Coe Kristi
Department of Research Affairs, Duke University School of Nursing, Durham, NC 27708, USA.
J Obstet Gynecol Neonatal Nurs. 2007 May-Jun;36(3):288-92. doi: 10.1111/j.1552-6909.2007.00151.x.
One of the problems that plagues premature infants is retinopathy of prematurity, a potentially blinding disease that occurs because the retina is immature before 34 weeks gestation and must develop in a suboptimal environment when a baby is born early. Prevention by minimizing oxygen exposure has been somewhat effective, but survival of the tiniest babies has led to a recent resurgence in cases. Oxygen targeting and early surgery show promise to reduce the risk of blindness in the smallest premature infants. Nurses play an important role in oxygen management and parental support.
困扰早产儿的问题之一是早产儿视网膜病变,这是一种可能导致失明的疾病,其发生是因为视网膜在妊娠34周前不成熟,而当婴儿早产时,视网膜必须在次优环境中发育。通过尽量减少氧气暴露进行预防已取得一定成效,但最小的婴儿存活下来导致近期病例有所回升。氧气靶向治疗和早期手术有望降低最小早产儿失明的风险。护士在氧气管理和对家长的支持方面发挥着重要作用。