CAJ | 학술논문

目的探讨应用耳声发射进行学龄前儿童听力筛查的可行性和有效性.方法32所幼儿园的7917名儿童参加了本次筛查,年龄为1.6~6.6岁,平均4.5岁.经过培训的听力筛查人员应用耳声发射筛查仪进行筛查,经过初筛和复筛,没有通过的儿童转诊至听力检测中心进行诊断性检查.结果807名儿童没有通过听力筛查,未通过率为10.2%,其中254名未通过的儿童到医院进行了听力诊断,诊断结果为分泌性中耳炎191例(伴和不伴听力损失),耵聍栓塞47例,感音神经性听力损失9例,听力正常7例.结论使用客观、灵敏的耳声发射检测方法,能有效地进行学龄前儿童听力筛查.听力筛查只是第一步,要做好质量控制,并且建立便捷有效的诊断流程和随访机制,将筛查未通过的儿童及时转诊至专业的听力检测机构,进行诊断干预,才能真正做到早发现、早诊断、早干预.
목적탐토응용이성발사진행학령전인동은력사사적가행성화유효성.방법32소유인완적7917명인동삼가료본차사사,년령위1.6~6.6세,평균4.5세.경과배훈적은력사사인원응용이성발사사사의진행사사,경과초사화복사,몰유통과적인동전진지은력검측중심진행진단성검사.결과807명인동몰유통과은력사사,미통과솔위10.2%,기중254명미통과적인동도의원진행료은력진단,진단결과위분비성중이염191례(반화불반은력손실),정녕전새47례,감음신경성은력손실9례,은력정상7례.결론사용객관、령민적이성발사검측방법,능유효지진행학령전인동은력사사.은력사사지시제일보,요주호질량공제,병차건립편첩유효적진단류정화수방궤제,장사사미통과적인동급시전진지전업적은력검측궤구,진행진단간예,재능진정주도조발현、조진단、조간예.
@@@@Objective To explore the feasibility and effectiveness of otoacoustic emissions(OAE) in the hearing screening of preschool children. Methods A total of 7917 children aged 1.6-6.6 (mean age 4.5 years old) were included in this study. All the subjects received OAE test by trained personnel. The children who failed the initial and secondary screening received diagnostic examination in the hearing examination center. Results Of 7917 children, 807 (10.2%) failed to pass the hearing screening and 254 children received medical or audiological assessment in hearing examination center. In these 254 children, 191 had otitis media with effusion(with or without hearing loss),47 had excessive earwax or congestion, 9 had sensorineural hearing loss and 7 had normal hearing. Conclusion OAE can be used effectively in the hearing screening of preschool children. Hearing screening is the first step. More efforts are still needed to strengthen the quality control and to establish a convenient and effective diagnostic procedure,follow-up mechanism and referral system,thus promoting the early detection, diagnosis and intervention for preschool children with hearing impairment.