指导、质量控制、信息监测,并进一步加强对各级保健机构听力筛查运作模式的管理,达到有效、经济和快速完成新生儿听力筛查工作的目的。Objective To explore a better management method of universal newborn hearing screening （UNHS） work to achieve the ultimate purpose of the screening. Methods From January to December 2007, under the organization of the Chengdu Women and Children Hospital and the cooperation of each grade maternal and child health faculties, three class universal newborn hearing screening network was established. Operation of the universal newborn hearing screening network included.. Preliminary screening, followed-up screening, transfer treatment, diagnosis, intervention, information supervision and quality control. Results In 2007, a total of 46 018 newborns in the city were screened（46 018/104 584, 44.00%）. 96 newborns （2. 09‰） were diagnosed with congenital hearing loss. The morbidity of newborns with binaural listening loss was 1.11‰（51/46 018）. The preliminary screening rate of maternal and child health organizations in city were 64. 96% （33 097/50 949）, but the rural figure was 24. 09% （12 921/53 635）. There was no difference among all grade health care units concerning the rate of failing the preliminary screening（P〉0.05）. However, the rate of followed up screening in city was higher than that in rural areas （P〈0. 05）. On the contrary, the transfer treatment loss rate in rural areas was higher（P〈0. 05）. Conclusion The large gaps still exist in the execution quality of the universal newborn hearing screening mould among all grade health care units. The emphasis in the future is to strengthen the instruction, information supervision and quality control work in primary level hearing screening so as to achieve the universal newborn hearing screening goals in a fastest, most effective and economical way.

关 键 词：保健 新生儿听力筛查 模式 听力损失 

分 类 号：R764[医药卫生—耳鼻咽喉科]