广角数码视网膜成像系统与双目间接眼底镜在早产儿视网膜病变检查中疼痛和应激的比较

Effect of wide-field digital retinal imaging versus binocular indirect ophthalmoscope on pain and stress in infants undergoing retinopathy of prematurity detection

目的比较广角数码视网膜成像系统(WFDRI)与双目间接眼底镜(BIO)在早产儿视网膜病变(retinopathy of prematurity,ROP)检查中对受检婴儿疼痛和应激的影响。方法 103例早产儿先行WFDRI检查,3～5 d后再行BIO检查,用CRIES和早产儿疼痛量表(PIPP)评价婴儿疼痛、应激。结果 WFDRI检查后30 s的CRIES和PIPP评分显著低于BIO(P<0.01);检查后1 h和24 h,两种方法的CRIES和PIPP评分比较差异无统计学意义(P>0.05)。结论 WFDRI对受检婴儿疼痛和应激的早期影响显著低于BIO。

Objective To compare the effect of wide-field digital retinal imaging (WFDRI) and binocular indirect ophthalmoscope (BIO) on pain and stress in infants undergoing retinopathy of prematurity (ROP) detection. Methods A total of 103 premature infants underwent WFDRI, followed by BIO 3-5 days later. The pain and stress were evaluated using CRIES and PIPP scales. Results CRIES and PIPP scores were lower in WFDRI than in BIO after 30 seconds (P<0.01), but they were comparable between WFDRI and BIO after 1 h and 24 h (P>0.05). Conclusion The effect of WFDRI on pain and stress is inferior to that of BIO in infants undergoing ROP detection.