探究早产儿视网膜病的危险因素分析及随访调查

Analysis and follow-up survey to explore the risk factors of retinopathy of premature children

目的探究早产儿视网膜病的危险因素分析,并对其进行随访调查。方法选取本院在2011年6月至2012年12月期间出生的,符合标准的早产儿200例,在他们出生15d后,由本院经验丰富的医生进行眼底镜检查,记录结果,患儿出院后,对其进行随访调查。结果这些早产儿的视网膜病发病率为5%,符合相关文献报道,其中视网膜病Ⅰ期有7例,Ⅱ期有2例,Ⅲ期有1例,这些患儿经过治疗后,视力都恢复正常;通过分析,得出早产儿视网膜病的危险因素主要包括患儿的胎龄,体重,胎数,光疗的时间及颅内出血。结论以上实验证实,早产儿容易发生视网膜病,为防治该病,应当进行有效的氧疗、预防各种并发症的发生;同时建立一套完善的早产儿视网膜病的筛查制度,将起到早发现、早治疗的效果,也可以有效的改善视网膜病的预后措施。

Objective To explore the risk factors of retinopathy of premature children analysis,and its follow-up investigation. Methods The born preterm infants during the period from June 2011 to December 2012 were sehected,200 cases of premature children meet the standards,they were born within 15 days of ophthalmoscopy by experienced doctors in our hospital,record the results,children after discharge,and follow-up investigation. Results The incidence of retinopathy of premature children was 5% ,in line with the relevant literature,seven cases of retinopathy stage Ⅰ,Ⅱ of two cases,Ⅲ of an example,these children after treatment, vision recovery normal; draw retinopathy of premature children Logistic regression analysis of risk factors,including children with gestational age,weight,number of births,time of light therapy and intracranial hemorrhage. Conclusion The above experiments confirmed that premature children are prone to retinopathy,effective oxygen therapy to combat the disease,should prevent the occurrence of various complications; establish a comprehensive system of screening of retinopathy of premature children,will play to early detection and early treatment effect,can also be effective measures to improve the prognosis of retinopathy.