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目的:分析如何开展婴幼儿听力筛查。方法:调查2006年1～12月在广西钦州市妇幼保健院938例婴幼儿听力筛查。采用畸变产物耳声发射快速筛查程序对出生后1～42天的婴幼儿进行听力筛查。未通过者4周后复筛查,复筛查未通过的经排除外耳道耵聍栓塞后再复查1次,仍不通过者于生后个3月转诊行听性脑干反应(ABR)、声导抗检查。结果:938例接受筛查中非农业人口543例(57%),农业人口395例(43%)。门诊693例(74%),住院245例(26%)。初筛通过730例(77%),未通过208例(23%)。应复筛208例,接受复筛71例(34%),复筛通过63例(88%),未通过8例(12%)。未接受复筛137例(66%),能随访转诊检查3例,确诊为1例单耳重度听力损失,另耳正常;1例为双耳中度听力损失;另1例正常。结论:在婴幼儿实行听力筛查是可行的也是必要的,是防治婴幼儿聋哑的关键。
Objective: To analyze how to carry out infant hearing screening. Methods: A total of 938 cases of infant hearing screening in Maternal and Child Health Hospital of Qinzhou, Guangxi from January to December 2006 were investigated. Distortion products otoacoustic emission rapid screening program for births 1-42 days after hearing the hearing of infants and young children. 4 weeks after the failure to re-screening, re-screening failed to pass through the exclusion of external auditory meatus embolism and then review 1, still not passed in March after a referral line of the auditory brainstem response (ABR), the sound guide Anti-check. Results: In the 938 cases, 543 (57%) were non-agricultural population under screening and 395 (43%) were agricultural population. Outpatient 693 cases (74%), hospital 245 cases (26%). 730 (77%) were initially screened and 208 (23%) failed. Seventy-eight patients should be screened, 71 patients (34%) receiving re-screening, 63 (88%) re-screening, and 8 (12%) failing. There were 137 cases (66%) who did not receive rescreening, and 3 cases were followed up for referral examination. One case of severe mono-ear hearing loss and the other normal were diagnosed. One case had middle-ear hearing loss and the other one was normal. Conclusion: Hearing screening in infants and young children is feasible and necessary, and it is the key to prevent deafness in infants and children.