Niwald Anna, Krajewski Paweł, Orawiec Beata, Piotrowski Andrzej, Grałek Mirosława
Z Kliniki Okulistyki Dzieciecej Instytutu Pediatrii Uniwersytetu Medycznego w Lodzi.
Klin Oczna. 2005;107(7-9):471-4.
The aim of the study was to determine the prognostic value of some pathologies related to prematurity in the development of stage 3 ROP in children with extremely low birth-weight. The group of 35 prematures with diagnosed 3rd stage ROP and 64 prematures without ROP was examined. The presence of the respiratory distress syndrome (RDS), persistent ductus arteriosus (PDA), necrotizing enterocolitis (NEC) and intraventricular haemorrhages (IVH) were analyzed. RDS was more frequent in prematures with 3rd stage ROP (p=0.005, OR=3.59). There was significant difference between the frequency of IVH in both groups (p = 0.03), but the odds ratio was significantly high only in the children with the 3rd stage IVH (OR=2.42). PDA was diagnosed more frequently in children with 3rd stage ROP but the difference was not statistically significant (p= 0.1 52, OR=1.80). There was significant difference between the groups when comparing the incidence of NEC (p=0.03, OR=3.34). The pathologies of the prematurity such as RDS, NEC and grade III IVH are the predictive factors for the development of stage 3 ROP (p=0.03, OR=3.34).
本研究的目的是确定与早产相关的某些病理情况在极低出生体重儿童3期视网膜病变(ROP)发展中的预后价值。对35例诊断为3期ROP的早产儿和64例无ROP的早产儿进行了检查。分析了呼吸窘迫综合征(RDS)、动脉导管未闭(PDA)、坏死性小肠结肠炎(NEC)和脑室内出血(IVH)的存在情况。3期ROP早产儿中RDS更为常见(p = 0.005,比值比[OR]=3.59)。两组IVH的发生率存在显著差异(p = 0.03),但仅在3期IVH患儿中比值比显著升高(OR = 2.42)。3期ROP患儿中PDA的诊断更为频繁,但差异无统计学意义(p = 0.152,OR = 1.80)。比较NEC的发生率时,两组之间存在显著差异(p = 0.03,OR = 3.34)。早产相关的病理情况,如RDS、NEC和III级IVH是3期ROP发展的预测因素(p = 0.03,OR = 3.34)。