早产儿383例ROP筛查情况分析报告

目的:分析泉州地区早产儿视网膜病变(retinopathy of prematurity,ROP)发病情况及高危因素.方法:回顾2010-10/2011-09在我院NICU及眼科门诊进行视网膜病变筛查的383例早产儿眼底情况,并进行汇总分析.结果:在筛查的383例早产儿中,发现ROP患儿53例(13.8%),均为双眼发病;其中阈值前Ⅰ型及阈值期病变光凝治疗22例(5.7%);发展为5期病变1例(0.3%);急进型2例(0.5%).数据显示ROP的发病率及严重程度与出生体质量及胎龄呈负相关;尤其出生体质量与ROP的发生关系密切.结论:低出生胎龄和体质量是ROP发生的根本性高危因素,对于低胎龄、低体质量的高危早产儿应规范进行眼底筛查.

Analysis report for retinopathy of prematurity screening in 383 cases

AIM:To analyse the incidence and risk factors of retinopathy of prematurity(ROP) in Quanzhou region.METHODS:The fundus of 383 premature infants were reviewed,who were examined in Ophthalmology clinic and NICU from October 2010 to September 2011,and a meta-analysis was performed.RESULTS:In all the 383 premature infant cases,ROP was found in 53 cases,accounted for 13.8%,all binocular.Pre-threshold typeⅠROP in 22 cases,accounted for 5.7%,which were treated with photocoagulation therapy.The 5 period ROP was in 1 case,accounted for 0.3%.Aggressive posterior ROP was in 2 cases,accounted for 0.5%.Data also showed that the incidence and severity of ROP had a negative corrlation with birth weight and gestational age,especially birth weight.CONCLUSION:Low birth weight and gestational age are the fundamental risk factors of ROP.We should develop standard ROP screening for those high risk premature infants.