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頁籤選單縮合
題 名 | 臺灣南部地區役男之聽力篩檢及診斷分析=Analysis of Hearing Screening and Diagnosis for Draftees in Southern Taiwan |
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作 者 | 李瑞文; 林振東; 陳榮峯; 黃秀玫; 袁本治; | 書刊名 | 臺灣耳鼻喉頭頸外科雜誌 |
卷 期 | 45:3 2010.05-06[民99.05-06] |
頁 次 | 頁82-87 |
分類號 | 416.812 |
關鍵詞 | 役男聽力篩檢; 聽力篩檢流程; 聽力損傷; 體位區分; Hearing screening for draftees; Hearing screening procedure; Hearing loss; Physical fitness grades; |
語 文 | 中文(Chinese) |
中文摘要 | 背景:役男聽力篩檢爲國軍醫院耳鼻喉科業務,針對篩檢流程各醫院有所不同,目前亦未有大規模役男之聽力篩檢研究。本研究針對役男聽力篩檢流程、聽力狀況、聽損原因及體位區分加以分析探討,期能在役男聽力篩檢及預防醫學提供一些幫助。 方法:回溯性收集本院2004年1月至2007年7月期間24826位南部地區體檢役男,以語言對談、音叉檢查爲初步篩檢,異常者以純音聽力檢查進一步篩檢,聽力值符合停役體位變更者,最終以純音聽力檢查及聽性腦幹反應結果綜合評估來判定體位。 結果:24826名役男中,初步篩檢語言、音叉聽力異常有160名,初篩異常率爲0.644%,予以轉介純音聽力檢查,檢查後聽力異常有123名,初步篩檢偽陽性爲23%;詐聾有4名,確有聽損狀況有119名,佔所有篩檢役男的0.47%。聽力檢查符合停役體位標準予以聽性腦幹反應檢查有46名,最終停役役男計有38名。役男聽力損傷常見原因,不明原因佔了103例,先天因素8例,其次爲中耳炎6例,膽脂瘤1例,外傷性耳膜破孔1例。 結論:役男聽力篩檢需由有經驗醫師及聽力師執行檢查及判斷體位,以降低偽陽性。臨床上役男體位區分應以純音聽力檢查及聽性腦幹反射檢查結果來綜合判斷,將更趨嚴謹。 |
英文摘要 | BACKGROUND: Hearing screening for draftees is one of the practices in otolaryngological department. Each hospital has a different screening procedure, and there is currently no large-scale research regarding hearing screening for draftees. The aim of this study was to analyze and investigate the hearing screening procedure, hearing levels, reasons for hearing loss, and distinction of physical fitness grades for draftees to provide help in draftee hearing screening and preventive medicine. METHODS: The records of 24,826 draftees were reviewed; the draftees were evaluated from January 2004 to July 2007. All draftees underwent preliminary screening; further testing was performed if preliminary test results were abnormal. Preliminary screening was performed with the speech test and the tuning-fork test. Those with abnormal results underwent further evaluation with pure tone audiometry. Finally, the pure tone audiometry and auditory brain stem response test were used to determine the physical fitness grades for those who met the requirement for military service suspension and alteration of physical fitness grades. RESULT: Of 24,826 draftees, 160 draftees (0.644%) had abnormal results in the speech test and tuning-fork test. Pure tone audiometry revealed abnormal results in 123 of these individuals, indicating a false positive rate of 23% for initial screening. Of the 123 draftees with abnormal findings on pure tone audiometry, four were determined to be malingering, resulting in 119 draftees (0.47%) with hearing loss. Forty-six individuals with hearing levels that qualified for suspension from military service had auditory brain stem response tests; 38 were suspended from military service. Causes of hearing loss were unknown in 103 cases; known causes included congenital factors (8 cases), otitis media (6 cases), cholesteatoma (1 case) and traumatic drum perforation (1 case). CONCLUSION: Hearing assessment for draftees requires experienced physicians and hearing professionals to perform examinations and reduce the false positive rate. In addition, use of the pure tone audiometry and the auditory brain stem response test will provide a much more stringent test for determining physical fitness grades. |
本系統中英文摘要資訊取自各篇刊載內容。