眼底成像系统筛查15283例新生儿眼底病的临床分析  

Clinical analysis of fundus disease screening by fundus imaging system in 15283 newborns

作　　者：常青 郭晓慧 陈祖凤 李忠民 王静 CHANG Qing;GUO Xiaohui;CHEN Zufeng;LI Zhongmin;WANG Jing(Department of Ophthalmology Fuyang Women′s and Children′s Hospital,Fuyang Anhui 236000,China)

机构地区：[1]安徽省阜阳市妇女儿童医院眼科,236000

出　　处：《蚌埠医学院学报》2024年第9期1153-1156,共4页Journal of Bengbu Medical College

基　　金：安徽省卫生健康科研项目(AHWJ2023A30243);安徽省阜阳市卫生健康科研项目(FY2021-076,FY2023-113)。

摘　　要：目的:探讨阜阳市颍州区新生儿眼底疾病的检出率和影响因素。方法:选取进行眼底病变筛查的新生儿15283名作为研究对象,根据胎龄分为足月组11692名和早产组3591名。比较2组新生儿眼底疾病的检出率,分析新生儿视网膜出血的影响因素。结果:2组新生儿眼底疾病总检出率差异有统计学意义(P<0.01)。2组检出率最高的眼底疾病类型均为视网膜出血,2组检出率差异有统计学意义(P<0.01)。单因素和多因素logistic回归分析显示,出生胎龄、分娩方式、出生体质量和母亲妊娠期并发症均为新生儿发生视网膜出血的影响因素(P<0.05~P<0.01)。不同出生胎龄、出生体质量新生儿的早产儿视网膜病变检出率差异均有统计学意义(P<0.01)。结论:阜阳市颍州区新生儿视网膜出血等眼底疾病检出率较高,出生胎龄、分娩方式、出生体质量和母亲妊娠期并发症均为新生儿发生视网膜出血的独立影响因素。Objective:To investigate the detection rate and influencing factors of fundus disease in newborns in Yingzhou district of Fuyang city.Methods:A total of 15283 newborns,who were screened for fundus lesions,were divided into the full-term group(11692 cases)and preterm group(3591 cases)according to the gestational age.The detection rate of neonatal fundus disease was compared between two groups,and the influencing factors of neonatal retinal hemorrhage were analyzed.Results:The difference of the total detection rate of fundus disease was statistically significant between two groups(P<0.01).The highest detection rate of fundus diseases in two groups was retinal hemorrhage,and the difference in detection rate of which between two groups was statistically significant(P<0.01).The results of univariate and multivariate logistic regression analysis showed that the gestational age,delivery mode,birth weight and maternal complications during pregnancy were the influencing factors of the occurrence of neonatal retinal hemorrhage(P<0.05 to P<0.01).The differences of the total detection rate of retinopathy of prematurity in newborns with different gestational age and birth weight were statistically significant(P<0.01).Conclusions:In Yingzhou district of Fuyang city,the detection rate of retinal hemorrhage and other fundus diseases in newborns is high.The gestational age,delivery mode,birth weight and maternal complications during pregnancy are the independent influencing factors of the occurrence of retinal hemorrhage in newborns.

关 键 词：新生儿 眼底疾病筛查 视网膜出血 早产儿视网膜病变 

分 类 号：R779.7[医药卫生—眼科]