Dhont G, Blontrock J
Akademisch Ziekenhuis Sint-Jan, Brugge.
Acta Otorhinolaryngol Belg. 1988;42(3):319-26.
Late developments support that deaf children have an urgent need for rehabilitation and hence for early search for hearing defects. One of the modalities to achieve this goal is mass screening of populations. In Belgium the long established well-baby-clinics provide a commodity for these programs. As most infants attend regularly these clinics, it was evident to perform here the testing procedure. The Ewing-test was chosen as the tool for the screening. We started about 1980. In this discussion the statistics from 1984 to 1986 from one province (West-Vlaanderen) are used. It appeared that approximately 60% of the 9-month old children are screened. After two failures these children are referred to their family doctor. About 1% of the children tested have a diagnostic examination. In this group we found a lot of children with middle ear problems. Although the screening was not set up to detect these children, we think it is useful that they come under medical control. A special program was started to see if the sensitivity of the test was good. Till now we could not find any case of a deaf child that did not fail the Ewing-test.
最新进展表明,聋儿迫切需要康复治疗,因此需要尽早发现听力缺陷。实现这一目标的方法之一是对人群进行大规模筛查。在比利时,长期设立的母婴诊所为这些项目提供了便利。由于大多数婴儿会定期前往这些诊所,在此进行测试程序是显而易见的。尤因测试被选作筛查工具。我们大约在1980年开始。在本次讨论中,使用了1984年至1986年来自一个省份(西佛兰德省)的统计数据。结果显示,约60%的9个月大儿童接受了筛查。经过两次测试未通过后,这些儿童会被转介给他们的家庭医生。接受测试的儿童中约1%会接受诊断检查。在这个群体中,我们发现了许多患有中耳问题的儿童。尽管筛查并非旨在发现这些儿童,但我们认为让他们接受医疗监管是有益的。我们启动了一个特别项目,以检验该测试的敏感性是否良好。到目前为止,我们尚未发现任何未通过尤因测试的聋儿病例。