北京市西城区3799例新生儿听力筛查和追踪结果分析

Analysis of 3799 newborns hearing screening and follow-up results in Xicheng Distict.

【目的】通过对新生儿进行听力筛查,筛出听力障碍异常儿童,做到早期发现、早期诊断、早期干预,促进其言语-语言的发育。【方法】采用国际上公认的耳声发射法,用畸变耳声发射仪或瞬态诱发耳声发射仪进行筛查。【结果】2008—2009年西城区社区卫生服务中心保健科访视3 994例新生儿,3 799例出生后在产科或满月时进行了听力筛查,初筛率为95.12%,初筛通过率为90.63%;356例初筛未通过儿童中326例进行了复筛,复筛率为91.57%,确诊听力损失7例,本组资料显示新生儿听力损失在筛查儿中的发病率为1.84‰。【结论】全面普及开展新生儿听力筛查十分必要,可以早期发现听力损失儿童,早期干预,有利于婴幼儿语言发育。

[Objective] To early detection, diagnosis and intervention of hearing loss in newborns by newborn hearing screening （UNHS） for language development in infants. [Method] Internationally recognized otoacoustic emission screening, including transient evoked otoacoustic emission（TEOAE） or distortion product otoacoustic emission （DPOAE） was used to screen hearing. [Results] 3 994 newborns were visited by health doctors of the community health service center in Xicheng district. 3 799（95.12%） of them were screened, 90.63% passed the first screening, and 326（91.57%） of 356 cases who failed the first screening were followed up. Seven cases were last further confirmed to have hearing loss. It shows that the incidence of newborn hearing loss was 1.84%o（7/3 799）. [Conclusions] Usual newborn hear screening is very necessary. Newborns hearing loss can be identified early so as to promote development of infants＇ speech and language.