2012年佛山市早产儿视网膜病变防治现状调查

发布时间：2018-07-25 10:24

【摘要】：目的了解佛山市三级医院早产儿视网膜病变(ROP)的防治现状及其影响因素,为进一步规范早产儿用氧及提高ROP防治水平提供参考依据。方法采用多中心回顾性研究方法,设计临床调查表,对2012年佛山市共24家各级医院ROP防治情况进行调查并汇总分析。结果全市24家医院2012年共收治早产儿4 763例,出生体重2 000 g者2 232例,1 500 g者753例,1 000 g者57例;有12家医院已开展ROP筛查,普及率50%,其中10家为本院筛查,2家送本市其他医院筛查;全市共筛查早产儿1 596例,检出ROP 59例,检出率为3.7%,其中达阈值ROP者11例,检出率为0.69%。全市尚未开展ROP治疗。结论佛山市三级甲等医院NICU在早产儿用氧及ROP筛查方面已取得相当成绩,一级医院及大部分二级医院筛查率和阳性率低,氧疗设施不齐、氧浓度监测不力、ROP防治意识不强、缺乏专业培训及眼科专业人才等,需要建立一个规范的筛查管理模式来加强佛山市ROP防治工作。
[Abstract]:Objective to investigate the prevention and treatment of (ROP) in premature infants in Foshan tertiary hospital and its influencing factors, so as to provide reference for standardizing oxygen use in premature infants and improving the level of ROP prevention and treatment. Methods Clinical questionnaire was designed to investigate and analyze the prevention and treatment of ROP in 24 hospitals in Foshan City in 2012. Results A total of 4 763 premature infants were admitted in 24 hospitals in 2012, 2 232 cases with birth weight of 2 232 cases with 1 500 g birth weight and 57 cases with 1 000 g birth weight, 12 hospitals had carried out ROP screening. The prevalence rate was 50. Ten of them were sent to other hospitals in this city for screening, and 1 596 premature infants were screened in the whole city, 59 cases of ROP were detected, and the detection rate was 3.7%. Among them, 11 cases reached the threshold of ROP, and the detection rate was 0. 69%. ROP treatment has not been carried out in the whole city. Conclusion NICU in Grade 3A Hospital of Foshan City has made great achievements in the screening of premature infants with oxygen and ROP. The screening rate and positive rate are low, the oxygen therapy facilities are not uniform, and the awareness of the prevention and treatment of ROP is not strong in the first class hospital and most of the second class hospitals. Lack of professional training and ophthalmology professionals, it is necessary to establish a standardized screening management model to strengthen the prevention and treatment of ROP in Foshan.
【作者单位】：广东省佛山市妇幼保健院新生儿科;广东省佛山市禅城中心医院儿科;广东省佛山市南海区黄岐医院儿科;
【分类号】：R774.1

【参考文献】