Cai Zheng-hua, Huang Li-hui, En Hui, Peng Shi-chun, Zhen Yong, Qi Bei-er, Kan Cheng, Cheng Xian-xiang, Wang Shu-hong, Li Jin-rong, Hou Ting-xiu
Beijing Institute of Otorhinolaryngology, Beijing Tongren Hospital, Capital University of Medical Sciences, China.
Zhonghua Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2006 Feb;41(2):104-6.
To study how to perform the hearing screening on the infants in the rural area.
Three thousand nine hundreds and twenty-two infants, about 84% of them from rural, were born in the People Hospital of LaiZhou City from January to December in 2004. The infants were performed fast hearing screening by transient evoked otoacoustic emission (TEOAE) after the birth in 2-7 days. The fail cases were checked again after 4-6 weeks, and then were diagnosed if they still failed after following-up.
The infants (3612/3922, 92.1%) have been checked by TEOAE, and the examination was free in the poverty cases. The rate passed on the first check was 69.96% (2527/3922), but 1085 infants failed (30.4%), while 310 infants have not been checked (7.9%). In the 1085 cases that should be rechecked, there was only 633 cases (58.34%) accepted the check on time, while 452 cases (41.66%) missed. In the 163 cases with high-risk infants in 2004, 114 infants (69.96%) were checked, but 49 infants (29.04%) were not checked. Fourteen cases failed in the recheck, and 11 of them were checked by ABR. Two cases were found to be moderate and severe hearing loss in binaural respectively and 4 cases with mild hearing loss in monaural while 3 cases were normal.
It is necessary and viable for the infants on hearing screening in the rural area It should be set up and perfected the model for infants on hearing screening in rural area as soon as possible; it should be free for the poor infants to make sure everyone enjoy the health care.
探讨农村地区婴儿听力筛查的实施方法。
选取2004年1月至12月在莱州市人民医院出生的3922例婴儿，其中约84%来自农村。婴儿出生后2至7天采用瞬态诱发耳声发射（TEOAE）进行快速听力筛查。筛查未通过者在4至6周后复查，复查仍未通过者进行随访诊断。
3922例婴儿中3612例（92.1%）接受了TEOAE筛查，贫困病例免费检查。首次筛查通过率为69.96%（2527/3922），1085例婴儿未通过（30.4%），310例婴儿未接受检查（7.9%）。在1085例应复查的病例中，仅633例（58.34%）按时接受了复查，452例（41.66%）失访。2004年163例高危婴儿中，114例（69.96%）接受了检查，49例（29.04%）未接受检查。复查中有14例未通过，其中11例接受了听性脑干反应（ABR）检查。发现双耳中度和重度听力损失各2例，单耳轻度听力损失4例，3例正常。
农村地区婴儿听力筛查是必要且可行的。应尽快建立和完善农村地区婴儿听力筛查模式；贫困婴儿应免费筛查，以确保人人享有保健服务。
