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土耳其一家三级护理医院中早产儿视网膜病变的发生率、危险因素及预后

Frequency, risk factors and outcomes of retinopathy of prematurity in a tertiary care hospital in Turkey.

作者信息

Küçükevcilioğlu Murat, Mutlu Fatih Mehmet, Sarıcı Serdar Umit, Ceylan Osman Melih, Altınsoy Halil Ibrahim, Kılıç Selim, Cekmez Ferhat

机构信息

Department of Ophthalmology, Gülhane Military Medical Academy and Faculty of Medicine, Ankara, Turkey.

出版信息

Turk J Pediatr. 2013 Sep-Oct;55(5):467-74.

Abstract

The aim was to report outcomes of retinopathy of prematurity (ROP) screening conducted between March 1999 and March 2012 in a retrospective manner before October 2005 (Group 1) and prospective manner thereafter (Group 2). Data of the neonates with either a gestational age of 34 weeks or less or with a birth weight of less than 1501 g were analyzed to elucidate the frequency of ROP, ROP-related risk factors and population characteristics. Of the 640 neonates, 240 (37.5%) had any stage of ROP. Gestational age ≤32 weeks, birth weight <1500 g, oxygen therapy, respiratory distress syndrome, and sepsis were found as independent determinants for any stage of ROP. Gestational age ≤28 weeks, mechanical ventilation, intraventricular hemorrhage, and outborn infant status were found as independent determinants for treatmentrequiring severe ROP (8.6%). Frequency of ROP did not seem to follow a decreasing trend; however, neonates in Group 2 were more immature and sicker. Therefore, check-backs seem to be necessary to follow the dynamic nature of ROP.

摘要

目的是以回顾性方式报告1999年3月至2005年10月期间(第1组)以及此后以前瞻性方式进行的早产儿视网膜病变(ROP)筛查的结果(第2组)。分析胎龄34周及以下或出生体重低于1501g的新生儿数据,以阐明ROP的发生率、ROP相关危险因素和人群特征。在640例新生儿中,240例(37.5%)患有任何阶段的ROP。胎龄≤32周、出生体重<1500g、氧疗、呼吸窘迫综合征和败血症被发现是任何阶段ROP的独立决定因素。胎龄≤28周、机械通气、脑室内出血和外院出生婴儿状态被发现是需要治疗的严重ROP(8.6%)的独立决定因素。ROP的发生率似乎没有呈下降趋势;然而,第2组的新生儿更不成熟且病情更严重。因此,似乎有必要进行复查以跟踪ROP的动态变化。

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