关于三级医疗中心早产儿视网膜病变评估和进展的研究

Dr Nikhil Dilip Charhate, Dr Ajit Gulabrao Khune, Dr Dhiraj Namdeo Balwir
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摘要

研究背景本研究旨在评估早产儿的早产儿视网膜病变,并观察疾病的进展情况。目的和目标:研究早产儿视网膜病变的进展和风险因素:研究早产儿视网膜病变(ROP)的进展和风险因素。材料与方法:2020 年 10 月至 2022 年 12 月,在一家三级护理中心的新生儿重症监护室对 96 名婴儿进行了前瞻性观察研究,评估标准为:出生体重 30 天、出生体重大于 1700 克、胎龄大于 37 周的婴儿以及相关风险因素。结果:在 96 名患者中,有 24 名(发生率为 25%)被确诊为早产儿视网膜病变阳性,其中 13 名需要接受治疗,并患有严重的早产儿视网膜病变。视网膜病变婴儿的平均出生体重为 1491.45 克,平均胎龄为 31.41±2.82 周。8/24 名新生儿患有血管性视网膜,后来发展为 ROP。结论早期评估和检测视网膜病变对防止疾病进一步发展十分必要。关键词:早产儿视网膜病变早产儿视网膜病变 评估 进展 危险因素
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A Study on Assessment and Progression of Retinopathy of Prematurity at Tertiary Care Centre
Background: The study was conducted to assess the retinopathy of prematurity in pre mature infants and see the progression of the disease. Aims and Objectives: To study the progression and the risk factors for Retinopathy of Prematurity (ROP) in infants. Material and Methods: Prospective Observational Study from October 2020 to December 2022 done on 96 infants which was conducted in a tertiary care centre in NICU set up with the criteria: birth weight <1700g, gestational age at birth of <34-35 weeks, oxygen exposure of >30 days and infants with birth weight >1700g and gestational age >37 weeks with associated risk factors were assessed. Result: Of 96 patients 24(25% incidence) found to be ROP positive with 13 requiring treatment had severe ROP. Average birth weight of ROP babies was 1491.45g and average gestational age was 31.41±2.82 weeks. 8/24 newborns had avascular retina later progressed to ROP. Conclusion: Early assessment and detection of ROP is necessary to prevent further progression of disease. Keywords: Retinopathy of prematurity, assessment, Progression, Risk factors.
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