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目的:分析非本市户籍的新生儿听力复查率的相关因素,提出干预措施。方法:应用瞬态诱发性耳声发射(TEOAE)对出生新生儿进行听力筛查,初筛未通过者出院前再筛查一次,未通过者1个月或42天左右复查,仍未通过者于3月龄内转诊至儿童听力诊断中心进行听力学诊断和医学评估。结果:自2010年12月～2011年11月间上海市松江区中心医院出生新生儿接受听力筛查2 285例,其中非本市户籍新生儿2 060例。本市户籍新生儿两次院内初筛未通过27例,实际复查24例,复查率88.89%,未通过3例;非本市户籍新生儿院内初筛未通过322例,实际复查173例,复查率53.73%,未通过24例,未复查149例。非本市户籍的新生儿听力复查率明显低于本市户籍新生儿(P<0.001),最主要原因为失访(31.54%)。结论:非本市户籍的新生儿听力复查率低,随访难度大。应加强健康教育,增加对新生儿听力筛查的认识,提高新生儿听力筛查复诊率。
OBJECTIVE: To analyze the related factors of neonatal hearing assessment in non-city domicile and to propose intervention measures. Methods: Hearing screening of newborns with transient evoked otoacoustic emissions (TEOAE) was conducted. Before screening, those who failed to pass the screening were re-screened before discharge, those who failed to pass the examination for 1 month or 42 days, and those who failed to pass Referral to Pediatric Hearing Diagnostic Center within 3 months of age for audiological diagnosis and medical assessment. Results: From December 2010 to November 2011, 2385 newborn babies born in Shanghai Songjiang District Central Hospital received 2 060 newborns. The city’s household registration of newborns did not pass the initial screening twice in 27 cases, the actual review of 24 cases, the review rate of 88.89%, did not pass the three cases; non-city of neonatal screening did not pass the initial screening of 322 cases, the actual review of 173 cases, Rate of 53.73%, did not pass 24 cases, did not review 149 cases. The hearing rate of newborns in non-city domicile was significantly lower than that of newborns in this city (P <0.001), the most important reason was the loss of follow-up (31.54%). Conclusion: The hearing rate of newborns in non-city domicile is low and the follow-up is difficult. Health education should be strengthened to increase awareness of neonatal hearing screening and improve the rate of neonatal hearing screening visits.