早产儿视网膜病变筛查的护理

Nursing of retinopathy of prematurity screening

目的探讨早产儿视网膜病变(ROP)筛查的护理及配合。方法对2008年4月至2009年4月287例早产儿用双目间接检眼镜结合眼底成像系统进行眼底筛查、随访。结果287例早产儿中,有30例发生ROP,发生率为10.45%。结论ROP发病率高,应加强宣教、及时筛查、早期发现、早期治疗。检查前做好各项准备工作,充分散瞳;检查时固定好患儿头部,密切观察患儿病情;检查后做好随诊指导。有效的护理配合对ROP的筛查及随访具有重要意义。

Objective To discuss the nursing and compliance of retinopathy of prematurity（ROP） screening. Methods From April 2008 to April 2009,287 premature infants were enrolled in the present study. They were examined and followed-up with binocular indirect ophthalmoscope combined with fundus imaging system. Results The overall incidence of ROP was 10.45 % （30 of 287）. Conclusion The overall incidence of ROP is high. We should strengthen publicity and education, screen timely, detect and treat early. We should make all preparations before examination, make full mydriasis, fix children＇s heads well and observe children＇ s condition closely during examination, do a good job in follow-up guidance after examination. Effective compliance of nursing is important to ROP screening and follow-up.