影响婴儿听力复筛未通过率的相关因素分析  

Analysis on the related influencing factors of failing rate in secondary screening of infantile hearing

作　　者：胡海利[1] 徐军杨 李欢欢[1] 王丹[1] 

机构地区：[1]合肥市妇幼保健所,安徽合肥230001

出　　处：《中国妇幼保健》2017年第4期730-732,共3页Maternal and Child Health Care of China

基　　金：合肥市医学重点专科建设计划资助项目(合卫科教[2016]256号)

摘　　要：目的了解听力初筛未通过婴儿复筛的未通过率,分析影响婴儿听力复筛未通过率的高危因素。方法选取2014年7月-2015年12月,在合肥市妇幼保健所听力筛查门诊初筛未通过的1 107例婴儿为研究对象进行听力复筛,采用自编调查问卷对家长进行相关出生情况及家庭情况调查。结果听力初筛未通过婴儿复筛未通过率为32.3%,其中双耳未通过率为17.4%,左耳未通过率为9.1%,右耳未通过率为5.8%。复筛未通过危险因素的多因素Logistic分析显示,检测时出生≥2个月、有出生缺陷、初筛双耳未通过是婴儿听力复筛未通过的危险因素。结论对初筛未通过婴儿进行听力复筛时,应加强对婴儿出生≥2个月、有出生缺陷、初筛双耳未通过婴儿的关注和随访,避免漏筛和误诊。Objective To understand the failing rate in secondary screening of infantile hearing in the infants failing in primary screening,analyze the high-risk factors. Methods A total of 1 107 infants failing in primary screening of infantile hearing in the institution from July 2014 to December 2015 were selected,then secondary screening of infantile hearing was performed,a self-designed questionnaire was used to survey birth and family situations among the parents. Results The failing rate in secondary screening of infantile hearing in the infants failing in primary screening was 32. 3%,the failing rate of both ears was 17. 4%,the failing rates of left ears and right ears were 9. 1%and 5. 8%,respectively. Multivariate logistic analysis showed that the risk factors of failing rate in secondary screening of infantile hearing included more than two months,birth defects,failing of both ears in hearing screening. Conclusion More attention should be paid to the infants more than two months,with birth defects,failing of both ears in hearing screening when conducting secondary screening of infantile hearing in the infants failing in primary screening to avoid missed diagnosis and misdiagnosis.

关 键 词：婴儿 听力复筛 相关因素 分析 

分 类 号：R174[医药卫生—妇幼卫生保健]