摘要
目的 探讨在儿童保健系统开展听力障碍儿童筛查早期干预及病因分析的经验.方法 对年龄9月～8岁的37例经听力筛查、确诊、配戴助听器的重度听力障碍儿童进行追访.结果 1岁内筛出者541%,筛查与确诊年龄间隔<6月者73.0%,确诊与配戴助听器年龄间隔<3月者达62 2%,配戴助听器年龄<2岁者78.4%,20例人语训机构的70.0%小于3岁.可能的病因分析示先天性因素51.4%,后天性因素8.1%,先、后天混合因素5 .4%.结论 在儿童保健系统中加强孕产期保健,早期开展听力筛查及早期进行干预,是预防儿童听力障碍的一条重要途径.
ve To research the experience of child hearing screening, early interference and etiological analysis in the child health care system. Methods 37 children aged 9 months to 8 years and suffered severe hearingh disorder were followed-up. Results Hearing-impairment children were screened in 54. 1 % under 1 year old, the interval between screening and diagnosis was shorter than 6 months in 73.0 % , the interval between diagnosis and fitting of hearing aids was shorter than 3 months up to 62.2 % , the age fitted of hearing aids was younger than 2 yeares in 78. 4 % . 14 in 20 cases (70% ) entered training program were younger than 3 years. Analsis of etiological possibility showed that congenital factors were 51.4%, acquired factor were 8.1%, mixed congenital and acquired factors were 5.4%. Conclusion Enforcing health care during pregnancy and delivery, early hearing screening and interference are the important way for prevention.
