目的 评估如皋新生儿听力筛查质量指标,为调整筛查方案提供参考依据。方法 对如皋市2006-2013年新生儿听力筛查进行回顾性分析,计算相关质量指标并与国家质量控制标准对照比较。结果 8年新生儿听力筛查率为92.95%(79 802/85 857),超过国家“筛查规划”90%的要求(U=28.81,P＜0.05)。初筛通过率为91.55%(73 060/79 802),高于“听力检测干预指南”90%的要求(U=14.60,P＜0.05)。复筛率为95.85%(6 462/6 742),超过“听力检测干预指南”80%的要求(U=32.54,P＜0.05),复筛阳性率39.89%(2 578/6 462),复筛阳性转诊人数占筛查人数的2.19%(1 748/79 802),控制在“听力检测干预指南”规定的5%以内(U=36.42,P＜0.05),转诊率为67.80%(1 748/2 578)。听力障碍确诊率为0.99‰(79/79 802),确诊病例初筛日龄为(26.95±13.35) d(t=11.288,P＜0.05),复筛日龄为(58.16±15.50)d(t=9.268,P＜0.05),滞后于国家“筛查规范”要求;转诊日龄为(96.44±26.84)d(t=1.720,P＞0.05),符合国家“筛查规范”要求。结论 如皋新生儿听力筛查主要存在问题是初筛日龄、复筛日龄滞后于国家“筛查规范”要求,需及时调整听力筛查方案,开展相关影响因素调查研究。

Objective To evaluate the quality index of newborn hearing screening in Rugao and provide reference for the adjustment of the screening program. Method Retrospective analysis of newborn hearing screening was conducted in Rugao city during 2006-2013 to calculate the related quality indicators and make comparisons with the national quality standard. Results Newborn hearing screening rate in recent 8 years was 92.95%(79 802/85 857),exceeded the requirements of the national "screening program"(90%)(U=28.81,P＜0.05).The rate of the primary screening was 91.55%(73 060/79 802) and higher than the requirement of "listening test intervention guide" (90%)(U=14.60,P＜0.05).The rescreening rate was 95.85%(6 462/6 742),and higher than the requirement of "listening test intervention guide" (80%)(U=32.54,P＜0.05).Rescreening positive rate was 39.89%(2 578/6 462).The number of secondary screening positive referrals accounted for 2.19% of the total number of screening(1 748/79 802) and within the provisions of the "listening test intervention guide"(5%)(U=36.42,P＜0.05),referral rate was 67.80%(1 748/2 578).The diagnosis rate of hearing impairment was 0.99‰(79/79 802).Initial screening age of confirmed cases was (26.95±13.35) days(t=11.288,P＜0.05),secondary screening age was (58.16±15.50) days(t=9.268,P＜0.05) and lag behind the national "screening specification" requirements.Referral age was (96.44±26.84) days(t=1.720,P＞0.05),and in line with the national "screening specification" requirements. Conclusion The main problems of newborn hearing screening in Rugao are screening age,screening days behind the "screening specification" requirements,so there is need to adjust the hearing screening program in a timely manner and to carry out the investigation and research on related factors.