武汉市1060例新生儿眼病筛查结果分析

Analysis of Screening for Eye-disease in 1060 Neonates

目的:分析武汉市1060例新生儿眼病筛查结果,探讨新生儿眼病筛查的临床意义。方法:选择2014年1月至2014年12月在我院出生的1060例新生儿为研究对象,进行眼前节和眼底检查,并对检查结果进行分析。结果:1060例新生儿中发现眼前节异常者103例(9.72%),其中结膜下出血43例(4.06%),先天性泪囊炎44例(4.15%),先天性白内障5例(0.47%),先天性青光眼4例(0.38%),瞳孔异位7例(0.66%);眼底病变53例(5.00%),其中视网膜病变32例(3.02%),永存玻璃体动脉14例(1.32%),眼底出血4例(0.38%),脉络膜缺损3例(0.28%)。结论:新生儿眼病患病率较高。在新生儿出生后开展及时的眼部检查可以尽早发现新生儿眼病,有利于针对性治疗,进而降低后续眼部重症疾病的发生。

Objective： To analyze the screening results of eye-disease in 1060 neonates and explore the clinical meaning. Methods：1060 neonates born from January 2014 to December 2014 were chosen and the anterior segment and fundus were tested and described.Results： 103（9.72%）out of 1060 neonates got painting on anterior segment, including 43（4.06%） who got subconjunctival hemorrhage,44（4.15%） who got dacryocystitis neonatorum, 5（0.47%） who got congenital cataracts,4（0.38%） who got congenital glaucoma and 7（0.66%） who got ectopic pupil. Other 53（5.00%） neonates had damage in fundus, including 32（3.02%） who had retinopathy, 14（1.32%）who had forever vitreous artery, 4（0.38%） who had retinal hemorrhage and 3（0.28%） who had choroidal defects. Conclusions： The incidence rate of eye-disease in neonates was high. When babies were born, in-time targeted treatment after screening would reduce the occurrence of severe eye-disease.