1313例早产儿眼底疾病筛查结果及分析

发布时间：2018-04-15 13:44

本文选题：早产儿 + RetCam　；参考：《中国儿童保健杂志》2016年12期

【摘要】：目的分析早产儿眼底疾病的患病率及患早产儿视网膜病变的高危因素,为临床诊治提供参考依据。方法采用RetCam 3小儿视网膜成像系统对2015年3月-2016年3月出生的所有早产儿进行眼底疾病筛查,并结合患儿的一般临床资料对早产儿视网膜病变进行高危因素分析。结果对1 313例早产儿进行筛查,一共筛查出301例眼底疾病患儿,其中早产儿视网膜病变208例,非特异性视网膜渗出性病变53例,视网膜出血33例,原始玻璃体动脉残留4例,视神经发育不全1例,永存原始玻璃体增生症1例,黄斑色素沉着1例。Logistic回归分析早产儿视网膜病变的高危因素有低胎龄、低出生体重、不规范吸氧史、多胎及输血史。结论 RetCam 3眼病筛查能在早产儿人群中筛查出眼底疾病;早产儿视网膜病变的高危因素有低胎龄、低出生体重、不规范吸氧史、多胎及输血史。
[Abstract]:Objective to analyze the prevalence of fundus disease of premature infants and the high risk factors of retinopathy of preterm infants, so as to provide reference for clinical diagnosis and treatment.Methods all premature infants born from March 2015 to March 2016 were screened for fundus diseases by RetCam 3 system, and the high risk factors of retinopathy of preterm infants were analyzed based on general clinical data.Results A total of 301 cases of ocular fundus diseases were screened in 1 313 premature infants, including 208 cases of retinopathy, 53 cases of non-specific retinopathy, 33 cases of retinal hemorrhage and 4 cases of residual vitreous artery.1 case of optic nerve hypoplasia, 1 case of persistent primary vitreous hyperplasia and 1 case of macular pigmentation. Logistic regression analysis showed that the high risk factors of retinopathy of premature infants were low gestational age, low birth weight, irregular history of oxygen inhalation, multiple fetuses and history of blood transfusion.Conclusion RetCam 3 ophthalmopathy screening can detect fundus diseases in premature infants, and the high risk factors for retinopathy of premature infants are low gestational age, low birth weight, irregular history of oxygen inhalation, multiple births and history of blood transfusion.
【作者单位】：湖南省妇幼保健院儿童五官科;
【分类号】：R770.4

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