| 北京城乡结合部新生儿普遍听力筛查分析 |
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| 引用本文： | 亓贝尔,黄丽辉,程晓华,彭士春,恩晖,蔡正华,甄勇,吴雅勤,王天成,顾延庆. 北京城乡结合部新生儿普遍听力筛查分析[J]. 听力学及言语疾病杂志, 2010, 18(1): 14-16 |
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| 作者姓名： | 亓贝尔 黄丽辉 程晓华 彭士春 恩晖 蔡正华 甄勇 吴雅勤 王天成 顾延庆 |
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| 作者单位： | 1. 首都医科大学附属北京同仁医院北京市耳鼻咽喉科学研究所,耳鼻咽喉头颈科学教育部重点实验室(首都医科大学),北京,100005
2. 北京市上地医院耳鼻咽喉科 |
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| 基金项目： | 国家"十一五"科技支撑计划，国家"十五"科技攻关项目，国家卫生部面向农村和基层推广适宜技术十年百项计划推广项目 |
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| 摘 要： | 目的分析北京市城乡结合部开展新生儿普遍听力筛查（UNHS）的现状,为制定合适的听力筛查、随访和干预策略提供依据。方法应用瞬态诱发耳声发射对北京市上地医院出生的正常新生儿进行听力筛查,初筛未通过者分别于42天和/或2.5月复查,复筛未通过者使用听性脑干反应（ABR）、40Hz听觉相关电位（40Hz-AERP）和声导抗进行听力损失诊断。结果可接受听力筛查新生儿5809例,实际筛查5737例,初筛率98.76%（5737/5809）,初筛通过率81.38%（4669/5737）;应复筛1068例,实际复筛590例,复筛未通过104例,复筛未通过率17.63%（104/590）,应转诊104例（1.82%,104/5737）,实际转诊率7.1‰（41/5737）,实际接受诊断性检查28例,确诊先天性听力损失19例（28耳）,其中轻度10例（10/5737,1.74‰）、中度2例（2/5737,0.35‰）、重度1例（1/5737,0.17‰）、极重度6例（6/5737,1.05‰）。该筛查群体中先天性听力损失（包括单耳和双耳）的检出率为3.31‰（19/5737）,双耳听力损失的检出率为1.57‰（9/5737）。结论在城乡结合部实施新生儿普遍听力筛查是可行的,但复筛率及转诊率有待提高,因此制定适合流动人群特点的听力筛查模式是非常重要和必要的。
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| 关 键 词： | 婴儿,新生 新生儿听力筛查 耳声发射 |
The Universal Newborn Hearing Screening(UNHS) in the Urban-Rural Hospitals in Beijing |
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| Qi beier,Huang Lihui,Cheng Xiaohua,Peng Shichun,En Hui,Cai Zhenghua,Zhen Yong,Wu Yaqin,Wang Tiancheng,Gu Yanqing[Beijing Tongren Hospital,Capital Medical University,Beijing Institute of Otolaryngology,Key Laboratory of Otolaryngology Head , Neck Surgery ,Ministry of Education,Beijing,,China]. The Universal Newborn Hearing Screening(UNHS) in the Urban-Rural Hospitals in Beijing[J]. Journal of Audiology and Speech Pathology, 2010, 18(1): 14-16 |
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| Authors: | Qi beier Huang Lihui Cheng Xiaohua Peng Shichun En Hui Cai Zhenghua Zhen Yong Wu Yaqin Wang Tiancheng Gu Yanqing[Beijing Tongren Hospital Capital Medical University Beijing Institute of Otolaryngology Key Laboratory of Otolaryngology Head Neck Surgery Ministry of Education Beijing China] |
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| Affiliation: | Qi beier,Huang Lihui,Cheng Xiaohua,Peng Shichun,En Hui,Cai Zhenghua,Zhen Yong,Wu Yaqin,Wang Tiancheng,Gu Yanqing[Beijing Tongren Hospital,Capital Medical University,Beijing Institute of Otolaryngology,Key Laboratory of Otolaryngology Head , Neck Surgery (Capital Medical University),Ministry of Education,Beijing,100005,China] |
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| Abstract: | Objective To investigate the current status of universal newborn hearing screening (UNHS) programme carried out in the urban-rural hospitals,in order to provide a scientific basis to set up proper strategies for hearing screening,intervention and follow-up. Methods The transient evoked otoacoustic emissions (TEOAE) was used in screening and re-screening. Referred newborns re-screening would receive diagnosis tests by auditory brainstem response,40 Hz hearing-related potential and acoustic impendence when at... |
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| Keywords: | Newborn Hearing screening Otoacoustic emission |
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