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[摘要]
目的:探讨高危新生儿视网膜出血的原因,并对其相关因素进行分析。
方法:对新生儿科入住的新生儿于生后72h内使用广域数字化眼底成像系统(RetCamⅡ)行眼底照像检查。
结果:患儿123例,视网膜出血19例30眼(12.2%)。其中顺产新生儿49例,视网膜出血18例29眼(29.6%); 剖腹产新生儿74例,视网膜出血1例1眼(0.7%),两者比较差异有统计学意义(χ2=34.763, P=0.000)。Logistic回归方程分析提示:影响视网膜出血的危险因素为顺产、早产、颅内出血。
结论:顺产及伴有颅内出血是高危新生儿视网膜出血的重要相关因素。
[Key word]
[Abstract]
AIM: To study the cause of high-risk neonatal retinal hemorrhage risk and analyze its related factors.
METHODS: After the first 72 hours of the birth, the newborns in the pediatrics were examined for fundus used the wide area digital fundus imaging system(RetCam Ⅱ).
RESULTS: Among 123 newborns, 19 neonates had retinal hemorrhage, and the incidence of retinal hemorrhage in newborns was 12.2%. Among 49 newborns who were came through spontaneous delivery, 18(29.6%)neonates had retinal hemorrhage, while 1(0.7%)neonate from 74 who were born by caesarean section suffered from retinal hemorrhage. The difference was statistically significant.(χ2=34.763 P=0.000). Logistic regression equation analysis tip: The risk factors of retinal hemorrhage were eutocia, premature delivery and intracranial hemorrhage.
CONCLUSION: The important relevant factors of high-risk neonatal retinal hemorrhage are eutocia and associated with intracranial hemorrhage.
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