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[早产儿视网膜病变:危险因素分析]

[Retinopathy of prematurity: an analysis of risk factors].

作者信息

Dörr A, Bornfeld N, Roll C, Hanssler L

机构信息

Zentrum für Kinderheilkunde, Universitätsklinikum der Gesamthochschule Essen.

出版信息

Klin Padiatr. 1994 Mar-Apr;206(2):67-72. doi: 10.1055/s-2008-1046585.

Abstract

In 29 infants with retinopathy of prematurity we retrospectively studied the influence of various clinical factors on the severity of the disease and compared this group of patients with controls without retinopathy. Infants presenting with different stages of retinopathy showed significant differences in gestational age, length of mechanical ventilation, additional supplemental oxygen, and the number of episodes of acidosis and hypocarbia. Compared with controls, hyperoxemia with paO2-levels above 100 mmHg and hypocarbia with pCO2-levels below 35 mmHg was more often observed in infants with retinopathy (p < 0.05, respectively p < 0.01). Besides, these infants were more often treated with surgical ligation of a patent ductus arteriosus than with indomethacin (p < 0.001). In our patients we were not able to assess the incidence and the severity of retinopathy of prematurity by calculation of risk scores or safety indices.

摘要

我们回顾性研究了29例早产儿视网膜病变患儿中各种临床因素对疾病严重程度的影响,并将这组患者与无视网膜病变的对照组进行比较。处于不同视网膜病变阶段的婴儿在胎龄、机械通气时间、额外补充氧气、酸中毒和低碳酸血症发作次数方面存在显著差异。与对照组相比,视网膜病变婴儿中更常观察到动脉血氧分压(PaO₂)水平高于100 mmHg的高氧血症和动脉血二氧化碳分压(pCO₂)水平低于35 mmHg的低碳酸血症(分别为p < 0.05和p < 0.01)。此外,与使用吲哚美辛相比,这些婴儿更常接受动脉导管未闭手术结扎治疗(p < 0.001)。在我们的患者中,我们无法通过计算风险评分或安全指数来评估早产儿视网膜病变的发生率和严重程度。

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