目的 了解湖南省新生儿听力筛查情况,为提高新生儿听力筛查质量提供参考资料.方法 分析2016年度湖南省新生儿听力筛查的数据报表,对新生儿听力筛查的质控指标进行分析:初筛率、初筛通过率、复筛率、复筛通过率、转诊率、接诊率、干预率及发病率.结果 2016年度湖南省新生儿活产数为795399例,新生儿听力初筛率为99.02％,初筛未通过率为10.15％,复筛率85.90％.转诊率2.51％,接诊率为64.70％,双侧先天性聋的发病率为2.35‰,听力障碍总干预人数984例,占双侧中度及中度以上的听力损失的81.67％.结论 湖南省新生儿听力筛查的初筛率、初筛通过率、复筛率及转诊率均到达指南要求,而接诊率及干预率相对不足,需加强筛查机构与检测治疗机构之间的衔接,加强网络信息化建设,对部分区域进行质量控制督导.%Objective To understand the status of newborn hearing screening in Hunan Province so as to provide reference for improving the quality of newborn hearing screening.Methods The data of neonatal hearing screening in Hunan Province in 2016 were analyzed retrospectively.The analyzed quality indexes included initial and secondary screening rates and their passing rates,referral rate,reception rate,incidence and intervention.Results The number of live births in Hunan was 795399.The initial screening rate was 99.02％ with a failure rate of 10.15％ and secondary screening rate of 85.90％.5602 newborns were referred with a referral rate of 2.51％ and a reception rate of 64.70％.The incidence of bilateral congenital hearing loss rate was about 2.35‰.Hearing impairment was intervened in 984,accounting for 81.67％ of those with bilateral moderate and severe hearing loss.Conclusions The initial screening rate and its passing rate,the secondary screening rate and referral rate in Hunan Province reach the requirements of guideline for newborn hearing screening.On the other hand,the reception rate and intervention rate are relatively insufficient.Therefore,the link-up between the screening establishments and testing and treatment institutions,the construction of network information should be strengthened so as to supervise the quality control of newborn hearing screening in some districts.
展开▼
