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
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References
[1] Skarzyński H,Piotrowska A.Screening for pre-school and school-age hearing problems:European Consensus Statement[J].Int J Pediatr Otorhinolaryngol,2012,76(1):120-121.
[2] 南书玲,杜婉,刘晓雯,等.甘肃省4314例学龄前在园儿童听力筛查结果分析[J].听力学及言语疾病杂志,2012,20 (3):284-286.
[3] American Academy of Audiology.American academy of audiology childhood hearing screening guidelines [EB/OL].[2013-7-31].http://www.cdc.gov/ncbddd/hearingloss/documents/aaa-2011.pdf.
[4] 中华人民共和国国家卫生和计划生育委员会.关于印发儿童眼及视力保健等儿童保健相关技术规范的通知(卫办妇社发[2013]26号)[S].2013-4-9.
[5] 卜行宽,刘铤.世界卫生组织预防聋和听力减退工作情况介绍[J].中华耳鼻咽喉头颈外科杂志,2000,35(3):237.
[6] Nield TA,Schirer S,Ramos AD,et al.Unexpected hearing loss in high-risk infants[J].Peadiatrics,1986,78(3):417-422.
[7] Lu J,Huang Z,Yang T,et al.Screening for delayed-onset hearing loss in preschool children who previously passed new-born hearing screening[J].International Journal of Peadiatric Otorhinolaryngology,2011,75(8):1045-1049.
[8] 徐静,郑芸,梁传余,等.183例学龄前儿童听力筛查结果分析[J].听力学及言语疾病杂志,2004,12(4):258.
[9] Williamson I.Otitis media with effusion[J].Clin Evid,2003,10:612-620.
[10] Watkin PM,Baldwin M.Identifying deafness in early childhood:requirements after the newborn hearing screen[J].Arch Dis Child,2011,96(1):62-66.