论文部分内容阅读
目的通过对婴幼儿进行听力筛查,了解仪征市听力障碍发生情况及变化规律,为进一步做好儿童听力保健工作提供依据。方法采取耳声发射法(OAE)对婴幼儿进行听力筛查,初复筛均未通过≥1个月但<3个月的婴幼儿或初筛未通过≥3个月的婴幼儿进听性脑干反应(ABR)检查,并跟踪随访。结果 2004-2014年共筛查16 674例,初筛通过率为94.99%,复筛率为73.33%,复筛通过率为78.86%,初复筛总通过率为99.10%,有效随访率为61.99%,听力发育结果不明率为0.85%,这6项在年度间比较,差异有统计学意义(P均<0.05);外耳畸形发生率为0.36‰,男婴高于女婴(P<0.05);听力障碍发病率为0.20%,性别间比较,差异无统计学意义(P>0.05)。结论仪征市婴幼儿听力障碍发生发展情况与国内外报道相符,为避免漏筛漏诊而延误早期干预的时机,听力筛查工作还有待进一步完善。
Objective To understand the occurrence and variation of hearing impairment in infants and young children through hearing screening of infants and young children and provide basis for further hearing and health care in children. Methods OAE was used for hearing screening of infants and toddlers. The initial screening did not pass the infants or young children who did not pass ≥3 months Brainstem response (ABR) examination, and follow-up. Results A total of 16 674 cases were screened from 2004 to 2014. The screening rate was 94.99%, the screening rate was 73.33%, the screening rate was 78.86%, the primary screening rate was 99.10%, the effective follow-up rate was 61.99 (P <0.05). The incidence of auricular malformations was 0.36 ‰, while that of male infants was higher than that of female infants (P <0.05). There was a significant difference between the two groups The incidence of hearing impairment was 0.20%. There was no significant difference between the sexes (P> 0.05). Conclusion The occurrence and development of hearing impairment in infants and young children in Yizheng are consistent with the reports at home and abroad. To avoid the missed diagnosis of stenosis, the timing of early intervention is delayed, and the screening of hearing needs to be further improved.