早产儿视网膜出血的相关因素分析  

Related factor analysis of premature retinal hemorrhage

作　　者：李松鹤[1] 董宇[1] 文大成[2] 宋鄂[1] 

机构地区：[1]吉林大学第一医院眼科,长春130021 [2]吉林大学第二医院,130041

出　　处：《中国实用眼科杂志》2013年第10期1278-1280,共3页Chinese Journal of Practical Ophthalmology

摘　　要：目的探讨早产儿视网膜出血的发生原因。方法2012年1-6月对门诊及入住院新生儿重症监护病房254例早产儿进行眼底检查，并对35例早产儿视网膜出血病例进行分析。结果早产儿视网膜出血发生率：13．78％。其中阴道分娩、助产较剖宫产分娩者检出率高，重度窒息较轻度窒息及非窒息新生儿高，其差异均有统计学意义（P〈0．01）；而轻度窒息与非窒息新生儿之间差异无统计学意义（P〉0．05）。新生儿性别、胎次、胎龄、出生体重等与新生儿视网膜出血的发生无关。结论早产儿视网膜出血的发生与分娩方式、母体妊高症有关，窒息是引起早产儿视网膜出血的一个不容忽视的原因，而且窒息程度与视网膜出血的发生密切相关。Objective To investigate the cause of premature retinal hemorrhage. Methods Exam-ined 254 eyes of premature from January 2012 to June 2012 in our outpatient service and ICU, and 35 cases of premature retinal hemorrhage cases were analyzed. Results Premature retinal hemor-rhage rate： 13.78%. The vaginal delivery and aids to delivery were higher than cesarean section, the severe suffocate was higher than mild and not suffocate （P 〈0.01）; and mild choking was not differ-ence between not suffocation （P 〉0.05）. Conclusions The occurrence of premature retinal hemor-rhage is related with delivery mode, maternal with high blood pressure, suffocation is also a serious cause of premature retinal hemorrhage.

关 键 词：早产儿 视网膜出血 相关因素 

分 类 号：R774.1[医药卫生—眼科]