中华眼底病杂志
中華眼底病雜誌
중화안저병잡지
CHINESE JOURNAL OF OCULAR FUNDUS DISEASES
2015年
2期
153-156
,共4页
张建萍%马金瑜%韦丽芳%莫海明%吴凯林
張建萍%馬金瑜%韋麗芳%莫海明%吳凱林
장건평%마금유%위려방%막해명%오개림
视网膜出血/病因学%视网膜出血/诊断%婴儿,新生%影响因素分析
視網膜齣血/病因學%視網膜齣血/診斷%嬰兒,新生%影響因素分析
시망막출혈/병인학%시망막출혈/진단%영인,신생%영향인소분석
Retinal hemorrhage/etiology%Retinal hemorrhage/diagnosis%Infant,newborn%Root cause analysis
目的 观察新生儿眼底出血的发生情况,探讨其相关影响因素.方法 9558名出生后0～4 d的新生儿纳入观察.采用第三代广角数码儿童视网膜成像系统进行眼底检查,眼底出血程度分为Ⅰ、Ⅱ、Ⅲ度.记录新生儿出生时情况及母亲孕期、分娩时状况.进入统计的因素包括双胎、早产、巨大儿、分娩方式、出生胎位、产钳助产、吸引器助产、窒息、病理性黄疸、ABO溶血、头颅血肿、颅内出血、产妇年龄、初产妇、经产妇中前次生产方式、急产、第一产程延长、第二产程延长、第三产程延长、妊娠高血压、妊娠糖尿病、催产素、孕妇产后体重指数(BMI)值.多因素logistic回归分析.结果 发现眼底出血者2753例,占28.8％;未发现眼底出血者6805例,占71.2％.2753例眼底出血的患儿中,出血程度为Ⅰ度者1137例,占41.3％;Ⅱ度者895例,占32.5％;Ⅲ度者721例,占26.2％.多因素logistic回归分析结果显示,分娩方式、窒息、病理性黄疸、高龄产妇、经产妇前次顺产、孕妇产后BMI值是新生儿眼底出血的影响因素(r2=0.146、5.841、1.847、0.071、0.246、1.770,P＜0.05).眼底出血程度与新生儿体重、孕妇产后BMI值均无相关(F=1.321、0.545,P＞0.05).结论 新生儿眼底出血发生率为28.8％.分娩方式、窒息、病理性黄疸、高龄产妇、经产妇中前次生产方式、孕妇产后BMI值是影响眼底出血的因素.
目的 觀察新生兒眼底齣血的髮生情況,探討其相關影響因素.方法 9558名齣生後0～4 d的新生兒納入觀察.採用第三代廣角數碼兒童視網膜成像繫統進行眼底檢查,眼底齣血程度分為Ⅰ、Ⅱ、Ⅲ度.記錄新生兒齣生時情況及母親孕期、分娩時狀況.進入統計的因素包括雙胎、早產、巨大兒、分娩方式、齣生胎位、產鉗助產、吸引器助產、窒息、病理性黃疸、ABO溶血、頭顱血腫、顱內齣血、產婦年齡、初產婦、經產婦中前次生產方式、急產、第一產程延長、第二產程延長、第三產程延長、妊娠高血壓、妊娠糖尿病、催產素、孕婦產後體重指數(BMI)值.多因素logistic迴歸分析.結果 髮現眼底齣血者2753例,佔28.8％;未髮現眼底齣血者6805例,佔71.2％.2753例眼底齣血的患兒中,齣血程度為Ⅰ度者1137例,佔41.3％;Ⅱ度者895例,佔32.5％;Ⅲ度者721例,佔26.2％.多因素logistic迴歸分析結果顯示,分娩方式、窒息、病理性黃疸、高齡產婦、經產婦前次順產、孕婦產後BMI值是新生兒眼底齣血的影響因素(r2=0.146、5.841、1.847、0.071、0.246、1.770,P＜0.05).眼底齣血程度與新生兒體重、孕婦產後BMI值均無相關(F=1.321、0.545,P＞0.05).結論 新生兒眼底齣血髮生率為28.8％.分娩方式、窒息、病理性黃疸、高齡產婦、經產婦中前次生產方式、孕婦產後BMI值是影響眼底齣血的因素.
목적 관찰신생인안저출혈적발생정황,탐토기상관영향인소.방법 9558명출생후0～4 d적신생인납입관찰.채용제삼대엄각수마인동시망막성상계통진행안저검사,안저출혈정도분위Ⅰ、Ⅱ、Ⅲ도.기록신생인출생시정황급모친잉기、분면시상황.진입통계적인소포괄쌍태、조산、거대인、분면방식、출생태위、산겸조산、흡인기조산、질식、병이성황달、ABO용혈、두로혈종、로내출혈、산부년령、초산부、경산부중전차생산방식、급산、제일산정연장、제이산정연장、제삼산정연장、임신고혈압、임신당뇨병、최산소、잉부산후체중지수(BMI)치.다인소logistic회귀분석.결과 발현안저출혈자2753례,점28.8％;미발현안저출혈자6805례,점71.2％.2753례안저출혈적환인중,출혈정도위Ⅰ도자1137례,점41.3％;Ⅱ도자895례,점32.5％;Ⅲ도자721례,점26.2％.다인소logistic회귀분석결과현시,분면방식、질식、병이성황달、고령산부、경산부전차순산、잉부산후BMI치시신생인안저출혈적영향인소(r2=0.146、5.841、1.847、0.071、0.246、1.770,P＜0.05).안저출혈정도여신생인체중、잉부산후BMI치균무상관(F=1.321、0.545,P＞0.05).결론 신생인안저출혈발생솔위28.8％.분면방식、질식、병이성황달、고령산부、경산부중전차생산방식、잉부산후BMI치시영향안저출혈적인소.
Objective To investigate the related factors of the retinal hemorrhage in newborns.Methods 9558 newborns included in this observation between March of 2012 and July of 2013 in our hospital.The fundus was examined by the fully-integrated wide-field digital imaging system RetCam Ⅲ at 0-4 days after born.According to the literature,retinal hemorrhage was classified into degree Ⅰ,Ⅱ and Ⅲ.The condition for baby and the mother during pregnancy were correlatively analyzed.The other factors were analyzed including twins,premature delivery,big baby,mode of delivery,fetal birth,forceps delivery,suction delivery,asphyxia,jaundice,ABO hemolytic,cranial hematoma,intracranial hemorrhage,maternal age,first-time mom,the maternal previous mode of production,emergency delivery,the first stage of labor prolonged,the second stage of labor prolonged,the third stage of labor prolonged,pregnancyinduced hypertension,gestational diabetes,oxytocin,prenatal body mass index (BMI).Multivariate logistic regression analysis was used.Results In 9558 cases of newborns,retinal hemorrhages were found in 2753 infants (28.8％),including 1137 degree Ⅰ (41.3％),895 degree Ⅱ (32.5％) and 721 degree Ⅲ (26.2％).Multivariate logistic regression analysis showed that the mode of delivery,asphyxia,jaundice,advanced maternal age,maternal previous birth,prenatal BMI is a risk factor for neonatal values retinal hemorrhage (r=0.146,5.841,1.847,0.071,0.246,0.965;P＜0.05).The degree of fundus hemorrhage was not related to birth weight and BMI (P ＞ 0.05).Conclusions The neonatal retinal hemorrhage rate was 28.8％.Mode of delivery,asphyxia,neonatal jaundice,maternal age,the previous mode of delivery of mothers with more than one previous birth,prenatal BMI values may be risk factors lead to retinal hemorrhage.
