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为寻找一种可靠、简便的婴儿听力筛选方法，作者用问卷法和行为测听法，对北京市６７２名，２６～３６周的婴儿进行了听力筛选。其中筛选未通过者，再进行耳镜、声导抗和ＡＢＲ检查。结果显示：①行为测听法与问卷法的检出率分别为１．０４％和０．７４％，灵敏度分别为１００％和７１．４％，特异度分别为９４．７％和９５．５％，假阴性分别为０和２８．６％。②病因调查：７例有听力障碍的婴儿中传导性聋３例，均为中耳炎性疾患引起，经及时治疗均恢复正常；感音神经性聋４例，１例双耳受累，病因为胎儿期病毒感染，另３例为单耳感音神经性聋，病因不明。结论：根据本资料北京市２６～３６周婴儿听力障碍发病率较高（１．０４％），且未被家长发现，所以建立婴幼儿听力筛选制度是十分必要的。行为测听法灵敏度及特异性较高，使用简单，费用不高，适合大规模听力筛选。它与调查病因相结合的方法，对婴幼儿听力障碍的早期发现、早期处理和防聋是有价值的，适宜推广。
In order to find a reliable and simple method for hearing screening of infants, the author conducted a hearing screening of 672 infants aged 26-36 weeks in Beijing using questionnaire and behavioral audiometry. The screening failed, and then the otoscope, acoustic impedance and ABR examination. The results showed that: (1) The detection rates of behavioral audiometry and questionnaire were 1.04% and 0.74% respectively, the sensitivity was 100% and 71.4% respectively, the specificity was 94.7% and 95.5% respectively %, False negatives were 0 and 28.6% respectively. ② etiological investigation: 7 cases of hearing-impaired infants in 3 cases of deafness, are caused by otitis media disorders, promptly after treatment were returned to normal; sensorineural hearing loss in 4 cases, 1 case of binaural involvement, the cause of fetal stage Virus infection, the other three cases of single-ear sensorineural deafness, etiology is unknown. Conclusion: According to this information, the prevalence of hearing impairment in infants aged 26-36 weeks in Beijing is high (1.04%) and not found by parents. Therefore, it is necessary to establish a hearing screening system for infants and young children. Behavioral audiometry sensitivity and specificity of higher, simple to use, the cost is not high, suitable for large-scale hearing screening. It is combined with the investigation of the etiology of the method of early detection of infant hearing loss, early treatment and deafness is valuable, suitable for promotion.