高危新生儿视网膜出血相关因素分析  

Related factors of high-risk newborn retinal hemorrhage

作　　者：刘攀[1,2,3] 田彧[1] 吴云兆[2,3] 

机构地区：[1]中南大学湘雅二医院眼科,中国湖南省长沙市410011 [2]湘西自治州人民医院 [3]吉首大学附属第一人民医院眼科,中国湖南省吉首市416000

出　　处：《国际眼科杂志》2013年第4期754-755,共2页International Eye Science

摘　　要：目的:探讨高危新生儿视网膜出血的原因,并对其相关因素进行分析。方法:对新生儿科入住的新生儿于生后72h内使用广域数字化眼底成像系统(RetCamⅡ)行眼底照像检查。结果:患儿123例,视网膜出血19例30眼(12.2%)。其中顺产新生儿49例,视网膜出血18例29眼(29.6%);剖腹产新生儿74例,视网膜出血1例1眼(0.7%),两者比较差异有统计学意义(χ2=34.763,P=0.000)。Logistic回归方程分析提示:影响视网膜出血的危险因素为顺产、早产、颅内出血。结论:顺产及伴有颅内出血是高危新生儿视网膜出血的重要相关因素。AIM： To study the cause of high-risk neonatal retinal hemorrhage risk and analyze its related factors. METHODS： After the first 72 hours of the birth, the newborns in the pediatrics were examined for fundus used the wide area digital fundus imaging system （RetCam I1 ）. RESULTS： Among 123 newborns, 19 neonates had retinal hemorrhage, and the incidence of retinal hemorrhage in newborns was 12. 2%. Among 49 newborns who were came through spontaneous delivery, 18 （29.6%） neonates had retinal hemorrhage, while 1 （0. 7%） neonate from 74 who were born by caesarean section suffered from retinal hemorrhage. The difference was statistically significant. （X2 = 34. 763 P= 0.000）. Logistic regression equation analysis tip： The risk factors of retinal hemorrhage were eutocia, premature delivery and intracranial hemorrhage. CONCLUSION： The important relevant factors of high- risk neonatal retinal hemorrhage are eutocia and associated with intracranial hemorrhage.

关 键 词：新生儿 视网膜出血 广域数字化眼底成像系统 

分 类 号：R722.1[医药卫生—儿科] R774.1[医药卫生—临床医学]