1332例早产儿视网膜病变筛查结果及其危险因素分析

发布时间：2018-09-04 19:16

【摘要】：目的探讨早产儿视网膜病变的发病率及危险因素。方法 2012年4月1日至2014年3月31日应用Retcam III小儿广域视网膜成像系统对1332例早产儿行视网膜病变筛查,根据《早产儿用氧治疗和视网膜病变防治指南》的说明,其中710早产儿符合筛查标准,622例在标准之外。结果 1332例早产儿中,共检出ROP69例,发生率为5.2%,均为双眼发病。共在筛查标准内的710例中检出ROP阳性52例,发生率7.32%,筛查标准外的622例中检出ROP阳性17例,发生率2.73%;不同出生体重组之间、不同胎龄组之间差异有统计学意义(P0.05)。结论 ROP发生的危险因素包括小胎龄和低出生体重等多种因素,对于合并呼吸系统等疾病的患儿ROP的筛查范围应扩大,防止漏诊。
[Abstract]:Objective To investigate the incidence and risk factors of retinopathy in premature infants.Methods From April 1, 2012 to March 31, 2014, 1332 premature infants were screened for retinopathy with Retcam III. Results Among the 1 332 premature infants, 69 were ROP positive, the incidence rate was 5.2%. Among 710 cases in the screening standard, 52 were ROP positive, the incidence rate was 7.32%. Among 622 cases out of the screening standard, 17 were ROP positive, the incidence rate was 2.73%. There were differences between different birth weight groups and different gestational age groups. Conclusion Risk factors of ROP include small gestational age and low birth weight. Screening range of ROP in children with respiratory diseases should be expanded to prevent missed diagnosis.
【作者单位】：广西柳州市妇幼保健院眼科;
【分类号】：R774.1

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