高危新生儿视网膜出血筛查与护理

The screening and nursing in high-risk neonatal retinal hemorrhage

目的:探讨广域数字化眼底成像系统(RetCamⅡ)在高危新生儿视网膜出血筛查中的应用和护理配合的方式。方法:对在新生儿科入住的130名新生儿,于出生后72小时内运用RetCamⅡ行双眼眼底检查。结果:130名患儿视网膜出血22例35眼,发生率为16.92%。结论:顺产、早产及伴有颅内出血是引起高危新生儿视网膜出血的危险因素。RetCamⅡ适合新生儿视网膜出血的筛查,有效的护理配合对高危新生儿视网膜出血筛查具有重要意义。

Objective： To explore the application of wide - field digital fundus imaging system （ RetCamⅡ ） in the screening of high - risk neonatal retinal hemorrhage and the mode of nursing cooperation. Methods： After the first 72 hours of the birth, the new- borns in the pediatrics were examined for fundus used the wide - field digital fundus imaging system （ RetCam Ⅱ ）. Results： Among 130 newborns, 22 neonates had retinal hemorrhage, and the incidence of retinal hemorrhage in newborns was 16. 92%. Conclusions： The dangerous factors of high- risk neonatal retinal hemorrhage are eutocia, prematurity and associated with intracranial hem- orrhage. RetCamⅡ is suitable for the screening of neonatal retinal hemorrhage. Effective nursing is important for the screening of high -risk neonatal retinal hemorrhage.