中华眼视光学与视觉科学杂志
中華眼視光學與視覺科學雜誌
중화안시광학여시각과학잡지
CHINESE JOURNAL OF OPTOMETRY OPHTHALMOLOGY AND VISUAL SCIENCE
2012年
3期
148-152
,共5页
毛剑波%李丽红%李娜%汤虹芳%蒋珊珊%康映红%董俊媚%唐瑛%沈丽君
毛劍波%李麗紅%李娜%湯虹芳%蔣珊珊%康映紅%董俊媚%唐瑛%瀋麗君
모검파%리려홍%리나%탕홍방%장산산%강영홍%동준미%당영%침려군
RetCam%婴儿,新生%视网膜出血%自然分娩%剖宫产术%分娩过程
RetCam%嬰兒,新生%視網膜齣血%自然分娩%剖宮產術%分娩過程
RetCam%영인,신생%시망막출혈%자연분면%부궁산술%분면과정
RetCam%Infant,newborn%Retinal hemorrhage%Natural childbirth%Cesarean section%Labor,obstetric
目的 应用广角数码视网膜图像采集系统(RetCam Ⅱ)研究新生儿视网膜出血的发生情况,并分析视网膜出血的影响因素.方法 横断面研究.2010年8月至2011年8月在昆明市妇幼保健院出生的3646例新生儿,在出生3d内采用RetCam Ⅱ拍摄眼底照片,观察新生儿视网膜出血的发生情况.根据不同的分娩方式,将新生儿分为经阴道分娩组(1833例)和剖宫产组(1813例),使用卡方检验比较不同分娩方式的视网膜出血发生率.并对经阴道分娩组和剖宫产组的胎儿性别、胎儿体重、产程、产妇年龄、孕周以及是否发生胎儿宫内窘迫进行计数.使用卡方检验分析经阴道分娩和剖宫产新生儿发生视网膜出血的相关因素.结果 新生儿视网膜出血总体发生率为20.50％ (747/3646),6.80％ (248/3646)单眼发病,13.69％ (499/3646)双眼发病.其中经阴道分娩的新生儿发生率为36.66％(672/1833),高于剖宫产组的4.14％(75/1813)(X2=591.800,p＜0.01).在经阴道分娩的新生儿中,产程短者(＜6 h)的发生率为39.0％(337/864),高于产程长者(≥6 h)的34.6％ (335/969)(X2=4.055,P=0.044)；胎儿宫内窘迫者发生率为61.0％(100/164),高于非胎儿宫内窘迫者新生儿视网膜出血的发生率(34.3％,572/1669) (X2=45.856,P＜0.01).而经阴道分娩组和剖宫产组新生儿性别、体重、产妇年龄、孕周差异无统计学意义.结论 RetCam Ⅱ可以很好地记录新生儿视网膜出血.新生儿视网膜出血与分娩方式有关,经阴道产中与是否发生胎儿宫内窘迫及产程长短有关,而与新生儿性别、体重、产妇年龄、孕周无明显关系.
目的 應用廣角數碼視網膜圖像採集繫統(RetCam Ⅱ)研究新生兒視網膜齣血的髮生情況,併分析視網膜齣血的影響因素.方法 橫斷麵研究.2010年8月至2011年8月在昆明市婦幼保健院齣生的3646例新生兒,在齣生3d內採用RetCam Ⅱ拍攝眼底照片,觀察新生兒視網膜齣血的髮生情況.根據不同的分娩方式,將新生兒分為經陰道分娩組(1833例)和剖宮產組(1813例),使用卡方檢驗比較不同分娩方式的視網膜齣血髮生率.併對經陰道分娩組和剖宮產組的胎兒性彆、胎兒體重、產程、產婦年齡、孕週以及是否髮生胎兒宮內窘迫進行計數.使用卡方檢驗分析經陰道分娩和剖宮產新生兒髮生視網膜齣血的相關因素.結果 新生兒視網膜齣血總體髮生率為20.50％ (747/3646),6.80％ (248/3646)單眼髮病,13.69％ (499/3646)雙眼髮病.其中經陰道分娩的新生兒髮生率為36.66％(672/1833),高于剖宮產組的4.14％(75/1813)(X2=591.800,p＜0.01).在經陰道分娩的新生兒中,產程短者(＜6 h)的髮生率為39.0％(337/864),高于產程長者(≥6 h)的34.6％ (335/969)(X2=4.055,P=0.044)；胎兒宮內窘迫者髮生率為61.0％(100/164),高于非胎兒宮內窘迫者新生兒視網膜齣血的髮生率(34.3％,572/1669) (X2=45.856,P＜0.01).而經陰道分娩組和剖宮產組新生兒性彆、體重、產婦年齡、孕週差異無統計學意義.結論 RetCam Ⅱ可以很好地記錄新生兒視網膜齣血.新生兒視網膜齣血與分娩方式有關,經陰道產中與是否髮生胎兒宮內窘迫及產程長短有關,而與新生兒性彆、體重、產婦年齡、孕週無明顯關繫.
목적 응용엄각수마시망막도상채집계통(RetCam Ⅱ)연구신생인시망막출혈적발생정황,병분석시망막출혈적영향인소.방법 횡단면연구.2010년8월지2011년8월재곤명시부유보건원출생적3646례신생인,재출생3d내채용RetCam Ⅱ박섭안저조편,관찰신생인시망막출혈적발생정황.근거불동적분면방식,장신생인분위경음도분면조(1833례)화부궁산조(1813례),사용잡방검험비교불동분면방식적시망막출혈발생솔.병대경음도분면조화부궁산조적태인성별、태인체중、산정、산부년령、잉주이급시부발생태인궁내군박진행계수.사용잡방검험분석경음도분면화부궁산신생인발생시망막출혈적상관인소.결과 신생인시망막출혈총체발생솔위20.50％ (747/3646),6.80％ (248/3646)단안발병,13.69％ (499/3646)쌍안발병.기중경음도분면적신생인발생솔위36.66％(672/1833),고우부궁산조적4.14％(75/1813)(X2=591.800,p＜0.01).재경음도분면적신생인중,산정단자(＜6 h)적발생솔위39.0％(337/864),고우산정장자(≥6 h)적34.6％ (335/969)(X2=4.055,P=0.044)；태인궁내군박자발생솔위61.0％(100/164),고우비태인궁내군박자신생인시망막출혈적발생솔(34.3％,572/1669) (X2=45.856,P＜0.01).이경음도분면조화부궁산조신생인성별、체중、산부년령、잉주차이무통계학의의.결론 RetCam Ⅱ가이흔호지기록신생인시망막출혈.신생인시망막출혈여분면방식유관,경음도산중여시부발생태인궁내군박급산정장단유관,이여신생인성별、체중、산부년령、잉주무명현관계.
Objective To determine the incidence of retinal hemorrhage in newborns with wide-field contact digital fundus camera (RetCam Ⅱ),and also aimed to define risk factors of neonatal retinal hemorrhage.Methods In this cross-sectional study, 3646 neonates who were born between August 2010 and August 2011 in Kunming Maternal and Children's Hospital.Fundus examination was performed on these neonates within 3 days after birth using the RetCam Ⅱ. Among the 3646 newborns, 1833 were born through vaginal delivery and 1813 through cesarean section.Demographic data was obtained including sex, birth weight, delivery process, fetal distress, puerpera age and gestational age for the analysis of risk factors.Data were analyzed with chi-square test.Results The incidence of neonatal retinal hemorrhage was 20.50％(747/3646).Monocular retinal hemorrhage was detected on 6.80％(248/3646) neonates and binocular retinal hemorrhage was detected on 13.69％(499/3646) neonates.The retinal hemorrhage incidence in vaginal delivery group (36.66％) was much higher than cesarean delivery group (4.14％) (X2=591.800,P＜0.01).Among all neonates delivered through the vagina, neonates having short birth process (＜6 h) had higher incidence of retinal hemorrhage (39.0％,337/864) than those had long birth process (≥6 h) (34.6％,335/969) (X2=4.055,P=0.044).Neonates experiencing fetal distress had higher incidence of retinal hemorrhage (61.0％,100/164) than neonates not experiencing fetal distress (34.3％, 572/1669) (X2=45.856.P＜0.01).However,the neonatal sex,weight,puerpera age,and gestational age did not show great differences on retinal hemorrhage.Conclusion The RetCam provides excellent documentation of retinal hemorrhages.Delivery method is most likely the greatest risk factor for retinal hemorrhages, with fetal distress,short birth process also influencing risk to varying degrees.
