早产儿视网膜病变自然消退儿童的屈光研究  

Refractive study of children with spontaneous regression of retinopathy of prematurity

作　　者：袁海琴[1] 陈妙虹 赵金凤 张国明[1] YUAN Haiqin;CHEN Miaohong;ZHAO Jinfeng;ZHANG Guoming(Shenzhen Eye Hospital, Shenzhen Key Laboratory of Ophthalmology, Affiliated Shenzhen Eye Hospital of Jinan University, Shenzhen 518040, Guangdong, China)

机构地区：[1]深圳市眼科医院深圳市眼科学重点实验室暨南大学附属深圳眼科医院

出　　处：《山东大学耳鼻喉眼学报》2019年第4期115-118,共4页Journal of Otolaryngology and Ophthalmology of Shandong University

摘　　要：目的 研究早产儿视网膜病变(ROP)自然消退儿童的屈光状态。方法 回顾性病例对照研究,收集ROP自然消退儿童72例(144眼)为观察组,将该组儿童根据验光检查时年龄分为3组:矫正胎龄≤1岁,1岁<矫正胎龄≤2岁,2岁<矫正胎龄≤3岁。同时收集无ROP早产儿童180例(360眼)为对照组,也将该组儿童根据验光检查时年龄分为3组:矫正胎龄≤1岁,1岁<矫正胎龄≤2岁,2岁<矫正胎龄≤3岁。分别测量并比较观察组和对照组的三个不同年龄段儿童的屈光状态。结果 观察组与对照组间的平均等效球镜度、平均散光度、近视比例、高度近视比例、远视比例、散光比例等指标的差异均无统计学意义。结论 ROP自然消退儿童3岁前的屈光状态与无ROP早产儿童无显著差异,均以正视和远视为主,仅有部分儿童呈近视状态,极少部分儿童呈高度近视状态。Objective To study the refractive status of children with spontaneous regression of retinopathy of prematurity(ROP). Methods This was a retrospective case-control study on 72 children(144 eyes)with spontaneous regression of ROP in the observation group, which was further divided into 3 groups based on the age of children at the time of the refraction test: Group 1, corrected gestational age(CGA)≤ 1 year;Group 2, 1 year < CGA ≤ 2 years;Group 3, 2 years < CGA ≤ 3 years. Simultaneously, 180 preterm children(360 eyes)without ROP were included in the control group, which was also divided into 3 groups according to the age of children at the time of the refraction test: Group 4, CGA ≤ 1 year;Group 5, 1 year < CGA ≤ 2 years;Group 6: 2 years < CGA ≤ 3 years. Refractive states of the children's eyes were measured and compared between the observation and control groups. Chi-squared and Fisher's exact tests were used for the counting data. A t-test was used for the measurement data. Results The average equivalent sphericity, average astigmatism, myopia ratio, high myopia ratio, hyperopia ratio, and astigmatism ratio had no statistical differences between groups 1 and 4, 2 and 5, and 3 and 6. Conclusion There were no significant differences in the refractive state between children with spontaneous regression of ROP and preterm children without ROP before 3 years of age. Most children had envisage and farsightedness, some had myopia, and a very few children had high myopia.

关 键 词：早产儿视网膜病变 屈光状态 自然消退 儿童 高度近视 病例对照研究 验光检查 ROP 

分 类 号：R778.1[医药卫生—眼科]