中华耳科学杂志2012，Vol.10Issue(2)：182-185,4.DOI:10.3969/j.issn.1672-2922.2012.02.010
一种新的新生儿听力筛查模式探讨:42天初筛
A New Model for Newborn Hearing Screening——First Screening on 42nd day
摘要
Abstract
Objection To identify a new screening model for rural areas with low hospital delivery rate and to identify an appropriate junction to incorporate newborn hearing screening into the child care system. Methods One group of 1 to 42 days (mean = 3.53±1.339)oldneonates(n=2325, M/F = 1199/1126) and one group of 20-94 days (mean = 43.06±4.123) old infants (n= 3507, M/F = 1898/1609 ) were screened using DPOAEs . For those who failed the test screening, a second DPOAE screening was conducted in two weeks. If failed again, they were tested by ABR. The rate of passing and failure in the first and second screenings, of seconding screening, of referrals and of successful diagnosis were compared between the two groups. Results (l)First screening pass rate: was 83.4%(l940/2325)in neonates and 92.9%(3257/3507) in infants (x2=l28.151, P=0.000); (2)First screening failure rate was 16.6% in neonates and 7.1% in infants (x2=128.151, P=0.000);(3)Rate of second screening was 77.9%(300/385)in neonates and 84.8%(212/250)in infants (x2=4.591, P=0.032); (4) Second screening pass rate was 85.7%(257/300) in neonates and 71.7%(152/212) in infants (x2=15.062, P=0.000); (5)Second screening failure rate was 14.3% in neonates and 28.3% in infants (x2=15.062, P0.000); (6) Referral rate was 100% in both groups; (7)rate of diagnosis was 18.6%(8/43)in neonates and 68.33%(41/60) in infants (x2=21.080, P=0.000). Conclusion Postponing initial hearing screening to 42-day appears to be associated with higher first screening pass rate, second screening rate and increased diagnosis accuracy.关键词
新生儿听力筛查/DPOAE/ABR/儿童保健Key words
Newborn Hearing Screening/ DPOAE/ ABR/ Child Care分类
医药卫生引用本文复制引用
章雪芹,严双琴,李晓璐,顾春丽,张慧..一种新的新生儿听力筛查模式探讨:42天初筛[J].中华耳科学杂志,2012,10(2):182-185,4.基金项目
江苏省科技厅国际合作项目,(BZ2011043) （BZ2011043）
江苏省"科教兴卫工程"医学重点人才,(RC2011073) （RC2011073）
江苏省人力资源和社会保障厅"六大人才高峰",(2009075) （2009075）
