波兰Podkarpackie省学童听力筛检

P. Skarżyński, W. Świerniak, D. Szuber, Natalia Czajka, H. Skarżyńśki
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摘要

听力筛查是预防的重要组成部分。它允许早期发现听力障碍,因此可以早期开始治疗,并消除或尽量减少负面后果。患有听力障碍的儿童通常会经历语言发育和认知能力的延迟,这可能导致学习障碍并降低学业进步。自1999年以来,波兰听力生理学和病理学研究所为该国学龄儿童提供了听力筛查计划。该计划的主要目的是在开始上学的儿童中早期发现听力障碍,并提高家长对听力问题的认识。材料与方法在0.5 ~ 8khz范围内获得纯音气传导听力阈值。如果在一个或多个测试频率下,单耳或双耳的纯音阈值高于20 dB HL,则认为听力筛查检查结果为阳性。听力测试结果由家长填写问卷进行补充。有8091名来自Podkarpackie省的一年级学生参加了这个项目。结果根据听音图进行筛查,发现1618名儿童存在听力障碍(占检查儿童的20%)。结论我们的研究发现了一大批有听力问题的儿童。我们建议,听力筛查在小学应该是一个常规程序,预防性儿科保健的一般框架内。
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Hearing screening of school children in the Podkarpackie Voivodeship, Poland
Introduction Hearing screening is an important part of prevention. It allows early detection of hearing disorders, thus the treatment may begin early, and eliminates or minimises negative consequences. Children with hearing impairment often experience delayed speech development and cognitive abilities, which can result in learning disabilities and reduce school progress. Since 1999, the Institute of Physiology and Pathology of Hearing in Poland has provided a hearing screening program for school-age children in the country. The main aim of the program is the early detection of hearing disorders in children starting school, and increase in the awareness among parents of hearing problems. Materials and Methods Pure-tone air-conduction hearing thresholds were obtained at 0.5–8 kHz. The results of the hearing screening examination were regarded as positive if pure-tone thresholds were higher than 20 dB HL in one or both ears at one or more of the test frequencies. The audiometric results were supplemented by questionnaires completed by the parents. There were 8,091 first-grade children from the Podkarpackie Voivodeship enrolled in the program. Results Based on the audiogram, screening showed that hearing impairment was found in 1618 children (20% of the examined children). Conclusion Our study yielded a large group of children with hearing problems. We recommend that hearing screening in primary schools should be a routine procedure within a general framework of preventive pediatric health care.
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