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目的分析广东省一、二、三级妇幼保健系统对早产儿视网膜病(ROP)筛查工作的开展情况,探讨ROP的筛查、防治策略,规范和完善我省的筛查工作,以降低ROP的危害。方法通过信函、现场调查和电子邮件等方式对广东省境内新生儿重症监护室(NICU)的54家妇幼保健院(站、所)进行ROP的筛查情况调查,内容包括是否开展ROP筛查、氧浓度监测、近5年的筛查例数和阳性例数等。结果医院级别越高,筛查普及率和阳性率越高。共有13家妇幼保健院开展了对ROP的筛查,占调查例数的24·07%,经筛查的4304名新生儿中,ROP患儿90例,阳性率2·09%。一、二、三级妇幼保健院的筛查阳性率分别为0·0001%、0·5%、和4·5%,各级保健系统的筛查阳性率差异有统计学意义(P<0·01)。结论广东省各级妇幼保健系统对ROP筛查的开展情况不理想,筛查阳性率低且各级系统差异较大,应提高对此疾病的防治力度,培养专业筛查人员,提高对高危新生儿的筛查覆盖面和对此疾病的诊断水平。
Objective To analyze the screening status of retinopathy of prematurity (ROP) in maternal and child health care systems of Grade I, II and III in Guangdong Province, to explore the screening, prevention and treatment strategies of ROP, to standardize and perfect screening in our province to reduce ROP The harm. Methods Fifty-four MCH hospitals (stations and institutes) in NICU of Guangdong Province were surveyed by letter, field survey and e-mail. The investigation of ROP screening included ROP screening, Oxygen concentration monitoring, the number of screening in the past 5 years and the number of positive cases. Results The higher the hospital level, the higher the screening prevalence and positive rate. A total of 13 maternal and child health centers conducted ROP screening, accounting for 24.07% of the surveyed cases. Of the 4304 newborns screened, 90 were ROP children, with a positive rate of 2.09%. The screening positive rates of maternal and child health centers in Grade I, II and III were 0.0001%, 0.5%, and 4.5% respectively, and there was a significant difference in screening positive rate among health systems at all levels (P <0 · 01). Conclusion Maternal and Child Health Care System at all levels in Guangdong Province is not ideal for ROP screening. The screening positive rate is low and there are great differences in system at all levels. The prevention and cure of this disease should be improved, professional screening personnel should be trained, Children’s screening coverage and diagnosis of the disease.