新生儿视网膜出血与产科临床的关系.docVIP

新生儿视网膜出血与产科临床的关系 　　doi：10.3969/j.issn.1007-614x.2014.16.36 　　摘 要 目的：探讨新生儿视网膜出血与产科临床的关系，把新生儿视网膜出血作为观察围产期新生儿健康状况的指标之一。方法：2011年1月-2012年1月出生的新生儿中入选300例，在出生24小时内做全身检查的同时，着重进行眼底检查。检查眼底前，先用1%复方托品酰胺10g/L点眼散瞳，30～45分钟后，用直接检眼镜检查眼底，并由有经验的眼科医生复查，将所得资料按项目归类。结果：新生儿视网膜总出血率16.7%；重度子痫前期较轻、中度子痫前期发生视网膜出血高；新生儿性别、体重与视网膜出血的关系：男婴134例，32例视网膜出血（3.9%），女婴166例，32例视网膜出血（19.6%），P0.05。新生儿体重与视网膜出血的关系：有随体重增加出血率增高的趋势，但P0.05，差异无统计学意义。新生儿视网膜出血与胎儿窘迫和产程差异无统计学意义（P0.05）。 经阴道分娩的新生儿有视网膜出血率（25.2%）大于剖宫产。头位吸引器助产新生儿视网膜出血38.9%。结论：新生儿视网膜出血与产科临床的关系密切，值得我们临床重视。 　　关键词 新生儿 视网膜出血 产科 　　The relationship between retinal hemorrhage in the newborn and obstetric 　　Ding Junqing 　　The Women and Childrens Medical Center of Luoyang City，Henan 471000 　　Abstract Objective：To investigate the relationship between obstetric clinical and retinal hemorrhage in the newborn，if we take the retinal hemorrhage in the newborn as one of the markers of perinatal newborn health.Methods：300 newborns were selected from January 2011～January 2012.We focused on the fundus examination when made the thorough examination within 24 hours of birth.Before the fundus examination，using the 1% 10g/L compound tropicamide to pupil dilation in the eyes，after 30～45 minutes，we used the direct ophthalmoscope to examine the fundus，and reviewed by the experienced physician in the department of ophthalmology.Then we classified the datas according to the project.Results：The total bleeding rate of retinal hemorrhage in the newborn was 16.7%. The rate of retinal hemorrhage of severe preeclampsia is higher than lighter and moderate preeclampsia.The relationship between the newborn sex，weight and the retinal hemorrhage：134 cases were male，and 32 cases（23.9%） were retinal hemorrhage.166 cases were female，and 32 cases（19.6%） were retinal hemorrhage，P0.05.The relationship between birth weight and retinal hemorrhage：the bleeding rate increased with the increase of body weight，but P0.05，there was no significant. Fetal distress and labor had not significant influence