早产儿视网膜病变的早期护理  

Early nursing intervention of retinopathy of premature children

作　　者：宋霞梅[1] 钟春霞[1] 韦素松[2] 

机构地区：[1]南方医科大学珠江医院儿科中心,广州510280 [2]广东省口腔医院八楼住院部

出　　处：《中国实用护理杂志》2012年第5期41-42,共2页Chinese Journal of Practical Nursing

摘　　要：目的探讨早产儿视网膜病变（ROP）的早期筛查、治疗及护理方法。方法选择2009年1-12月在我院出生的210例早产儿，进行眼部筛查、治疗及护理，将护理要点进行总结。结果210例早产儿中，有15例发生ROP，发生率为7．1％。出现阈值病变需进行激光治疗者8例（16只眼）占3．8％。出生体质量≤1000g组的ROP患病率显著高于出生体质量〉1000g组，孕周≤32周组的ROP患病率显著高于孕周〉32周组，吸氧浓度≤96％组的ROP患病率低于吸氧浓度〉96％组。无ROP与有ROP的早产儿吸氧时间相比差异显著。结论早产儿视网膜病变的发生与低胎龄、低出生体质量和高浓度、长时间吸氧关系密切，应及时筛查，早期进行护理干预。Objective To investigate the early screening, treatment and care methods of the retinopathy （ROP） of preterm children. Methods 210 premature children born in our hospital were se- lected to conduct eye screening, treatment and care from January to December 2009. The nursing key points were summarized. Results Among 210 preterm children, 15 cases occurred ROP, the rate was 7.1%. Lesions appeared to be the threshold for laser treatment in 8 patients （16 eyes）, accounting for 3.8%. The ROP morbidity rate was higher in birth weight ≤1000 g group than that in birth weight 〉 1000 g group, higher in gestational age ≤32-week group than that in gestational age〉 32 weeks, higher in the inhalation oxygen concentration ≤ 96% group than in inhalation oxygen concentration 〉 96% group. Significant difference existed in ROP and non-ROP preterm children. Conclusions The incidence of retinopathy of premature children was closely related with low gestational age, low birth weight and prolonged and high-concentration oxygen inhalation, timely screening and early intervention care should be given to them.

关 键 词：视网膜病变 早期护理干预 早产儿 

分 类 号：R473.72[医药卫生—护理学]