Yokoyama T, Okada I
Municipal Turumi Health Center, Osaka, Japan.
Eur Arch Otorhinolaryngol. 1990;247(5):305-11. doi: 10.1007/BF00176543.
The infant hearing screening program (IHSP) was devised for the early discovery of severe to profound hearing impairments in children. The program has been planned for use in the ordinary health examination services (with a follow-up program) for young children in health centers. The IHSP consists of a three-part test battery: a high-risk register for deafness, a developmental test of auditory function, and an auditory behavioral test. From 1977 to 1983, 22,443 young children were screened in four health centers in Osaka City. Ten of these children were identified as having serious hearing loss. Five of these 10 children were below 11 months of age. The incidence of children with severe to profound hearing impairment was inferred to be approximately 0.04% in the general population of young children. Certain problems occurred in the IHSP, and included a high level of over-referrals. However, the IHSP was considered to be a useful screening method for the early detection of severe hearing impairments when used in general health check-ups in health centers.
婴幼儿听力筛查项目（IHSP）旨在早期发现儿童严重至极重度听力障碍。该项目计划用于健康中心为幼儿提供的常规健康检查服务（包括后续跟踪项目）。婴幼儿听力筛查项目由三部分测试组成：耳聋高危登记、听觉功能发育测试以及听觉行为测试。1977年至1983年期间，大阪市四个健康中心对22443名幼儿进行了筛查。其中10名儿童被确诊为严重听力损失。这10名儿童中有5名年龄在11个月以下。据推断，幼儿总体人群中严重至极重度听力障碍儿童的发病率约为0.04%。婴幼儿听力筛查项目出现了一些问题，包括转诊过多。然而，在健康中心进行常规健康检查时，婴幼儿听力筛查项目被认为是早期发现严重听力障碍的一种有用筛查方法。
