新生儿眼底筛查结果及眼底疾病高危因素分析  

Analysis of the results of fundus screening and high risk factors of fundus diseases in neonates

作　　者：凌博[1] 陈水生[1] 戚翠萍 LING Bo;CHEN Shuisheng;QI Cuiping(Department of Ophthalmology,Zhanjiang Central People's Hospital,Zhanjiang 524045,China)

机构地区：[1]湛江中心人民医院眼科,广东湛江524045

出　　处：《沈阳医学院学报》2020年第1期51-53,共3页Journal of Shenyang Medical College

摘　　要：目的:研究新生儿眼底筛查结果及眼底疾病高危因素,为临床诊治工作提供建议。方法:回顾性分析2017年2月至2019年2月在我院接受眼底筛查的2000例新生儿的临床资料,并分析眼底疾病高危因素。结果:2000例新生儿中,120例发生眼底疾病,占比6.00%;新生儿眼底疾病发生率在不同胎龄、分娩方式、出生体重及有无机械通气新生儿中差异有统计学意义(P<0.05);经多因素Logistic分析显示,低出生体重、自然分娩、胎龄小、机械通气等是导致出现眼底疾病的独立危险因素(P<0.05)。结论:应对新生儿做好眼底筛查工作,便于对导致发生的高危因素进行及早干预,避免病情进一步恶化,确保生命健康。Objective:To analyze the results of fundus screening and the high risk factors of fundus diseases in neonates,so as to provide suggestions for clinical diagnosis and treatment.Method:The clinical data of 2000 neonates who received fundus screening in our hospital from Feb 2017 to Feb 2019 were retrospectively analyzed,and the high risk factors of fundus diseases were analyzed.Results:A total of 120 neonates had fundus diseases,accounting for 6.00%.The incidence of fundus diseases was significantly different in different gestational ages,modes of delivery,birth weights,and the presence or absence of mechanical ventilation(P<0.05).Logistic analysis showed that low birth weight,natural delivery,small gestational age and mechanical ventilation were independent risk factors for fundus diseases.Conclusion:Fundus screening should be done well for neonates,so as to intervene in the high-risk factors,and avoid further deterioration of the condition.

关 键 词：新生儿 眼底筛查 高危因素 眼底疾病 分娩方式 

分 类 号：R774.1[医药卫生—眼科]