發(fā)布時間：2018-06-16 07:30

  本文選題：早產(chǎn)兒視網(wǎng)膜病變 + 閾值病變�。� 參考：《第三軍醫(yī)大學(xué)學(xué)報》2015年12期

【摘要】：目的分析閾值期和高危閾值前早產(chǎn)兒視網(wǎng)膜病變(retinopathy of prematurity,ROP)的臨床特點。方法回顧分析2011年1月至2012年12月在北京軍區(qū)總醫(yī)院住院治療確診的閾值期和高危閾值前ROP患兒106例,分析其出生胎齡、出生體質(zhì)量、病變程度和病變部位特點。結(jié)果 106例閾值期和高危閾值前ROP患兒出生胎齡(28.70±1.89)周。44.34%患兒出生胎齡≤28周,其中2例出生胎齡為24周,2例出生胎齡為25周,84.91%≤30周。出生體質(zhì)量(1 190.00±282.33)g,86.27%患兒出生體質(zhì)量1 500 g,20.59%1 000 g,3例患兒出生體質(zhì)量超過2 000 g。1期病變2.83%,2期21.70%,3期73.58%,4期1.89%,沒有5期病變的患兒。33.96%為Ⅰ區(qū)病變,66.04%為Ⅱ區(qū)病變。Ⅰ區(qū)病變患兒的出生胎齡(28.94±1.57)周和出生體質(zhì)量(1224.31±196.04)g,與Ⅱ區(qū)病變患兒[(28.51±2.03)周;1 168.54±321.32)g]無顯著性差異(P0.05),治療時矯正胎齡Ⅰ區(qū)病變?yōu)?35.09±1.28)周,與Ⅱ區(qū)病變(38.43±6.32)周有顯著性差異(P=0.000)。結(jié)論我國仍有較大、較成熟早產(chǎn)兒進(jìn)展為閾值期或高危閾值前ROP的情況,目前指南適合我國國情。Ⅰ區(qū)病變進(jìn)展至閾值期或高危閾值前發(fā)生較早,應(yīng)注意及早篩查,縮短篩查間隔,及時治療。
[Abstract]:Objective to analyze the clinical features of retinopathy of prematural retinopathy (ROP) in premature infants before threshold period and high risk threshold. Methods from January 2011 to December 2012, 106 children with ROP who were diagnosed as threshold period and high risk threshold in Beijing military region General Hospital from January 2011 to December 2012 were analyzed retrospectively. The birth age, body weight, pathological degree and location of ROP were analyzed. Results in 106 patients with ROP, the gestational age was 28.70 鹵1.89 weeks. 44.34% of them were aged less than 28 weeks, of which 2 cases were 24 weeks old and 2 cases had 25 weeks of gestational age, 84.91% of them were less than 30 weeks old. Birth weight was 1 190.00 鹵282.33 g / g ~ 86.27% (n = 3) > 2 000 g / 1 ~ 2 000 g ~ (-1). The birth weight of 3 cases was above 2 000 g / 1. The body weight was 73.58 and 73.58 ~ (4) stage 1.89, and 66.04% of the children with no stage 5 lesions were area 鈪，

本文編號：2025901