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土耳其一家三级眼科科室对早产儿视网膜病变的筛查:发病率、结局及危险因素

Screening for retinopathy of prematurity in a tertiary ophthalmology department in Turkey: incidence, outcomes, and risk factors.

作者信息

Cerman Eren, Balci Sevcan Yildiz, Yenice Ozlem Sahin, Kazokoglu Haluk, Celiker Hande, Eraslan Muhsin

出版信息

Ophthalmic Surg Lasers Imaging Retina. 2014 Nov-Dec;45(6):550-5. doi: 10.3928/23258160-20141118-10.

Abstract

BACKGROUND AND OBJECTIVE

The aim of this study is to determine the incidence of retinopathy of prematurity (ROP), the number of preterm infants requiring treatment for ROP, and the factors influencing the development of ROP requiring treatment in a Turkish population.

PATIENTS AND METHODS

Data on 1,252 infants who were screened for ROP in an ophthalmology department were retrospectively reviewed. Infants with a gestational age (GA) of no more than 28 weeks (n = 157) were designated group 1, those between 29 and 32 weeks (n = 572) were assigned to group 2, and those between 33 and 37 weeks (n = 523) were assigned to group 3.

RESULTS

In group 1, ROP was detected in 70.0% of infants, 17.8% of whom required therapy. In group 2, ROP was detected in 41.4%, and 4.0% of those required therapy. In group 3, 18.1% were diagnosed with ROP, with 0.8% requiring treatment.

CONCLUSION

Retinopathy of prematurity occurs, even among more mature infants, at a frequency that merits astute screening within parameters that reflect socioeconomic differences that appear to have an effect on the incidence.

摘要

背景与目的

本研究旨在确定土耳其人群中早产儿视网膜病变(ROP)的发病率、需要接受ROP治疗的早产儿数量以及影响需要治疗的ROP发生发展的因素。

患者与方法

对在眼科进行ROP筛查的1252例婴儿的数据进行回顾性分析。胎龄(GA)不超过28周的婴儿(n = 157)被指定为第1组,胎龄在29至32周之间的婴儿(n = 572)被分配到第2组,胎龄在33至37周之间的婴儿(n = 523)被分配到第3组。

结果

在第1组中,70.0%的婴儿检测出ROP,其中17.8%需要治疗。在第2组中,41.4%检测出ROP,其中4.0%需要治疗。在第3组中,18.1%被诊断为ROP,其中0.8%需要治疗。

结论

即使在胎龄较大的婴儿中也会发生早产儿视网膜病变,其发生率值得在反映社会经济差异且似乎对发病率有影响的参数范围内进行敏锐筛查。

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