Pappas D G
Otolaryngol Head Neck Surg. 1983 Feb;91(1):41-4. doi: 10.1177/019459988309100108.
In the medical evaluation, rehabilitation, and education of the hearing impaired, the first line of defense is the high-risk factor screening for sensorineural damage of all neonates. The most efficacious means of neonatal screening for those factors affecting sensorineural hearing damage is the employment of a high-risk registry. Based on a retrospective study of 109 children with sensorineural loss, high-risk factors and how improved use of the high-risk registry permits earlier detection (and statistically more successful rehabilitation) for such auditory-impaired children are discussed. The importance of pediatric screening of all neonates for hearing loss, in addition to use of the high-risk registry, is evidenced by the fact that only 46% of the children retrospectively identified in our study would have routinely appeared among the high-risk infants were the registry used alone.
在对听力受损者进行医学评估、康复和教育时,首要防线是对所有新生儿进行感音神经性损伤的高危因素筛查。针对那些影响感音神经性听力损伤的因素,新生儿筛查最有效的手段是使用高危登记册。基于对109例感音神经性听力损失儿童的回顾性研究,本文讨论了高危因素以及如何更好地利用高危登记册以便更早地发现此类听力受损儿童(并在统计学上取得更成功的康复效果)。除了使用高危登记册外,对所有新生儿进行听力损失筛查的重要性体现在以下事实:在我们的回顾性研究中,若仅使用登记册,那么在高危婴儿中常规出现的儿童仅占46%。