完善筛查管理后早产儿视网膜病变的发生率分析  

The difference of mobidity of retinopathy of prematurity after improvment of screening management

作　　者：邱晓云[1] 余凤慈[1] 梁淑贞[1] 郭建玲[1] 李振安[1] 何清泉[1] 

机构地区：[1]广东省佛山市妇幼保健院眼科,528000

出　　处：《中国斜视与小儿眼科杂志》2015年第3期37-41,共5页Chinese Journal of Strabismus & Pediatric Ophthalmology

摘　　要：目的研究完善筛查管理后早产儿视网膜病变的临床特点,探讨一个适合本地区的更简便、专业、合理的筛查管理模式。方法对2012年09月至2014年3月(观察组)完善筛查管理后收住我院NICU符合筛查要求的早产儿和门诊检查的早产儿进行筛查,并与2011年2月至2012年8月(对照组)符合筛查的对象资料进行对比分析。结果观察组570例早产儿中筛查完成率87.76%,ROP发生率8.08%,对照组481例早产儿中筛查完成率80.66%,ROP发生率12.67%,两组之间筛查完成率的差异具有统计学意义(P<0.05),ROP发生率的差异具有统计学意义(P<0.05);胎龄越小、出生体重越低、吸氧时间越长,ROP发生率越高,病变程度越深。结论完善筛查管理模式后,ROP的筛查完成率得以提高,ROP发生率降低;低出生体重、低孕周、长时间氧疗是ROP发生的高危因素,要早期预防。Objective To analyze the characteristics of retinopathy of prematurity （ROP） after improvement of screening management and to explore a more convenient, professional and appropriate way for screening man-agement. Methods Conversation group inclued a total of 570 preterm infants who were hospitalized in our hospital from Sep. 2012 to Mar. 2014 and control group included 481 preterm infants from Feb. 2011 to Aug. 2012. The clinical characteristics of the preterm infants in two groups such as gestational age,birth weight and time of oxy-gen inhaling were analysised. Results The completion rate of ROP screening in conservation group was significantly higher than control group （87.76% vs 80.66%, P〈0.01）;the incidence rate of ROP in conservation group was significantly higher than control group （8.08% vs 12.67%, P〈0.05） .The incidence rate of ROP and the severity of ROP were correlated with the short gestational age, low birth weight and long time of oxygen inhaling. Conclu-sion Improvement of the screening management can increase the completion rate of ROP screening and decrease the incidence rate of ROP. Birth weight, gestational age and time of oxygen inhaling were the most significant fac-tors associated with ROP and should be prevented as early as we can.

关 键 词：完善筛查管理 早产儿 视网膜病变 

分 类 号：R774.1[医药卫生—眼科]