论文部分内容阅读
目的通过筛查情况进行分析,以便发现新生儿听力损失,从而进行早期预防宣传及早期诊断和干预。方法应用瞬态耳声发射技术(TEOAE)对在平谷区妇幼保健院2004年11月以来出生的3696例新生儿进行听力普遍性筛查,对未通过复筛的新生儿于生后3月龄时转北京市儿童听力筛查中心进行诊断性检查。结果3768例住院分娩的新生儿中有3696例(筛查率98.09%)接受了听力筛查,初筛通过3397例(通过率91.91%)。299例未通过初筛的新生儿中有290例接受42天门诊最终复筛,最终复筛率96.99%,通过262例(复筛通过率90.34%),未通过最终复筛的28例新生儿全部进入诊断评估程序,确诊听力损失13例,新生儿听力损失发病率为3.52‰,初筛假阳性率为7.11%,全部筛查程序的假阳性率为0.41%。假阴性率为0.00%。结论平谷区局部地区新生儿听力损失发病率高于国内外标准。通过筛查可使新生儿听力损失做到早期宣传预防、早期发现、早期干预,更为有效地促进婴幼儿正常的语言发育,同时提高筛查质量。
Objective To analyze the situation of screening in order to find newborn hearing loss, so as to carry out early prevention publicity and early diagnosis and intervention. Methods A total of 3696 newborns born in Pinggu District MCH hospital since November 2004 were evaluated by transient otoacoustic emission technique (TEOAE). The newborn infants who did not pass the re-screening were divided into three months after birth Time to Beijing Children’s Hearing Screening Center for diagnostic tests. Results 3676 newborns admitted to hospital for delivery (screening rate was 98.09%) underwent hearing screening and 3397 primary screening (91.91% pass rate). Of 299 newborn infants who did not pass the primary screening, 290 received the final rescreening at the 42-day clinic with a final re-screening rate of 96.99%. Of the 262 newborns who passed the screening pass rate of 90.34%, 28 newborns did not pass the final rescreening All of them got into the diagnostic assessment procedure, and 13 cases of hearing loss were diagnosed. The incidence of hearing loss in neonates was 3.52 ‰, the false positive rate of primary screening was 7.11%, and the false positive rate of all screening procedures was 0.41%. False negative rate was 0.00%. Conclusion The incidence of neonatal hearing loss in some areas of Pinggu District is higher than that of domestic and foreign standards. Through screening, neonatal hearing loss can be early propaganda and prevention, early detection, early intervention, more effective in promoting normal language development of infants and young children, while improving screening quality.