论文部分内容阅读
目的:比较新生儿听力普遍筛查方案中两个不同的初筛时间的通过率和转诊率,探讨首次听力筛查时间与筛查效率的关系,为制定筛查方案提供参考。方法:回顾性分析出生的足月顺产新生儿400例,随机分为两组。A组于出生后第7天进行听力筛查初筛,B组于出生后第30天进行听力筛查初筛。对于初筛未通过的新生儿,均于出生后第45天复查。比较两组初筛通过率、复查通过率及两组假阳性率。结果:A组初筛通过率67.00%,B组初筛通过率90.50%,差异有统计学意义(P<0.01);A组复查通过率100.00%,B组复查通过率94.74%,两组比较差异有统计学意义(P>0.05);A组初筛的假阳性率明显高于B组,差异有统计学意义(P<0.01)。结论:新生儿出生后第7天进行听力筛查的通过率明显低于出生后第30天的筛查结果,假阳性率高于第30天的筛查结果。
OBJECTIVE: To compare the pass rates and referral rates of two different screening time in neonatal hearing screening program, to explore the relationship between the time of the first hearing screening and the screening efficiency, and to provide a reference for the development of screening programs. Methods: A retrospective analysis of 400 newborn born full-term newborns were randomly divided into two groups. Group A was initially screened on the 7th day after birth, and group B was initially screened on the 30th day after birth. Neonates who fail the primary screening will be reviewed on the 45th day after birth. The pass rate, the pass rate and the false positive rates of two groups were compared. Results: The pass rate of screening in group A was 67.00%, the screening rate in group B was 90.50%, the difference was statistically significant (P <0.01); the passing rate of group A was 100.00%; the passing rate of group B was 94.74% The difference was statistically significant (P> 0.05). The false-positive rate of screening in group A was significantly higher than that in group B, the difference was statistically significant (P <0.01). Conclusion: The passing rate of neonatal hearing screening on the 7th day after birth was significantly lower than that on the 30th day after birth, the false positive rate was higher than that on the 30th day.