早产儿视网膜病的相关影响因素及护理干预

Related factors and nursing intervention of retinopathy of prematurity

目的探讨早产儿视网膜病(ROP)的相关影响因素,总结护理干预措施。方法选择2016年2~10月我院新生儿科收治的ROP患儿56例为研究对象,另选择56例未合并ROP的早产儿纳入对照组,比较两组早产儿临床资料的差异,总结ROP的有效护理措施。结果单因素分析显示,胎龄、出生体质量、吸氧时间、输血、呼吸窘迫综合征(RDS)、应用肺表面活性物质(PS)与ROP的发生有关,差异均有统计学意义(P<0.05);而性别、多胎妊娠、呼吸暂停、宫内窘迫、分娩方式等因素与ROP的发生无关(P>0.05)。结论胎龄、出生体质量、吸氧时间、输血、RDS、应用PS与ROP的发生有关,临床上应重视对ROP患儿的护理,以改善患儿预后。

Objective To investigate the related influencing factors of retinopathy of prematurity （ROP） and summarize the nursing intervention measures. Methods A total of 56 premature infants with ROP enrolled in our hospi-tal from February 2016 to to October 2016 was selected as the study group, and 56 cases of premature infants without ROP were included into the control group. The differences of clinical data between the two groups were compared, and the nursing intervention measures were summarized. Results The univariate analysis showed that gestational age, birth weight, oxygen inhalation time, blood transfusion, respiratory distress sydrome （RDS）, the application of sulmonary sur-factant （PS） were related to ROP, and the differences were statistically significant （all P〈0.05）. And the factors such as gender, multiple pregnancy, apnea, fetal distress and the mode of delivery had nothing to do with ROP （all P〉0.05）. Conclusion Gestational age, birth weight, oxygen inhalation time, blood transfusion, RDS and the use of PS are relat-ed to ROP, and clinical attention should be paid to the care of ROP infants in order to improve the prognosis.