贵州省部分地区听力筛查的转诊时间及原因调查

摘要

Objective To count the time and reason of children hearing screening referral in our hospital. To analyze preliminarily the problems of hearing screening and referral in parts of Guizhou Province. Methods To count the hearing screening referral time, screening times in other hospitals, reasons for referral and comparison of screening results between oth-er hospitals and our’s of 817 children. Results The referral time in those children who were told the knowledge about hearing screening was earlier significantly than those who were found with suspected hearing abnormalities . In rescreening referrale children, the consistent results of OAE between other hospitals and our’s accounted 56.93%(452/794 ears),the incompatible results accounted 43.07%(342/794 ears).The consistent results of other hospitals’OAE and our AABR accounted 57.92%(139/240 ears),the incompatible results accounted 42.08%(101/240 ears).The compliance rate of the children with risk factors was higher than the rate of the normal children(p<0.05). Conclusion Now hearing screening referral in Guizhou Province existed some problems. Standardized training should be strengthened and hearing screening referral system should be implemented.%目的：统计转诊至我院行听力筛查婴幼儿的转诊时间及原因，初步分析目前贵州省部分地区听力筛查及转诊中存在的问题。方法2003至2012年从贵州省部分地区各级医疗机构转诊至我院进行听力筛查（初筛及复筛）的婴幼儿共计817人，统计分析转诊时间、外院筛查次数、转诊的原因以及外院筛查结果与我院复筛结果的对比情况。结果初筛转诊者中通过医生告知听力筛查知识的婴幼儿转诊时间明显早于儿保医生发现小儿疑似听力异常者。复筛转诊者中，外院OAE与我院OAE结果相符合者占56.93%（452耳/794耳），不相符合者占43.07%（342耳/794耳）；外院OAE与我院AABR结果相符合者占57.92%（139耳/240耳），不相符合者占42.08%（101耳/240耳）；高危婴幼儿符合率高于普通婴幼儿（p<0.05）。结论本次调查显示，目前贵州省的听力筛查转诊仍存在一些问题，需加强规范化培训，落实好听力筛查转诊制度。