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目的探讨城乡协作新生儿听力筛查对农村基层新生儿听力障碍早期诊断的意义。方法以市级妇幼保健院与乡镇卫生院合作的方式,使用耳声发射仪对新生儿进行听力筛查,经过初筛、复筛,对新生儿听力障碍进行早期诊断。结果新生儿听力初筛覆盖率98.15%,复筛率59.23%,确诊先天性听力损伤共14例(22耳),其中轻度9例,中度1例,极重度4例,本组患病率为3.17‰。结论以城乡协作的方式、多学科联动开展农村基层新生儿听力筛查可早期诊断新生儿听力障碍,有利于明确农村基层先天性听力损伤的发病情况,对防聋治聋工作具有重要意义。
Objective To explore the significance of urban-rural cooperation in neonatal hearing screening for early diagnosis of hearing impairment in rural grass-roots neonates. Methods With the cooperation of municipal MCH and township hospitals, the otolaryngology was used to screen newborns for hearing screening. After screening and re-screening, neonatal hearing impairment was diagnosed early. Results The coverage rate of neonatal hearing screening was 98.15% and the rate of screening was 59.23%. There were 14 cases (22 ears) of congenital hearing loss diagnosed, of which 9 were mild, 1 moderate and 4 very severe, The rate was 3.17 ‰. Conclusion The method of urban-rural collaboration and multidisciplinary linkage to carry out hearing screening in rural grassroots can diagnose neonatal hearing impairment in early stage, which helps to clarify the incidence of congenital hearing impairment in rural areas and is of great significance for deafness prevention and deafness work.