摘要
目的了解当地早产儿视网膜病变(ROP)的发病情况,探索适合本地区早产儿的筛查标准。方法回顾性分析2014年3月~2016年12月间在以我院为基地建立的揭阳市地区ROP的发病率及其特点。结果完成全部检查的早产儿768例,发生ROP患儿82例,检出率为10.68%。82例早产儿中,接受激光治疗的阈值病变和阈值前Ⅰ型病变28例,所有ROP早产儿经随访病变自行消退。结论低出生孕周和低体质量是ROP发生的根本性高危因素,对低孕周、低体质量的高危早产儿应规范进行彻底筛查,即高危人群出院后视网膜不完全血管化的仍会发生ROP,应强调出院后随访,通过随访及时发现和治疗严重ROP,ROP病变近期预后均良好。
Objective To investigate the local incidence of retinopathy of prematurity（ROP） and explore the proper screen- ing standard for local preterm infants. Methods The incidence and characteristics of ROP in Jieyang were analyzed ret- rospectively based on data of our hospital from March 2014 to December 2016. Results 768 preterm infants complete all the tests and 82 with ROP were found. The detection rate was 10.68%. Out of 82 preterm infants, 28 with threshold and prethreshold type I ROP were treated with laser therapy. All preterm infants with ROP spontaneously regressed in the follow-up. Conclusion Small gestational age and low birth weight were the essential risk factors of ROP. It is nec- essary to regulate the complete screening of high-risk preterm infants with small gestational age and low birth weight. Since the high-risk population would get ROP after discharge because of incomplete vascularization of retina, the im- portance of follow-up after discharge should be emphasized through which to find and treat severe ROP and improve the early prognosis of ROP.
出处
《中国现代医生》
2018年第6期128-130,共3页
China Modern Doctor
关键词
早产儿
早产儿视网膜病变
视网膜病
低体质量儿
出生孕周
Preterm infants
Retinopathy of prematurity
Retinopathy
Low-birth-weight infants
Gestational age
