汕头市早产儿视网膜病变筛查结果分析
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Screening analysis of retinopathy for prematurity in Shantou
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    摘要:

    目的:了解汕头地区早产儿视网膜病变(retinopathy of prematurity, ROP)发病情况,探讨适合汕头地区的ROP筛查标准。

    方法:对2011-01/2014-12在汕头4家医院NICU住院的1 813例出生体重≤2 000g的低出生体重儿或胎龄≤34周的早产儿采用双目间接眼底镜和(或)广角数码儿童成像系统(RetCamⅡ)进行ROP筛查,所有患儿随访至视网膜完全血管化或病变退化。

    结果:发现ROP 202例388眼, 占筛查总例数11.14%。其中重症ROP(阈值前期Ⅰ型或阈值期)43例85眼,占筛查总例数2.37%。出生体重<1 500g新生儿408例,重症ROP 34例67眼,占全部重症ROP病例的79.07%。GEE模型分析结果表明,低出生体重、小胎龄及吸氧是ROP的高危因素。

    结论:汕头地区ROP检出率11.14%,但重症ROP检出率较低,主要发生于出生体重<1500g低出生体重儿和出生胎龄≤34周的早产儿。低出生体重、小胎龄及吸氧是ROP的高危因素。

    Abstract:

    AIM:To determine the incidence of retinopathy of prematurity(ROP)and to investigate the appropriate criteria for the screening ROP in Shantou.

    METHODS: A total of 1 813 infants with birth weight ≤2 000g or gestational age ≤34wk in neonatal intensive care units(NICU)of four hospitals in Shantou were screened with binocular indirect ophthalmoscope and(or)wild-field digital pediatric retinal imaging system(RetCamⅡ )from January 2011 to December 2014. All infants were followed up until the retina was completely vascularized or until the disease regressed.

    RESULTS:In all infants, ROP was detected in 388 eyes of 202 cases(11.14%), including 85 eyes of 43 cases(2.37%)suffering from severe ROP(threshold or pre-threshold type Ⅰ ROP). 34 severe cases(67 eyes)were screened out in 408 infants with birth weight <1 500g, accounted for 79.07% in all severe cases. GEE model analysis indicated that low birth weight, small gestational age and oxygen therapy were high risk factors of ROP.

    CONCLUSION:The detection rate of ROP is 11.14% in Shantou NICU. However, the detection rate of severe ROP is lower, mainly in the infants with birth weight <1 500g and gestational age ≤34wk; Low birth weight, small gestational age and oxygen therapy are high risk factors of ROP.

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张贵华,陈伟奇,陈浩宇,等.汕头市早产儿视网膜病变筛查结果分析.国际眼科杂志, 2015,15(8):1455-1457.

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  • 收稿日期:2015-04-18
  • 最后修改日期:2015-07-13
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  • 在线发布日期: 2015-08-05
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