社区及基层医院开展儿童听力筛查模式的探讨.PDFVIP

HAINAN MEDICAL JOURNAL 《海南医学》2012 年第23 卷第14 期 doi:10.3969/j.issn.1003-6350.2012.14.053 ·经验交流· 社区及基层医院开展儿童听力筛查模式的探讨 容庆丰，赵海红，张国华 ( 南方医科大学附属小榄医院耳鼻喉科，广东 中山 528415) 【摘要】 目的 探讨社区及基层医院筛查儿童听力的多种模式。方法 通过对中山市小榄人民医院及其 所属社区卫生站在2008 年1月至2010 年1月对0~7 岁学龄前儿童共9 830 人的的筛查，在社区卫生站强调：听觉 行为观察测听法，在医院主要是瞬态诱发耳声发射；声导抗测试；听觉脑干诱发电位。结果 共9 830 人进行听 力筛查，社区卫生站筛查3 514 人，医院筛查6 316 人，社区初筛可疑听力障碍儿童36 人，后经医院跟踪确诊听力 障碍儿童6 人，发现率为1.70‰。社区发现的首诊平均年龄为2.95 岁，医院筛查6 316 人，确诊听力障碍儿童6 人，发现率为0.95‰，发现的首诊年龄为1.52岁。结论 社区听力障碍儿童的发现率较医院高，社区发现听力障 碍儿童的发现年龄较医院的晚，医院筛查的准确性较社区的高。社区卫生站及基层医院联合多种途径对0~7 岁 学龄前儿童听力筛查，能及时发现听力障碍儿童，使能及时得到治疗。 【关键词】 听力筛查；耳声发射；听觉脑干诱发电位；行为观察测听法；声导抗 【中图分类号】R179 【文献标识码】A 【文章编号】 1003—6350(2012)14—119—02 Investigation on the hearing screening model for children in community health center and grass roots hospital. RONGQing-feng,ZHAOHai-hong,ZHANGGuo-hua.DepartmentofOtorhinolaryngology,XiaolanHospitalAffiliated toSouthernMedicalUniversity,Zhongshan528415,Guangdong,CHINA 【Abstract 】 Objective To explore hearing screening model for children in community health center and grass roots hospital. Methods A total of 9 830 preschool children of 0~7 years old from Xiaolan Hospital and community health center from January 2008 to January 2010 were measured with hearing screening. The community health center mainly applied behavioral observation audiometry. The hospital mainly applied otoacoustic emissiona, auditory brain- stem response, and measurement of acoustic. Results A total of 9 830 children were measured, 3 514 children from the community health center and 6 316 children from the hospital. Thirty-six children suspicious of impaired hearing were found in the comm