中国社区医师
中國社區醫師
중국사구의사
Chinese Community Doctors
2014年
16期
56-57
,共2页
新生儿%视网膜出血%产科
新生兒%視網膜齣血%產科
신생인%시망막출혈%산과
Newborn%Retinal hemorrhage%Obstetrics
目的：探讨新生儿视网膜出血与产科临床的关系，把新生儿视网膜出血作为观察围产期新生儿健康状况的指标之一。方法：2011年1月-2012年1月出生的新生儿中入选300例，在出生24小时内做全身检查的同时，着重进行眼底检查。检查眼底前，先用1%复方托品酰胺10g/L点眼散瞳，30～45分钟后，用直接检眼镜检查眼底，并由有经验的眼科医生复查，将所得资料按项目归类。结果：新生儿视网膜总出血率16.7%；重度子痫前期较轻、中度子痫前期发生视网膜出血高；新生儿性别、体重与视网膜出血的关系：男婴134例，32例视网膜出血(3.9%)，女婴166例，32例视网膜出血(19.6%)，P＞0.05。新生儿体重与视网膜出血的关系：有随体重增加出血率增高的趋势，但P＞0.05，差异无统计学意义。新生儿视网膜出血与胎儿窘迫和产程差异无统计学意义(P＞0.05)。经阴道分娩的新生儿有视网膜出血率(25.2%)大于剖宫产。头位吸引器助产新生儿视网膜出血38.9%。结论：新生儿视网膜出血与产科临床的关系密切，值得我们临床重视。
目的：探討新生兒視網膜齣血與產科臨床的關繫，把新生兒視網膜齣血作為觀察圍產期新生兒健康狀況的指標之一。方法：2011年1月-2012年1月齣生的新生兒中入選300例，在齣生24小時內做全身檢查的同時，著重進行眼底檢查。檢查眼底前，先用1%複方託品酰胺10g/L點眼散瞳，30～45分鐘後，用直接檢眼鏡檢查眼底，併由有經驗的眼科醫生複查，將所得資料按項目歸類。結果：新生兒視網膜總齣血率16.7%；重度子癇前期較輕、中度子癇前期髮生視網膜齣血高；新生兒性彆、體重與視網膜齣血的關繫：男嬰134例，32例視網膜齣血(3.9%)，女嬰166例，32例視網膜齣血(19.6%)，P＞0.05。新生兒體重與視網膜齣血的關繫：有隨體重增加齣血率增高的趨勢，但P＞0.05，差異無統計學意義。新生兒視網膜齣血與胎兒窘迫和產程差異無統計學意義(P＞0.05)。經陰道分娩的新生兒有視網膜齣血率(25.2%)大于剖宮產。頭位吸引器助產新生兒視網膜齣血38.9%。結論：新生兒視網膜齣血與產科臨床的關繫密切，值得我們臨床重視。
목적：탐토신생인시망막출혈여산과림상적관계，파신생인시망막출혈작위관찰위산기신생인건강상황적지표지일。방법：2011년1월-2012년1월출생적신생인중입선300례，재출생24소시내주전신검사적동시，착중진행안저검사。검사안저전，선용1%복방탁품선알10g/L점안산동，30～45분종후，용직접검안경검사안저，병유유경험적안과의생복사，장소득자료안항목귀류。결과：신생인시망막총출혈솔16.7%；중도자간전기교경、중도자간전기발생시망막출혈고；신생인성별、체중여시망막출혈적관계：남영134례，32례시망막출혈(3.9%)，녀영166례，32례시망막출혈(19.6%)，P＞0.05。신생인체중여시망막출혈적관계：유수체중증가출혈솔증고적추세，단P＞0.05，차이무통계학의의。신생인시망막출혈여태인군박화산정차이무통계학의의(P＞0.05)。경음도분면적신생인유시망막출혈솔(25.2%)대우부궁산。두위흡인기조산신생인시망막출혈38.9%。결론：신생인시망막출혈여산과림상적관계밀절，치득아문림상중시。
Objective:To investigate the relationship between obstetric clinical and retinal hemorrhage in the newborn,if we take the retinal hemorrhage in the newborn as one of the markers of perinatal newborn health.Methods:300 newborns were selected from January 2011~January 2012.We focused on the fundus examination when made the thorough examination within 24 hours of birth.Before the fundus examination,using the 1% 10g/L compound tropicamide to pupil dilation in the eyes,after 30~45 minutes,we used the direct ophthalmoscope to examine the fundus,and reviewed by the experienced physician in the department of ophthalmology.Then we classified the datas according to the project.Results:The total bleeding rate of retinal hemorrhage in the newborn was 16.7%. The rate of retinal hemorrhage of severe preeclampsia is higher than lighter and moderate preeclampsia.The relationship between the newborn sex,weight and the retinal hemorrhage:134 cases were male,and 32 cases(23.9%) were retinal hemorrhage.166 cases were female,and 32 cases(19.6%) were retinal hemorrhage,P>0.05.The relationship between birth weight and retinal hemorrhage:the bleeding rate increased with the increase of body weight,but P>0.05,there was no significant. Fetal distress and labor had not significant influence on retina hemorrhage (P>0.05).The retinal hemorrhage rate of vaginal delivery (25.2%) was higher than cesarean section.The retinal hemorrhage of head attractor midwifery newborn was 38.9%.Conclusion:The relationship between retinal hemorrhage in the newborn and obstetrics is closely,so it is worthy of our attention in clinical.
