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目的:探讨早产儿视网膜病变(ROP)发病的影响因素以及早产儿护理过程中应该注意的事项。方法:对吉林省长春市儿童医院NICU完成整个诊疗随访过程的早产儿208例进行眼底检查,对相关因素进行临床分析。结果:对208例早产儿进行单因素分析得出:出生体重、胎龄、吸氧时间、低碳酸血症、低氧血症等与ROP发病有明显的相关性,而蓝光照射时间、黄疸程度、颅内出血、感染与ROP的发病没有明显的相关性。结论:预防早产、防止早产儿各种并发症、规范用氧是预防ROP的关键。
Objective: To investigate the influencing factors of the pathogenesis of retinopathy of prematurity (ROP) and the items to be noticed in the nursing process of premature infants. Methods: 208 cases of premature infants in NICU of Changchun Children’s Hospital of Jilin Province who completed the follow-up of medical treatment were examined by fundus examination, and the related factors were analyzed clinically. Results: A univariate analysis of 208 preterm infants showed that birth weight, gestational age, oxygen inhalation time, hypocapnia, hypoxemia and so on were significantly correlated with the pathogenesis of ROP, while the duration of blue light irradiation, the degree of jaundice , Intracranial hemorrhage, infection and the incidence of ROP no significant correlation. Conclusion: Preventing preterm birth, preventing complications of premature infants and standardizing the use of oxygen are the keys to preventing ROP.