Gergely K, Gerinec A
Faculty of Medicine, Comenius University, Bratislava, Slovakia.
Bratisl Lek Listy. 2010;111(9):514-7.
Currently, there are enough financial resources in industrial most developed countries to provide quality health care to the risk population of premature children. Neonatological units are equipped with state-of-the-art technological background, and highly qualified personnel are employed at the units. This as well allows providing optimum care of extremely immature newborns. ROP prevalence in these countries reaches approximately 5-8%. Today, a boom of surviving premature newborns can be seen in countries with medium-developed economy. Nevertheless, limited financing resources do not allow for standard high-level care. In such countries, the prevalence reaches up to 30%. In this respect, the "third ROP epidemic" is mentioned. Birth weight and gestational age parameters achieve significantly lower values in ROP-infants than in those not affected by the disease. Higher number of surviving immature newborns correlates with an increased risk of advanced ROP stages occurrence, while the frequency and degree of the disease are of inverse nature to the gestational age and birth weight (Tab. 1, Ref. 39).
目前,在工业最发达国家有足够的财政资源为早产儿风险人群提供优质医疗保健。新生儿科配备了最先进的技术设备,并且单位雇佣了高素质的人员。这也使得能够为极不成熟的新生儿提供最佳护理。这些国家的ROP患病率约为5-8%。如今,在中等发达经济体的国家可以看到存活早产儿数量的激增。然而,有限的财政资源不允许提供标准的高水平护理。在这些国家,患病率高达30%。在这方面,提到了“第三次ROP流行”。ROP患儿的出生体重和胎龄参数明显低于未受该疾病影响的患儿。存活的不成熟新生儿数量增加与晚期ROP阶段发生风险增加相关,而疾病的频率和程度与胎龄和出生体重呈反比关系(表1,参考文献39)。