CAJ | 학술논문

目的：了解佛山市三级医院早产儿视网膜病变（ ROP）的防治现状及其影响因素，为进一步规范早产儿用氧及提高ROP防治水平提供参考依据。方法采用多中心回顾性研究方法，设计临床调查表，对2012年佛山市共24家各级医院ROP防治情况进行调查并汇总分析。结果全市24家医院2012年共收治早产儿4763例，出生体重＜2000 g者2232例，＜1500 g者753例，＜1000 g者57例；有12家医院已开展ROP筛查，普及率50％，其中10家为本院筛查，2家送本市其他医院筛查；全市共筛查早产儿1596例，检出ROP 59例，检出率为3.7％，其中达阈值ROP者11例，检出率为0.69％。全市尚未开展ROP治疗。结论佛山市三级甲等医院NICU在早产儿用氧及ROP筛查方面已取得相当成绩，一级医院及大部分二级医院筛查率和阳性率低，氧疗设施不齐、氧浓度监测不力、ROP防治意识不强、缺乏专业培训及眼科专业人才等，需要建立一个规范的筛查管理模式来加强佛山市ROP防治工作。
목적：료해불산시삼급의원조산인시망막병변（ ROP）적방치현상급기영향인소，위진일보규범조산인용양급제고ROP방치수평제공삼고의거。방법채용다중심회고성연구방법，설계림상조사표，대2012년불산시공24가각급의원ROP방치정황진행조사병회총분석。결과전시24가의원2012년공수치조산인4763례，출생체중＜2000 g자2232례，＜1500 g자753례，＜1000 g자57례；유12가의원이개전ROP사사，보급솔50％，기중10가위본원사사，2가송본시기타의원사사；전시공사사조산인1596례，검출ROP 59례，검출솔위3.7％，기중체역치ROP자11례，검출솔위0.69％。전시상미개전ROP치료。결론불산시삼급갑등의원NICU재조산인용양급ROP사사방면이취득상당성적，일급의원급대부분이급의원사사솔화양성솔저，양료설시불제、양농도감측불력、ROP방치의식불강、결핍전업배훈급안과전업인재등，수요건립일개규범적사사관리모식래가강불산시ROP방치공작。
Objective To investigate the current situation of retinopathy of prematurity ( ROP) management in tertiary hospitals of Foshan City and associated factors for evidence of standard oxygen therapy in preterm infants and fur-ther improvement of ROP management.Methods This was a retrospective multicenter investigation.Data of ROP man-agement in 24 hospitals of Foshan City in 2012 were collected via a clinically oriented questionnaire and analyzed.Results 4 783 cases of premature infants were treated in 24 hospitals in 2012, among them 2 232 cases with birth weight ( BW)<2 000 g, 753 cases with BW<1 500 g, and 57 cases with BW<1 000 g.12(50%) hospitals had ROP screening, 10 of whom conducted screening on their own and 2 of whom performed send-out screening.A total of 1 596 cases had been screened and 59 were positive for ROP,with a detection rate of 3.7%.Among 59 positive cases, 11 threshold ROP cases were detected with a detection rate of 0.69%.ROP treatment was not available in any hospital of Foshan City.Conclu-sion Tertiary hospitals of Foshan have considerable achievement in the aspect of oxygen therapy and ROP management. However, the screening rate and detection rate are low in most hospitals of lower levels.Problems exist including insuffi-cient oxygen therapy equipment, inadequate oxygen concentration monitoring, low ROP prevention awareness, lack of pro-fessional training and ophthalmology specialty staff.A standard paradigm of ROP management is strongly suggested to im-prove the overall quality of ROP management in Foshan City.