关键词: 学龄前儿童, 听力筛查, 保健

Abstract: Objective To investigate the hearing of preschool children in Zhuhai,and propose appropriate suggestions for child hearing care. Methods Cluster sampling method was applied to select 1 686 children aged 4~7 years from 13 kindergartens in Zhuhai.All the subject received intial hearing screening by protable audiometer.The children who failed the intial hearing screening received specialized examination by ENT doctor and secondary hearing screening.The children who failed the initial and secondary screening received diagnostic examination in the hearing examination center. Results Of 1 686 children,24 (10.2%) failed to pass audiological assessment in hearing examination center.In these 24 children,8(0.47%) had binaural hearing loss,2 were mild hearing loss,5 were moderate hearing loss,1 was severe hearing loss;16(0.95%) had single ear hearing loss.Analysis the cause of the hearing loss:13(54.17%)had otitis media;1(4.17%) was external auditory canal atresia;1 (4.17%) had totoxic drugs;1 (4.17%) had head injury;1 (4.17%) had vestibular aqueduct syndrome ;7(29.17%)didn't have clear cause. Conclusions The proportion of otitis media caused light and moderate hearing loss for preschoolers in Zhuhai is higher.Regular hearing care and active otitis media prevention and treatment are effective measures to reduce hearing loss.

Key words: preschool children, hearing screening, health care