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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 failure rate of hearing screening failed to pass the screening of infant and to analyze the risk factors that affect the failing rate of hearing screening in infants. Methods From July 2014 to December 2015, 1 107 infants who did not pass pre-screening screening at Hefei MCH center were enrolled in this study. Their self-made questionnaires were used to analyze the parents’ Family situation survey. Results The rate of failing to go through the screen of the infant without screening was 32.3%. The failing rate of both ears was 17.4%, the unacceptable rate of left ear was 9.1% and the unacceptable rate of right ear was 5.8%. Logistic regression analysis of multivariate logistic regression without risk factors showed that birth defects ≥2 months after birth were detected. Conclusion When the screening fails to pass the hearing screening of infants, we should strengthen the attention and follow-up of babies born ≥2 months with birth defects and premature screening of infants who have not passed the first screening to avoid missed screening and misdiagnosis.