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在健康婴儿中进行新生儿听力查的最佳时间
Lisanne Vonk1, Paula van Dommelen1, Iris Eekhout1
1Child Health, Netherlands Organisation for Applied Scientific Research (TNO), P.O. Box 3005, 2301 DA Leiden, The Netherlands.
International journal of neonatal screening
|February 20, 2026
概括
新生儿听力查的最佳时机在5至13天之间,减少错误阳性. 新的查设备可能会增加转诊率,这需要进一步调查.
科学领域:
- 听力学 听力学是指听力学.
- 新生儿护理 新生儿护理
- 公共卫生 公共卫生
背景情况:
- 荷兰的预防性儿童卫生保健 (PCHC) 自2006年以来一直在进行新生儿听力查.
- 暂时唤起的耳声发射 (OAE) 测试是新生儿听力查的常用方法.
研究的目的:
- 确定新生儿听力查的最佳年龄,以尽量减少假阳性转诊率.
- 评估不同OAE查设备对转诊率的影响.
主要方法:
- 来自荷兰全民健康婴儿新生儿听力查计划 (2013-2023) 的数据分析.
- 使用多级逻辑回归模型来评估转介概率.
- 包括在2013-2022年期间查的160多万名新生儿和2022-2023年的323,194名新生儿.
主要成果:
- 最低的虚假阳性转诊率 (3.3-3.9%) 观察到在5至13天的新生儿中进行查.
- 与ESI/II设备相比,Echoscreen (ES) III设备的转诊概率明显更高 (OR=1.84).与ESI/II设备相比,ESI/II设备的转诊概率明显更高.
结论:
- 新生儿在查时的年龄显著影响了假阳性转诊率.
- 使用的OAE查设备类型会影响转诊的可能性,ESIII显示的比率更高.
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