南京市新生儿听力筛查应用信息网络管理效果评价  

Evaluation of the efficacy of newborn hearing screening using information systems in Nanjing

作　　者：孟黎平[1] 洪琴[1] 季慧[1] 许景 范烨[1] 胡耀芳 刘洋[2] 李晓璐 MENG Li-ping;HONG Qin;JI Hui;XU Jing;FAN Ye;HU Yao-fang;LIU Yang;LI Xiao-lu(Department of Child Healthcare,Women's Hospital of Nanjing Medical University(Nanjing Maternity and Child Health Care Hospital),Nanjing,Jiangsu 210004,China)

机构地区：[1]南京医科大学附属妇产医院(南京市妇幼保健院)儿童保健科南京市出生缺陷防治管理新生儿听力筛查中心,江苏南京210004 [2]南京医科大学附属妇产医院(南京市妇幼保健院)信息科,江苏南京210004 [3]南京医科大学第一附属医院耳鼻咽喉科江苏省听力障碍诊治中心,江苏南京210029

出　　处：《中国临床研究》2023年第2期290-294,共5页Chinese Journal of Clinical Research

基　　金：江苏省妇幼健康科研重点项目(F202017)。

摘　　要：目的建立新生儿听力障碍筛查监测、防治体系和数据标准体系并评价其效果。方法选取2021年江苏省新生儿听力筛查信息系统中南京市新生儿听力筛查数据为观察组,2020年南京市新生儿听力筛查手工登记数据为对照组,比较两组新生儿听力筛查初筛率、复筛率、转诊率和听力障碍疾病管理率。结果信息管理系统的新生儿听力筛查的初筛率(99.27%vs 96.94%)、复筛率(85.73%vs 68.36%)、转诊率(91.60%vs 66.20%)显著高于手工登记的对照组,差异有统计学意义(P<0.05)。结论应用江苏省新生儿听力筛查信息系统大幅提高南京市新生儿听力筛查工作效率,提高转诊率和确诊听力障碍儿童的干预随访的管理能力,有助于建立防治康管体系。Objective To establish a monitoring system and a standard database system for neonatal hearing screening program and evaluate its effect.Methods The hearing screening data of newborns in Nanjing in 2021 from the neonatal hearing screening information system of Jiangsu Province were selected as the experimental group,and the manual registration data of neonatal hearing screening in Nanjing in 2020 were selected as the control group.The initial screening rate,re-screening rate,referral rate and hearing impairment disease management rate of neonates were compared between two groups.Results The initial screening rate,re-screening rate and referral rate of neonatal hearing screening in the information management system were 99.27%,85.73%and 91.60%respectively,which were significantly higher than those in the manual registration control group(96.94%,68.36%and 66.20%,P<0.05).Conclusion The application of neonatal hearing screening information system can greatly improve the efficiency of neonatal hearing screening,improve the referral rate and the management ability of intervention and follow-up for children diagnosed with hearing impairment,and contribute to the establishment of prevention and control health management system.

关 键 词：出生缺陷防治 听力障碍 新生儿听力筛查 信息管理系统 

分 类 号：R764.5[医药卫生—耳鼻咽喉科]