早产儿视网膜病变的筛查及临床分析

【目的】对早产儿视网膜病变（ROP）进行筛查和临床分析，了解ROP的高危因素和发病情况。【方法】对2008年7月至2009年7月在本院门诊筛查视网膜病变的350例早产儿进行回顾性分析。【结果】孕周小于32周、体重低于2000g及氧疗时间长的患儿ROP的发病率显著增高；ROP组与正常眼底组的出生体重、胎龄、吸氧时间差异均有显著性。【结论】不规范吸氧、出生体重低及胎龄小是ROP形成的高危因素，临床上早期诊断、早期治疗是降低ROP危害的关键。

Screening and Clinical Analysis of Retinopathy of Prematurity

Objective]To explore the screening and clinical analysis of retinopathy of prematurity（ROP）, and to understand the high risk factors and the incidence of ROP. Methods] Totally 350 ROP patients who were treated in our hospital between July 2008 and July 2009 were analyzed retrospectively. Results]The incidence of ROP markedly increased in the premature infants whose gestational weeks were less than 32 weeks, and the weight was below 2000g, and the time of oxygen therapy were longer. There were significant differences in birth weight, gestation age and the time of oxygen therapy between ROP group and normal fundus group. Conclusion] Nonstandard oxygen therapy, low birth weight and gestational age are the high risk factors of ROP. Early diagnosis and treat ment are the critical for reducing the harm of ROP.