528例RetCamⅢ筛查早产儿视网膜病变的临床分析

Clinical analysis of 528 cases of RetCam Ⅲ screening for retinopathy of premature

目的:分析早产儿视网膜病变(ROP)的发病特点,防治早产儿视网膜病变。方法:采用RetCamⅢ对528例早产儿进行ROP筛查,分析体重、胎龄和吸氧对ROP的影响。结果:筛查共发现ROP53例,包括AP-ROP 1例。体重少于1 500g的早产儿,49例ROP,占92.45%;孕周少于32周的早产儿,46例ROP,占86.79%;有吸氧史的早产儿,48例ROP,占90.57%。结论:ROP的发病与早产、低体重有关,吸氧是ROP发病的危险因素。

Objective： Based on analyzing the characteristics of retinopathy of premature（ROP）, pro-posing ways of prevention and cure of ROP. Methods： 528 cases of premature were chosen to do ROP screening, analyze the influence of their weight, gestational age and oxygen uptake on ROP. Results： There were 53 ROP or ROP（AP-ROP）. Among pati the ents of the 528 screening cases, of which 1 has aggressive posteri-weight less than I 500 g preterm infants, 49 ROP cases were found, occupied 92.45%. Among those gestational age less than 32 weeks, 46 with ROP, occupied 86.79%. Among those with record of oxygen undertake, 48 with ROP, occupied 90.57%. Conclu-sion. The morbidity of ROP has a close relationship with premature or underweight delivery as well as oxygen undertake experience.