B. Basiri, M. Sabzehei, M. Solgi, S. Akbarzadeh, Somaye Ivazeh
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引用次数: 2
摘要
背景与目的:早产儿视网膜病变(Retinopathy of prematurity, ROP)是早产儿视网膜的一种进化性疾病。如今,由于医疗设施的进步和早产儿存活率的增加,视网膜病变的患病率有所增加。本研究的目的是确定在哈马丹Fatemieh医院附属新生儿重症监护病房(NICU)住院和检查的婴儿中ROP的患病率及其相关危险因素。材料和方法:本描述性横断面研究采用人口普查抽样方法选取胎龄小于34周且在NICU住院4周及以上的所有早产儿。对早产儿视网膜病变的发生率及其危险因素进行调查。结果:80例新生儿中有24例(30%)发生ROP,其中16例为I期,8例为II期。平均胎龄为29.71±2.16周,29周以下的新生儿发生ROP的比例超过75%。此外,结果显示,ROP与胎龄、低出生体重、1分钟和5分钟Apgar评分、复苏需要、使用肌力药物和氧疗持续时间显著相关。然而,根据logistic分析结果,低出生体重与视网膜病变之间存在显著关系
Frequency and Risk Factors of Retinopathy of Prematurity in Newborns Admitted to Neonatal Intensive Care Unit in Hamadan
Background and Objective: Retinopathy of prematurity (ROP) is an evolutionary disorder in the retina of premature infants. Nowadays, the prevalence rate of retinopathy has increased due to the advancement of medical facilities and the increased survival of preterm infants. The aim of this study was to determine the prevalence rate of ROP and its related risk factors among infants admitted to and examined at neonatal intensive care unit (NICU) affiliated to Fatemieh Hospital in Hamadan. Materials and Methods: This descriptive cross-sectional study was conducted on all premature infants selected with census sampling methods and with a gestational age of fewer than 34 weeks who were hospitalized in NICU for four weeks or more. The premature infants were investigated regarding the incidence of retinopathy and its risk factors. Results: Out of 80 neonates under study, 24 (30%) cases suffered from ROP, of which 16 and 8 neonates were in stage I and II of ROP, respectively. Moreover, the mean gestational age of newborns was 29.71±2.16 weeks, and more than 75% of ROP were observed in neonates under 29 weeks' gestational age. In addition, the results revealed that ROP correlated significantly with gestational age, low birth weight, 1 and 5 minute Apgar scores, the need to resuscitation, the use of inotropic drugs, and duration of oxygen therapy. However, there was a significant relationship between low birth weight and retinopathy based on the results obtained from logistic