《中国康复理论与实践》

《中国康复理论与实践》 ›› 2011, Vol. 17 ›› Issue (6): 560-563.

• 论文 • 上一篇    下一篇

2007～2010 年北京市新生儿听力筛查结果分析

张晚霞，袁雪，陈雪辉，陈欣欣   

  1. 首都医科大学附属北京妇产医院，北京市 100026。
  • 收稿日期:2011-02-17 修回日期:1900-01-01 出版日期:2011-06-25 发布日期:2011-06-25
  • 通讯作者: 袁雪

Analysis of the Universal Newborn Hearing Screening Results Obtained in Beijing from 2007 to 2010

ZHANG Wan-xia, YUAN Xue,CHEN Xue-hui, et al.   

  1. Beijing Obstetrics and Gynecology Hospital Affiliated to Capital University of Medical Science, Beijing 100026, China
  • Received:2011-02-17 Revised:1900-01-01 Published:2011-06-25 Online:2011-06-25

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摘要： 目的分析北京市3 年来新生儿听力筛查结果，并评估北京市听力筛查质量指标。方法以2007 年10 月1日～2010 年9 月30 日在北京助产机构出生新生儿为研究对象，就其听力初筛、复筛、听力诊断和社区随访资料进行回顾性分析。结果3 年共初筛新生儿470537 例，初筛覆盖率90.2%，其中未通过43019 例(9.1%)；31009 例(72.8%)接受复筛，其中未通过4568 例(14.7%)。结合定点听力诊断机构和社区随访资料，复筛未通过者中有1262 例(28.1%)有进一步检查结果，其中1087 例接受了正规听力诊断检查，最终听力正常501例(46.1%)，单耳听力损失266 例(24.5%)，双耳听力损失303 例(27.9%)，双耳重度以上听力损失61例(5.6%)。结论完善的新生儿听力筛查系统的建立，先进的信息系统的建设以及社区地段保健单位对可疑儿童随访工作的积极参与，有助于整体筛查质量的提高。

关键词: 新生儿, 听力筛查, 听性脑干反应, 随访

Abstract: Objective To study the universal newborn hearing screening (UNHS) results obtained in Beijing from 2007 to 2010 and to evaluate the index of hearing screening in Beijing. Methods The newborn born in Beijing just from October 1, 2007 to September 30, 2010 were selected and their hearing screening and diagnosis data were retrospectively collected. Results From 2007 to 2010, 470537 infants (90.2%) were screened in Beijing as 1st stage UNHS. 43019(9.1%) failed otoacoustic emission (OAE) tests. 31009 infants (72.8%) were screened in 2nd stage UNHS and 4568 failed tests. 1262 infants were referred for more testing and 1087 of them were diagnosed regularly.501infants were normal. 266 infants were finally diagnosed with single hearing loss and 303 infants were diagnosed with binaural hearing loss. 61infants were diagnosed with severe binaural hearing loss. Conclusion Establishment of the perfect newborn hearing screening system and advanced information system, and follow-up for the suspected children actively by doctors of community health care unit facilitate to improve UNHS.

Key words: newborn, hearing screening, auditory brainstem response, follow-up