新生儿听力普遍筛查。
Universal newborn hearing screening.
作者信息
Patel H, Feldman M
出版信息
Paediatr Child Health. 2011 May;16(5):301-10. doi: 10.1093/pch/16.5.301.
The present statement reviews the evidence for universal newborn hearing screening (UNHS). A systematic review of the literature was conducted using Medline and using search dates from 1996 to the third week of August 2009. The following search terms were used: neonatal screening AND hearing loss AND hearing disorders. The key phrase "universal newborn hearing screening" was also searched. The Cochrane Central Register of Controlled Trials and systematic reviews was searched. Three systematic reviews, one controlled non-randomized trial and multiple cohort studies were found. It was determined that there was satisfactory evidence to support UNHS. The results of the available literature are consistent and indicate clear evidence that without UNHS, delayed diagnosis leads to significant harm for children and their families; with UNHS, diagnosis and intervention occur earlier; earlier intervention translates to improved language outcomes; and in well-run programs, there is negligible harm from screening.
本声明回顾了新生儿听力普遍筛查（UNHS）的相关证据。利用Medline对文献进行了系统回顾，并使用了1996年至2009年8月第三周的搜索日期。使用了以下搜索词：新生儿筛查、听力损失、听力障碍。还搜索了关键短语“新生儿听力普遍筛查”。检索了Cochrane对照试验中央注册库和系统评价。共找到三项系统评价、一项非随机对照试验和多项队列研究。确定有充分证据支持新生儿听力普遍筛查。现有文献的结果一致，表明有明确证据显示，若无新生儿听力普遍筛查，延迟诊断会给儿童及其家庭造成重大伤害；有了新生儿听力普遍筛查，诊断和干预会更早进行；更早干预可改善语言发育结果；在运行良好的项目中，筛查造成的危害可忽略不计。
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