昆明市儿童医院ROP患儿的母亲孕期风险因素研究
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云南省应用基础研究计划项目(No.2013FZ248); 昆明市卫计委昆明市儿童眼病诊治技术中心计划资助\〖No.2016-sw(技)-18\〗; 昆明市卫计委十百千人才培养工程计划资助\〖No.2016-sw(后备)-34\〗


Maternal risk factors of retinopathy of prematurity in Kunming Children's Hospital
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Applied Basic Research Projects in Yunnan(No.2013FZ248); Kunming Technology Center of Diagnosis and Treatment of Eye Disease in Children Supported by Kunming Health and Family Planning Commission \〖No.2016-sw(T)-18\〗; Ten Hundred Thousand Project Supported by Kunming Health and Family Planning Commission \〖No.2016-sw(P)-34\〗

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    摘要:

    目的:研究并分析昆明市及周边地区高海拔条件下早产儿视网膜病变(retinopathy of prematurity, ROP)患儿母亲孕期的相关风险因素。

    方法:使用宽视野数字化眼底照相机(Retcam Ⅱ),对2010-05/2014-12到昆明市儿童医院眼科就诊的早产儿及部分足月小样儿(出生体质量均≤2 000g)共1 010例进行视网膜检查,收集ROP的发病数据及患儿母亲孕期相关资料,对所获得的各项数据进行统计学处理和分析。

    结果:早产儿1 010例中发现ROP患儿139例278眼,患病率为13.76%,其中1期病变80例(57.55%),2期病变42例(30.22%),3期病变9例(6.47%),4期病变4例(2.88%),5期病变4例(2.88%)。阈值病变9例(6.47%)。ROP组与正常眼底组早产儿在出生体质量、胎龄、宫内窘迫、多胎妊娠方面的差异均有统计学意义(P<0.05)。

    结论:在昆明市高海拔低氧分压地区,ROP患病率为13.76%,低出生体重、小胎龄、宫内窘迫、多胎妊娠是ROP发生的主要孕期因素。

    Abstract:

    AIM: To investigate the prenatal risk factors for retinopathy of prematurity(ROP)in Kunming Children's Hospital.

    METHODS: One thousand and one hundred cases of prematurity and infants(May 2010 to Dec. 2014)with birth weight less than 2 000g were examined by Retcam II and recorded the stage and risk factors.

    RESULTS: One hundred and thirty-nine ROP patients were founded among the 1 010 cases(13.76%), including 80 cases(57.55%)in Stage 1, 42 cases(30.22%)in Stage 2, 9 cases(6.47%)in Stage 3, 4 cases(2.88%)in Stage 4, 4 cases(2.88%)in Stage 5. Nine cases(6.47%)were threshold ROP. There was significant difference in birth weight(BW), gestational age(GA), multiple pregnancy and ischemia between ROP and Non-ROP groups. GA and BW, multiple pregnancy and ischemia were significant risk factors associated with ROP.

    CONCLUSION:In Kunming Children's Hospital, the incidence of ROP is 13.67%. Low birth-weight and low gestational ages, multiple pregnancy and ischemia are main maternal risk factors for ROP.

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肖亦爽,许江涛,金顺祥,等.昆明市儿童医院ROP患儿的母亲孕期风险因素研究.国际眼科杂志, 2016,16(9):1699-1701.

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  • 收稿日期:2015-09-10
  • 最后修改日期:2016-08-03
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  • 在线发布日期: 2016-08-22
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