DOI:
作者:
作者单位:

作者简介:

通讯作者:

中图分类号:

基金项目:

Demonstration program of social development (BS2004560) and International Cooperation Promotion Program (BZ2005046)


Study of hearing screening for rural school children
Author:
Affiliation:

Fund Project:

  • 摘要
  • |
  • 图/表
  • |
  • 访问统计
  • |
  • 参考文献
  • |
  • 相似文献
  • |
  • 引证文献
  • |
  • 资源附件
  • |
  • 文章评论
    摘要:

    Abstract:

    Objective: To develop an appropriate mass screening system to evaluate hearing loss for primary school children, especially in rural areas. Methods: In Jiangsu Province, at a rural primary school-Longdu Primary School, 317 of 479 rural students (from Grade 1 to Grade 6, over 50 students for each grade) were screened by, using the Chinese Hearing Questionnaire for School Children (CHQS). Two weeks later, they accepted transiently evoked otoacoustic emissions (TEOAEs) test. At the same time, all participants were given a 'gold standard' audiological assessment that comprised of otoscopy, pure tone, and tympanometry. After eight weeks, 103 out of the 317 students accepted the second TEOAEs and 'gold standard' test to confirm the results. Results: There was no statistical difference in the results of two 'gold standard' test (χ2 = 0.14, 0.5 < P < 0.75). Compared with the 'gold standard' results, the hit rate, sensitivity, specificity of the CHQS was 57﹪ ± 2.78﹪, 61﹪ ± 10.18﹪, 57﹪± 2.89﹪ respectively(α = 0.43, β = 0.39). Youden Index J, LR+, LR-, PV+ and PV- was 0.18 ± 0.11, 1.42, 0.68, 0.10, 0.95(Az < 0.54, EF = 0.75-0.95). While a higher system accuracy was obtained by TEOAEs [HR = 97 ± 0.71﹪, Sen = 69 ± 7.8﹪,Spe = 98 ± 0.52﹪(α = 0.02, β = 0.31), Youden Index J = 0.67 ± 0.08, LR+ = 34.5, LR- = 0.32, PV+ = 0.71, PV- = 0.99(Az = 0.85, EF = 0.97)]. Conclusion: TEOAEs got a high efficiency and specificity values with reasonable sensitivity. However,CHQS needs substantial modifications to improve its sensitivity in evaluating hearing loss.

    参考文献
    相似文献
    引证文献
引用本文

Xiaolu Li, Xingkuan Bu, Carlie Driscoll.[J].南京医科大学学报(自然科学版),2006,20(4):242-247

复制
分享
文章指标
  • 点击次数:
  • 下载次数:
  • HTML阅读次数:
  • 引用次数:
历史
  • 收稿日期:
  • 最后修改日期:
  • 录用日期:
  • 在线发布日期:
  • 出版日期:
通知关闭
郑重声明