中国实用眼科杂志
中國實用眼科雜誌
중국실용안과잡지
CHINESE JOURNAL OF PRACTICAL OPHTHALMOLOGY
2013年
8期
1058-1060
,共3页
多胎妊娠%早产儿%RetCamⅡ%早产儿视网膜病变
多胎妊娠%早產兒%RetCamⅡ%早產兒視網膜病變
다태임신%조산인%RetCamⅡ%조산인시망막병변
Multiple pregnancy%Premature%RetCamⅡ%ROP
目的 观察多胎妊娠早产儿ROP的发生情况,探讨相关危险因素.方法 191例多胎妊娠早产儿纳入研究,所有患儿均由经验丰富的视网膜专科医师用二代广角数码视网膜成像系统(RetCamⅡ)进行检查,研究早产儿视网膜病变(Retinopathy of prematurity,ROP)的发生率及其与胎龄、出生体重、分娩方式及有无吸氧史的关系.应用SPSS17.0统计软件分析结果.结果 191例多胎妊娠早产儿ROP发生率9.95％ (19/191),发现ROP征象的19例患儿有明确吸氧史者16例.双胎妊娠ROP发生率8.79％ (16/182);三胎妊娠ROP发生率33.33％(3/9)；顺产100例8例发现ROP,剖宫产91例11例发现ROP; 19例ROP患儿平均出生体重(1.47±0.45) kg,无ROP的172例早产儿平均出生体重(1.90±0.45) kg,两组出生体重比较具有统计学意义(t=3.91.P=0.0001); 19例ROP患儿出生时胎龄平均(29.53±2.25)周,未出现ROP的172例早产儿平均胎龄(32.93±2.93)周,两组出生胎龄比较具有统计学意义(t =6.75,P＜0.0001).结论 多胎妊娠早产儿ROP发生率较高,胎龄、出生体重是ROP发生的重要危险因素.
目的 觀察多胎妊娠早產兒ROP的髮生情況,探討相關危險因素.方法 191例多胎妊娠早產兒納入研究,所有患兒均由經驗豐富的視網膜專科醫師用二代廣角數碼視網膜成像繫統(RetCamⅡ)進行檢查,研究早產兒視網膜病變(Retinopathy of prematurity,ROP)的髮生率及其與胎齡、齣生體重、分娩方式及有無吸氧史的關繫.應用SPSS17.0統計軟件分析結果.結果 191例多胎妊娠早產兒ROP髮生率9.95％ (19/191),髮現ROP徵象的19例患兒有明確吸氧史者16例.雙胎妊娠ROP髮生率8.79％ (16/182);三胎妊娠ROP髮生率33.33％(3/9)；順產100例8例髮現ROP,剖宮產91例11例髮現ROP; 19例ROP患兒平均齣生體重(1.47±0.45) kg,無ROP的172例早產兒平均齣生體重(1.90±0.45) kg,兩組齣生體重比較具有統計學意義(t=3.91.P=0.0001); 19例ROP患兒齣生時胎齡平均(29.53±2.25)週,未齣現ROP的172例早產兒平均胎齡(32.93±2.93)週,兩組齣生胎齡比較具有統計學意義(t =6.75,P＜0.0001).結論 多胎妊娠早產兒ROP髮生率較高,胎齡、齣生體重是ROP髮生的重要危險因素.
목적 관찰다태임신조산인ROP적발생정황,탐토상관위험인소.방법 191례다태임신조산인납입연구,소유환인균유경험봉부적시망막전과의사용이대엄각수마시망막성상계통(RetCamⅡ)진행검사,연구조산인시망막병변(Retinopathy of prematurity,ROP)적발생솔급기여태령、출생체중、분면방식급유무흡양사적관계.응용SPSS17.0통계연건분석결과.결과 191례다태임신조산인ROP발생솔9.95％ (19/191),발현ROP정상적19례환인유명학흡양사자16례.쌍태임신ROP발생솔8.79％ (16/182);삼태임신ROP발생솔33.33％(3/9)；순산100례8례발현ROP,부궁산91례11례발현ROP; 19례ROP환인평균출생체중(1.47±0.45) kg,무ROP적172례조산인평균출생체중(1.90±0.45) kg,량조출생체중비교구유통계학의의(t=3.91.P=0.0001); 19례ROP환인출생시태령평균(29.53±2.25)주,미출현ROP적172례조산인평균태령(32.93±2.93)주,량조출생태령비교구유통계학의의(t =6.75,P＜0.0001).결론 다태임신조산인ROP발생솔교고,태령、출생체중시ROP발생적중요위험인소.
Objective To observe the occurrence of multiple pregnancy premature ROP (Retinopathy of prematurity,ROP),and to discuss the related risk factors.Methods Of 191 cases of multiple pregnancy premature included in the study,fundus examinations were performed with Retcam Ⅱ,the incidence of the ROP and and its relationship with related risk factors were studied.The SPSS 17.0 software was applied in the statistical analysis.Results The incidence of ROP was 9.95％ (19/191) in 191 cases of multiple pregnancy premature,twins was 8.79％ (16/182); triplets were 33.33％(3/9).The average birth weight of 19 infants with ROP was (1.47±0.45) kg,172 cases without ROP was (1.90 ±0.45) kg,birth weight between two groups had statistical significance (t =3.91,P =0.0001); The average born age of 19 infants with ROP was (29.53 ±2.25) weeks,172 cases without ROP was (32.93 ±2.93) weeks,between the two groups,born age had statistical significance (t =6.75,P ＜0.0001).Conclusions The incidence of ROP with multiple pregnancy premature is higher,gestational age and birth weight are important risk factors for ROP.
