CAJ | 학술논문

目的:总结早产儿视网膜病变(retinopathy of prematurity,ROP)发生发展特点及相关危险因素,探讨其合理的筛查标准和治疗模式.方法:对胎龄≤35wk,体质量≤2500g的1626例早产儿进行ROP筛查,并对其临床特点进行总结.结果:发现ROP173例(10.64%);出生体质量≤1 000g组,1001～1500 g组,1501～2000 g组,2001～2500 g组患病百分比有显著性差异(分别为89.64%,29.71%,7.82%,1.29%,P＜0.05);出生胎龄≤30wk组,30wk＜出生胎龄≤32wk组,32wk＜出生胎龄≤35wk组间ROP患病百分比有显著性差异(分别为31.11%,12.24%,4.04%,P＜0.05);单生子与多生子患病率有显著性差异(分别为6.99%,34.12%,P＜0.05);少数全身病情严重者可在32wk前发生ROP;患儿行冷凝术36例,手术效果满意.结论:体质量＜1 500g,胎龄＜31wk,多生子中发病率高;及早行冷冻术病情控制满意.
목적:총결조산인시망막병변(retinopathy of prematurity,ROP)발생발전특점급상관위험인소,탐토기합리적사사표준화치료모식.방법:대태령≤35wk,체질량≤2500g적1626례조산인진행ROP사사,병대기림상특점진행총결.결과:발현ROP173례(10.64%);출생체질량≤1 000g조,1001～1500 g조,1501～2000 g조,2001～2500 g조환병백분비유현저성차이(분별위89.64%,29.71%,7.82%,1.29%,P＜0.05);출생태령≤30wk조,30wk＜출생태령≤32wk조,32wk＜출생태령≤35wk조간ROP환병백분비유현저성차이(분별위31.11%,12.24%,4.04%,P＜0.05);단생자여다생자환병솔유현저성차이(분별위6.99%,34.12%,P＜0.05);소수전신병정엄중자가재32wk전발생ROP;환인행냉응술36례,수술효과만의.결론:체질량＜1 500g,태령＜31wk,다생자중발병솔고;급조행냉동술병정공제만의.