东莞市498例早产儿视网膜病变的筛查情况

Screening of retinopathy in 498 premature infants in Dongguan City

目的:分析东莞市498例早产儿视网膜病变(retinopathy of prematurity,ROP)的筛查情况。方法:回顾性分析2015年1月至2017年1月在东莞市人民医院筛查的出生孕龄不足34周或体重不足2 000 g的早产儿,利用眼底筛查方法(RetCam II)对其视网膜病变进行筛查,对筛查结果进行概率分析。结果:早产儿的体重越轻,发生视网膜病变的可能性越大(χ~2=86.90,P<0.0001);早产儿的胎龄越小,发生视网膜病变的可能性越大,(χ~2=87.37,P<0.0001)。结论:早产儿的体重、孕龄与其视网膜病变存在十分密切的关系,对于体重偏轻、孕龄偏低的早产儿应定期进行眼底筛查。

Objective:To analyze the screening of retinopathy of 498 premature infants in Dongguan City.Methods:RetCam II was used to screen the retinopathy of premature infants with less than 34 weeks gestational age or less than 2 000 g weight in our hospital from January 2015 to January 2017.Results:The lighter the body weight of premature infants,the more likely they were to develop retinopathy(χ^2=86.90,P<0.0001),and the smaller the gestational age of premature infants,the more likely they were to develop retinopathy(χ^2=87.37,P<0.0001).Conclusion:The weight and gestational age of premature infants are closely related to retinopathy,and fundus screening should be carried out regularly for premature infants with low weight and low gestational age.