[Feasibility of MAGIC pure tone screening in children aged 3 to 6 years]

Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2025 Jan;39(1):14-18. doi: 10.13201/j.issn.2096-7993.2025.01.004.
[Article in Chinese]

Abstract

Objective:To explore the feasibility of the multiple-choice auditory graphical interactive check(MAGIC) screening module in childhood hearing screening in children aged 3 to 6 years. Methods:A hearing screening was conducted on 366 children(732 ears) aged between 3 and 6 years. The screening methods included MAGIC, DPOAE, and acoustic immittance.The cooperation, screening time, pass rate, and correlation of the three screening methods were compared. Results:There was a statistically significant difference in the degree of cooperation among the three screeningmethods(P=0.004).The MAGIC pure tone screening method was 98.6%, the screening DPOAE was 99.5%,and the acoustic immittance screening was 100%. For the screening duration, the MAGIC pure tone screening method was(116.3±59.1)s, the screening DPOAE was(27.2±19.7)s, and the acoustic impedance screening was(24.6±14.6)s. There was a significant statistical significance differences among the three or two groups(P<0.01). The passing rates of MAGIC pure tone screening,screening DPOAE and acoustic immittance screening were 64.7%, 65.4%, and 69.3%, respectively, and there was no significant statistical difference among the three or two groups(P>0.05). There was no significant difference between MAGIC pure tone screening method and screening DPOAE(P=0.827>0.05), and acoustic impedance(P=0.653>0.05), while the difference between screening DPOAE and acoustic impedance was statistically significant(P<0.01). Conclusion:MAGIC pure sound screening method has good feasibility, can comprehensively reflect the hearing level of screened children, and can be promoted for hearing screening in children aged between 3 and 6 years.

目的:探讨多选择听觉图形交互式(multiple-choice auditory graphical interactive check,MAGIC)纯音筛查法在3~6岁儿童听力筛查中应用的可行性。 方法:对366例(732耳)3~6岁儿童采用MAGIC纯音筛查法、筛查型DPOAE和声导抗进行听力筛查,比较3种筛查方法的配合度、筛查时长、通过率及筛查结果的差异性。 结果:①配合度:MAGIC纯音筛查法为98.6%,筛查型DPOAE为99.5%,声导抗筛查为100%,3者差异有统计学意义(P=0.004)。②筛查时长:MAGIC纯音筛查法为(116.3±59.1) s,筛查型DPOAE为(27.2±19.7) s,声导抗筛查为(24.6±14.6) s,3者及两两之间差异有统计学意义(P<0.001)。③通过率:MAGIC纯音筛查法为64.7%,筛查型DPOAE为65.4%,声导抗筛查为69.3%,3者及两两之间差异均无统计学意义(均P>0.05)。④差异性:MAGIC纯音筛查法和筛查型DPOAE(P=0.827>0.05)及声导抗(P=0.653>0.05)筛查结果的差异无统计学意义,而筛查型DPOAE和声导抗筛查结果的差异有统计学意义(P<0.01)。 结论:MAGIC纯音筛查法具有较好的可行性,能够综合反应出被筛查儿童的听力水平,可在3~6岁儿童听力筛查中推广应用。.

Keywords: acoustic immittance; compatibility; distortion product otoacoustic emission; multiple-choice auditory graphical interactive check; passing rate.

Publication types

  • English Abstract

MeSH terms

  • Acoustic Impedance Tests / methods
  • Audiometry, Pure-Tone*
  • Child
  • Child, Preschool
  • Feasibility Studies
  • Female
  • Hearing Loss / diagnosis
  • Hearing Tests / methods
  • Humans
  • Male
  • Mass Screening / methods