洛阳地区16654例新生儿听力筛查结果分析  

The Analysis of Hearing Screening Results with 16654 Subjects

作　　者：胡书君[1] 历建强[2] 郑锦[1] 兰兰[2] 宋杰[1] 李娜[2] 蒋留茹[1] 韩宇[1] 丁海娜[2] 务中卫[1] 

机构地区：[1]洛阳市妇女儿童医疗保健中心-耳鼻咽喉科洛阳市儿童听力筛查诊断中心,洛阳471000 [2]中国人民解放军总医院耳鼻咽喉头颈外科中国人民解放军耳鼻咽喉研究所

出　　处：《听力学及言语疾病杂志》2010年第5期426-428,共3页Journal of Audiology and Speech Pathology

基　　金：国家863项目(2006AA02Z181);国家自然基金重点项目(30830104),国家自然基金面上项目(30672310&30771203);北京市重大专项课题项目(7070002);国家“十一五”科技支撑计划(2006BAI02B06&2007BAI18B12);洛阳市科技发展计划项目(0802010B)联合资助

摘　　要：目的分析洛阳地区新生儿听力筛查状况,为听力筛查工作在本地区的实施和进一步推广提供指导依据。方法对2005年1月~2009年10月间在洛阳市妇女儿童医疗保健中心出生的16 654例新生儿,听力初筛、复筛均采用TEOAE,复筛未通过新生儿行DPOAE、ABR、ASSR、声导抗等检查进行听力学评估和医学诊断,对筛查结果异常新生儿定期电话随访。结果2005年1月~2009年10月,洛阳市妇女儿童医疗保健中心共出生新生儿24 692例,16 654例新生儿接受听力筛查,初筛率67.45%（16 654/24 692）,初筛未通过1 528例,初筛未通过率9.17%（1 528/16 654）;应复筛1 528例,实际复筛432例,复筛率28.27%（432/1 528）,复筛未通过135例,复筛未通过率31.25%（135/432）;119例复筛未通过新生儿接受听力学诊断,最终确诊34例感音神经性听力下降。结论洛阳地区新生儿初筛率、复筛率均较低,失访现象严重,说明加强宣传和随访至关重要。Objective To investigate newborn hearing screening status in Luoyang in order to provide guidance and promotion for the newborn hearing screening in this area.Methods Newborn babies born in Luoyang Women and Children Health Care Center from January 2005 to October 2009 were included.TEOAE otoacoustic emission was used for the first and the second screening.The babies who failed in the second tests recieved the hearing evaluation（DPOAE,ARE,ASSR） and medical diagnosis test in Hearing Screening of Children in our hospital diagnostic center.The newborns who did not pass the screening would be followed-up by phone.Results 24 692 babies were born in our hospital from January 2005 to October 2009.Among these 24 692 babies,16 654 received the hearing screening with the rate of 67.45%（16 654/24 692）,in whom 1 528 failed the first screening with a rate of 9.17%（1 528/16 654）.432 out of 1 528 finished the second screening with a rate of 28.27%（432/1 528）,in whom 135 failed the screening with a rate of 31.25%（135/432）.119 out of 135 finished the hearing evaluation and medical diagnosis.At last,34 subjects was confirmed with sensorineural hearing loss.Conclusion The rates of newborn hearing screening and rescreening in Luoyang are low and follow-up must be strengthened.

关 键 词：新生儿 听力筛查 随访 

分 类 号：R722.19[医药卫生—儿科]