早产儿视网膜病的高危因素分析  

The high risk factors of regressive retinopathy in preterm infants

作　　者：郭异珍[1,2] YeoCheolian HoLaiyun 赵时敏[1,2] 

机构地区：[1]中国医学科学院中国协和医科大学北京协和医院儿科 [2]新加坡中央医院新生儿科

出　　处：《中华儿科杂志》1997年第12期649-651,共3页Chinese Journal of Pediatrics

摘　　要：为了研究早产儿视网膜病（ＲＯＰ）的发病率、高危因素及预后，对１４９例极低出生体重儿与ＲＯＰ的关系进行了回顾性分析。结果：ＲＯＰ５９例（４０％）；其中ＲＯＰ１期３２例（５４％），ＲＯＰ２期１６例（２７％），ＲＯＰ３期１１例（１９％）。所有ＲＯＰ３期患儿均患有散光或散光＋近视。通过对用氧时间，出生体重等２０种高危因素与ＲＯＰ严重程度的综合分析，发现长期使用氧气和出生低体重是造成ＲＯＰ的重要原因。建议缺乏用氧指征的早产儿切勿用氧。To investigate the incidence, risk factors and prognosis of retinipathy of prematurity (ROP). A retrospective study was performed in 149 preterm neonates with a birth wight of less than 1 500 g. The results showed that 59 neonates had ROP (40%), including 32 cases (54%) of stage 1, 16(27%) of stage 2 and 11 (19%) of stage 3. All neonates with stage 3 ROP developed astigmatism or myopia. Twenty factors of newborn period were chosen to analyse the risk factors of regressive ROP. Only low birth weight and long term oxygen therapy were found to be the major causes of ROP. The authors suggest that oxygen therapy should not be extensively used when it is not imperative.

关 键 词：视网膜病 早产儿 高危因素 

分 类 号：R774.102[医药卫生—眼科]