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目的探讨新生儿听力筛查质量的影响因素,并提出针对性护理对策,以降低假阳性率。方法对2945名新生儿使用畸变产物耳声发射(DPOAE)行听力筛查,未通过者排除可能产生假阳性结果的因素,改进措施后再次检测;结果转为通过者为假阳性,记录并分析该因素。结果筛查质量的影响因素包括新生儿状态、耳道、环境噪声、内噪声、检测仪器等。结论开展新生儿听力筛查工作应注重操作过程中的质量控制,采取安抚新生儿、因人而异放置探头、控制环境噪声、降低内噪声、检测校准仪器等方法,可提高筛查通过率,降低假阳性率的发生。
Objective To explore the influencing factors of neonatal hearing screening quality and to propose targeted nursing strategies to reduce the false positive rate. Methods A total of 2945 newborns underwent DPOAE hearing screening, and those who failed to rule out the possible false positive results were retrospectively analyzed after improvement measures were taken. The results were passed to a false positive and recorded and analyzed This factor. Results The influencing factors of screening quality include neonatal status, auditory canal, environmental noise, internal noise, testing instruments and so on. Conclusion Neonatal hearing screening should pay attention to the quality control during operation, adopt the method of appeasing newborns, setting probes differently, controlling environmental noise, reducing internal noise, and detecting and calibrating instruments, which can improve the screening pass rate, Reduce the incidence of false positive rate.