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2005年上海市新生儿听力筛查结果的临床分析

Clinical Analysis of the 2005 UNHS Results Obtained in Shanghai

侯峥;吴皓;陶峥;李蕴;

1:上海交通大学医学院附属新华医院耳鼻咽喉-头颈外科

2:上海交通大学医学院附属新华医院耳鼻咽喉-头颈外科

3:上海交通大学医学院附属新华医院耳鼻咽喉-头颈外科

4:上海交通大学医学院附属新华医院耳鼻咽喉-头颈外科上海200092

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摘要

目的分析上海市新生儿听力筛查的基本特征及先天性聋的临床特点。方法回顾性分析2005年上海市新生儿听力筛查的临床资料,统计流行病学特征,重点分析确诊为先天性聋儿童的临床特点。结果2005年上海市活产新生儿数123901,接受新生儿听力筛查人数121400,初筛率97.98%(121400/123901);初筛未通过14478例,阳性率11.93%(14478/121400),应复筛人数14478例,实际复筛10140例,复筛率约70.04%(10140/14478),复筛未通过1089例,复筛阳性率10.74%(1089/10140),转诊人数1077,占全部听力筛查儿的0.89%(1077/121400),确诊听力障碍人数358例,筛查假阳性率为0.59%,平均诊断年龄2.1月。其中暴露危险因素者为102名,男女比例200:158,城市和郊县分布比111:247,单耳聋为172人,双耳聋为186人,轻度聋221人,中度以上聋儿为137人。上海市2005年所有新生儿中先天性聋的发病率约为2.95‰(358/121400)。中度以上聋儿随访127人,接受干预91人,干预率71.6%。结论2005年上海市新生儿听力筛查结果达到或者接近推荐筛查标准,危险因素的暴露和遗传学因素在先天性聋的发生中占重要地位,筛查中应加强随访工作。

关键词

新生儿;听力筛查;流行病学;干预

基金项目(Foundation):

作者

侯峥;吴皓;陶峥;李蕴;

参考文献

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