2005年至2019年伊朗东北部早期听力检测与干预结果：一项重复横断面研究
Early Hearing Detection and Intervention Results in Northeastern of Iran from 2005 to 2019: A Repeated Cross-Sectional Study.
作者信息
Jafarzadeh Sadegh, Khajedaluee Mohammad, Khajedaluee Amir Reza, Khakzadi Masoomeh, Esmailzadeh Mansoor, Firozbakht Mohsen
机构信息
Department of Audiology, School of Paramedical Sciences, Sinus and Surgical Endoscopic Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.
Department of Community Medicine, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
出版信息
Int J Prev Med. 2023 Jan 25;14:8. doi: 10.4103/ijpvm.ijpvm_396_21. eCollection 2023.
BACKGROUND
Hearing loss is one of the most common congenital disorders. The Early Diagnosis and Intervention Process is designed for the early diagnosis and intervention of hearing loss in infants. The present study aimed to examine the results of Early Hearing Detection and Intervention (EHDI) in northeastern Iran from 2005 to 2019.
SETTING
Northeastern Iran.
METHODS
In most cases, the two-stage protocol (otoacoustic emissions [OAE] and automated auditory brainstem response [AABR]) has been used. Infant assessment methods included the use of OAE, ABR, auditory steady-state response, high-frequency tympanometry, and behavioral audiometry. Interventions included medical interventions, hearing rehabilitation, hearing aids, and cochlear implants.
RESULTS
1,162,821 infants were screened. The screening coverage increased from less than 1% in 2005 to about 99% in 2018. The referral rate has been about 1%. 2.17 out of every 1000 infants are hearing impaired, and the most common cases are bilateral hearing loss and mild to moderate hearing loss.
CONCLUSIONS
During 2005 to 2019 the coverage rate reached to more than 95% of live births. To improve the EHDI process in this population, better follow-up of diagnosed neonates and expansion of diagnostic and intervention services are needed.
背景
听力损失是最常见的先天性疾病之一。早期诊断和干预流程旨在对婴儿听力损失进行早期诊断和干预。本研究旨在调查2005年至2019年伊朗东北部早期听力检测与干预（EHDI）的结果。
地点
伊朗东北部。
方法
在大多数情况下，采用两阶段方案（耳声发射[OAE]和自动听性脑干反应[AABR]）。婴儿评估方法包括使用OAE、ABR、听觉稳态反应、高频鼓室图和行为测听法。干预措施包括医学干预、听力康复、助听器和人工耳蜗植入。
结果
对1,162,821名婴儿进行了筛查。筛查覆盖率从2005年的不到1%增至2018年的约99%。转诊率约为1%。每1000名婴儿中有2.17名听力受损，最常见的情况是双侧听力损失以及轻度至中度听力损失。
结论
在2005年至2019年期间，覆盖率达到活产儿的95%以上。为改善该人群的EHDI流程，需要对已诊断新生儿进行更好的随访，并扩大诊断和干预服务。
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