马鞍山地区6924例新生儿眼底疾病现况分析

Status analysis of neonatal fundus disease in 6924 cases in Ma anshan

目的描述马鞍山市新生儿先天性眼底疾病患病率及其影响因素。方法采用眼科广域成像系统(RetCam3)对6924例新生儿进行眼底筛查,并对筛查结果进行统计学分析。结果 6924例受检新生儿中1406例伴有眼底异常,眼底疾病检出率为20.30%,主要为视网膜出血1334例(19.30%)、视网膜脉络膜缺损21例(0.3%)、视网膜变性26例(0.40%)、永存性玻璃体增生症(PHPV)11例(0.20%)和眼底渗出6例(0.09%)。多因素分析结果显示,分娩方式为顺产是新生儿视网膜出血的的危险因素(P<0.05)。结论新生儿眼底病变多样且危害严重,顺产的新生儿是眼底疾病筛查的重点人群,应关注和重视危险因素的干预,降低新生儿眼底疾病发生率。

Objective： To describe the prevalence and risk factors of retinal diseases of newborns in Ma Anshan. Methods： 6924 newborns were detected by using wide-angle digital retinal imaging system （RetCam3） , and the screening results were analyzed statistically. Results： Among the 6924 infants, there were 1406 cases with abnormal retina and the rate of retinal diseases were 20.30%. The main disease was retinal hemorrhage with 1334 cases （19.30%） , 21 cases of retinochoroidal coloboma （0,30%） , 26 cases of retinosis （0.40%） , 11 cases of PHPV （0.20%） and 6 cases of retinal exudativechanges （0.09%） . Logistic regression analysis indicated that vaginal delivery increased the risk of retinal hemorrhage. （P〈0.05） . Conclusion： Neonatal fundus diseases are diverse and serious. Newborn with natural delivery and oxygen inhalation is the key of the fundus disease screening, and risk factors should be given attention and intervention to reduce the incidence of neonatal fundus disease.