摘要
目的对早产儿视网膜出血进行统计,分析探讨早产儿视网膜出血的危险因素及临床特点。方法选取2013年1月—2016年12月在我院进行眼底病筛查的早产儿1142例进行回顾性分析,患儿均在散瞳后实施眼底检查,观察视网膜出血情况,评估影响视网膜出血的相关因素。结果1142例早产儿中,视网膜出血有112例,占9.8%,视网膜出血程度分级Ⅰ、Ⅱ、Ⅲ、IV级分别有42例、47例、23例、0例,分娩方式是引起视网膜出血的主要危险因素,经阴道分娩的早产儿发生视网膜出血的几率较剖宫产高,差异具有统计学意义(P<0.05),是否使用机械通气及助产与视网膜出血也密切相关。结论分娩方式及机械通气是导致早产儿视网膜出血的重要原因,经阴道分娩的难产患儿是高危人群。
Objective To analyze the risk factors and clinical characteristics of retinopathy of premature infants by statistical analysis of retinal hemorrhage of premature infants.Methods A retrospective analysis was conducted on 1 142 premature infants who were screened for fundus disease in our hospital from January 2013 to December 2016.All the cases underwent fundus examination after mydriasis to observe retinal hemorrhage and evaluate the related factors affecting retinal hemorrhage.Results 1 142 cases of premature infants,retinal hemorrhage in 112 cases,accounting for 9.8%,retinal hemorrhage classification levelⅠ(42 cases),levelⅡ(47 cases),levelⅢ(23 cases),and levelⅣ(0 cases).Delivery mode was the main risk factors of retinal hemorrhage.The use of mechanical ventilation and midwives and retinal hemorrhages were closely related.Conclusion Delivery mode and mechanical ventilation are important causes of retinal hemorrhage in premature infants.Delivery mode and mechanical ventilation are important causes of retinal hemorrhage in premature infants.Blood transfusion and birth weight are also the risk factors that cannot be ignored.
作者
彭亚力
张利伟
任玉玲
熊成
PENG Yali;ZHANG Liwei;REN Yuling;XIONG Cheng(Department of Ophthalmology,The Second People’s Hosptial of Yunnan Province,Kunming Yunnan 650031,China)
出处
《中国继续医学教育》
2019年第16期98-101,共4页
China Continuing Medical Education
基金
云南省科技计划项目[2017FE468(-224)]
关键词
早产儿
眼底疾病
视网膜出血
影响因素
早产儿视网膜病变
眼底筛查
premature infants
fundus disease
retinal hemorrhage
influencing factors
retinopathy of prematurity
neonatal fundus screening
