早产儿视网膜病变筛查的的结果分析.docVIP

早产儿视网膜病变筛查的的结果分析 　　[摘要]目的 分析该地区早产儿视网膜病变（ROP）的发生情况，探讨其相关因素，为建立早产儿视网膜病变筛查标准提供依据。方法 对2015年1月～2016年12月来我院就诊且符合ROP筛查标准的438例早产儿进行筛查，统计ROP的检出情况，分析对比不同出生体重和不同孕龄早产儿的ROP检出情况。结果 本地区的ROP检出比率为12.10%，其中ROP检出比率在不同体重范围内差异有统计学意义（χ2=33.973，P=0.000），ROP患儿主要集中在出生体重1500 g的早产儿中；ROP检出比率在不同出生周数内差异有统计学意义（χ2=30.643，P=0.000），30周以内的早产儿的ROP患病比率较高。结论 ROP患病比率与早产儿的出生体重及孕龄有着密切关系，出生体重越小，孕龄越小，患病比率越高。 　　[关键字]早产儿；视网膜病变；筛查；出生体重；孕龄 　　[中图分类号] R774.1 [文献标识码] A [文章编号] 1674-4721（2017）05（b）-0091-03 　　Analysis of screening results of retinopathy of premature babies 　　LIN Hai-bo LI Wen-lin ZHUO Xiao CHEN Mu-dan ZENG Ai-neng 　　Department of Ophthalmology，Central Hospital of Longhua District in Shenzhen City，Guangdong Province，Shenzhen 518110，China 　　[Abstract]Objective To analyze the incidence of retinopathy of premature babies （ROP） in this area and to explore the related factors so as to provide the basis for establishing screening criteria for retinopathy of premature babies.Methods 438 premature infants with ROP screening criteria in our hospital from January 2015 to December 2016 were screened and the detection of ROP was analyzed.The detection of ROP in preterm infants with different birth weight and gestational weeks were analyzed and compared.Results The detection rate of ROP in this area was 12.10%，and there was significant difference in the detection rate of ROP in different body weight range （χ2=33.973，P=0.000）.Children with ROP were mainly in preterm infants with birth weight less than 1500 g.There was significant difference in the ROP detection rate in different birth weeks （χ2=30.643，P=0.000），and the prevalence of ROP was higher in preterm infants within 30 weeks.Conclusion The prevalence rate of ROP is closely related to the birth weight and gestational age of pregnancy.The lower the birth weight is，the shorter the gestational age is and the higher the prevalence rate is. 　　[Key words]Premature infant；Retinopathy；Screening；Birth weight；Gestational age 　　早?a儿视网膜病（retinopathy of prematurit