Cui Qingjia, Ge Fang, Han Renjie, Yan Jin, Wen Cheng, Li Yue, Dai Xin, Huang Lihui
Rehabilitation Centre of Speech Therapy,Department of Otolaryngology,Beijing,100144,China.
Department of Otolaryngology,Shijiazhuang Maternal and Child Health Care Hospital,Shijiazhuang.
Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2025 Jan;39(1):14-18. doi: 10.13201/j.issn.2096-7993.2025.01.004.
To explore the feasibility of the multiple-choice auditory graphical interactive check(MAGIC) screening module in childhood hearing screening in children aged 3 to 6 years. A hearing screening was conducted on 366 children(732 ears) aged between 3 and 6 years. The screening methods included MAGIC, DPOAE, and acoustic immittance.The cooperation, screening time, pass rate, and correlation of the three screening methods were compared. There was a statistically significant difference in the degree of cooperation among the three screeningmethods(=0.004).The MAGIC pure tone screening method was 98.6%, the screening DPOAE was 99.5%,and the acoustic immittance screening was 100%. For the screening duration, the MAGIC pure tone screening method was(116.3±59.1)s, the screening DPOAE was(27.2±19.7)s, and the acoustic impedance screening was(24.6±14.6)s. There was a significant statistical significance differences among the three or two groups(<0.01). The passing rates of MAGIC pure tone screening,screening DPOAE and acoustic immittance screening were 64.7%, 65.4%, and 69.3%, respectively, and there was no significant statistical difference among the three or two groups(>0.05). There was no significant difference between MAGIC pure tone screening method and screening DPOAE(=0.827>0.05), and acoustic impedance(=0.653>0.05), while the difference between screening DPOAE and acoustic impedance was statistically significant(<0.01). MAGIC pure sound screening method has good feasibility, can comprehensively reflect the hearing level of screened children, and can be promoted for hearing screening in children aged between 3 and 6 years.
探讨多选项听觉图形交互式检查(MAGIC)筛查模块在3至6岁儿童听力筛查中的可行性。对366名3至6岁儿童(732耳)进行听力筛查。筛查方法包括MAGIC、畸变产物耳声发射(DPOAE)和声导抗。比较了三种筛查方法的配合度、筛查时间、通过率及相关性。三种筛查方法的配合度差异有统计学意义(=0.004)。MAGIC纯音筛查法为98.6%,DPOAE筛查为99.5%,声导抗筛查为100%。筛查时长方面,MAGIC纯音筛查法为(116.3±59.1)秒,DPOAE筛查为(27.2±19.7)秒,声阻抗筛查为(24.6±14.6)秒。三组或两组间差异有统计学意义(<0.01)。MAGIC纯音筛查法、DPOAE筛查法和声导抗筛查法的通过率分别为64.7%、65.4%和69.3%,三组或两组间差异无统计学意义(>0.05)。MAGIC纯音筛查法与DPOAE筛查法(=0.827>0.05)及声阻抗(=0.653>0.05)之间差异无统计学意义,而DPOAE筛查法与声阻抗之间差异有统计学意义(<0.01)。MAGIC纯音筛查法具有良好的可行性,可以全面反映受检儿童的听力水平,可在3至6岁儿童听力筛查中推广应用。