早产儿视网膜病筛查及相关因素分析  

Analysis on screening results of retinopathy of prematurity and its related factors

作　　者：赵捷[1] 连朝辉[1] 

机构地区：[1]广东省深圳市妇幼保健院新生儿科,518000

出　　处：《中国妇幼保健》2011年第19期2948-2949,共2页Maternal and Child Health Care of China

摘　　要：目的：了解早产儿视网膜病（ROP）的发病率和相关危险因素,为预防提供相关依据。方法：对2004年7月~2006年6月在深圳市妇幼保健院NICU住院的胎龄〈34周或体重〈2 000 g的早产儿进行ROP筛查,同时对其全身情况进行记录,分析ROP发生的相关因素。结果：在符合ROP筛查标准并完成筛查的334例中,ROP患儿94例,占28.1%。94例ROP患儿中,达到阈值病变的需要进行眼底激光光凝治疗的26例,占筛查患儿的7.8%。ROP发生的相关因素分析显示,出生体重越低、出生孕周越小ROP发生率越高,需要接受治疗的ROP也越多。结论：该医院ROP总体发生率较高,出生体重低和胎龄小是ROP发生的重要危险因素。Objective：To explore the incidence of retinopathy of prematurity（ROP） and its related factors and to provide the basis for prevention..Methods：The preterm infants with birth weight ≤2 000 g or gestational age ≤34 weeks who were admitted to the neonatal intensive care units in a hospital in Shenzhen city from June in 2004 to July in 2006 were screened.Ophthalmologic examinations started 3~4 weeks after birth and ROP was classified.Maternal and perinatal risk factors of occurrence of ROP were analyzed.Results：94 infants（28.1%） with ROP were detected among 334 infants who had been screened,in whom 26 infants（7.8%） had type ⅠROP and underwent photocoagulation.The lower the birth weight and smaller the gestational age was,the higher the incidence of ROP was and the higher proportion of photocoagulation was.Conclusion：The incidence of ROP in this hospital is a little higher,birth weight and gestational age are important factors to affect ROP.

关 键 词：早产儿 视网膜病 新生儿筛查 

分 类 号：R722[医药卫生—儿科]