影响新生儿听力筛查假阳性的因素分析

The Analysis of Influence Factors of Newborn Hearing Screening False Positive Rate

目的:探讨临床上新生儿听力筛查假阳性以及复查率的影响因素。方法:对来本院筛查的4080例新生儿相关资料进行分析,对所有新生儿进行听力筛查,将初筛不通过的436例新生儿作为试验组,设置研究前初筛不通过的436例作为对照组,比较两组复查结果。结果:6组新生儿每组有680例,A组中110例初筛不通过,且81例假阳性;B组95例初筛不通过,57例假阳性;C组67例初筛不通过,40例假阳性;D组78例初筛不通过,62例假阳性;E组49例初筛不通过,24例假阳性;F组37例初筛不通过,18例假阳性;试验组新生儿出生42 d后349例进行复查,复查率为80.1%,高于对照组,两组比较差异有统计学意义(P<0.05)。结论:听力筛查是早期发现、早期干预听力障碍的重要手段,临床上加强宣传教育提高新生儿复查率。

Objective：To investigate the factors of newborn hearing screeningfalse positive and the clinical effect of review rate.Method：The related data analysis of 4080 cases of newborn in our hospital were selected, hearing screening of all newborns, the screening of 436 cases of neonatal fail as the experimental group, set before the study by screening 436 cases as the control group, two groups were compared the results of the review.Result：Six newborns in each group had 680 cases,A group of 110 cases without going through screening, and 81 cases were false-positive; B group of 95 cases without screening,57 cases were false-positive; C group of 67 cases screening were not passed, 40 cases were false-positive; D group of 78 cases without screening, 62 cases were false-positive; E group of 49 patients without screening, 24 cases were false-positive; F group, 37 cases without screening, 18 cases were false-positive.In the experimental group 349 cases for review, the review was 80.1% higher than the control group, the difference was statistically significant （P〈0.05）.Conclusion：Hearing screening is an important means of early intervention of hearing disorders, clinical early detection, to strengthen publicity and education improve the rate of neonatal review.