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相關文獻
- Retinopathy of Prematurity: Optimal Timing of the Initial Check and Progression after Discharge
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- Effect of Carbon Dioxide Tension in the First Three Days of Life on the Development of Retinopathy of Prematurity
- Retinopathy of Prematurity: Screening, Incidence and Risk Factors Analysis
頁籤選單縮合
題名 | Retinopathy of Prematurity: Optimal Timing of the Initial Check and Progression after Discharge=早產兒視網膜病變之檢查時機與門診追蹤結果 |
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作者 | 林文賢; 陳淑貞; 李鳳利; | 書刊名 | 臺灣兒科醫學會雜誌 |
卷期 | 44:2 民92.03-04 |
頁次 | 頁84-88+120 |
分類號 | 417.5171 |
關鍵詞 | 早產兒視網膜病變; 門診追蹤; 檢查時機; Retinopathy of prematurity; Diagnosis; Follow-up; |
語文 | 英文(English) |
中文摘要 | 早産兒視網膜病變是早産兒的重要併發症之一,本研究探討最佳的初次檢查時機應在何時,以及出院前最後一次檢查結果和日後門診追蹤病變進展程度的關係。研究對象包括自民國八十七年一月至八十九年十二月間於臺北榮總住院的早産兒,只要是懷孕週數小於35週或出生體重小於等於二千克,便予以安排眼底的系列追蹤檢查。並以出院前最後一次眼底檢查的視網膜病變期數作分組依據,統計各組的門診追蹤結果。所收錄的224個早産兒中,共有41位爲第三期的視網膜病變,36進展成閥值以上須手術治療的第三期病變。前者有31個,後者有10個是在出院後追蹤過程中診斷的。另外,如分別以出生體重及懷孕週數做分類可以發現,出生體重小於1,000公克及懷孕週數小於28週這兩組的早産兒中,最早出現閥值以上第三期網膜病變的早産兒,其出生後年齡是7週,懷孕後年齡是33週;而出生體重介於1,001到1,250公克及懷孕週數介於28及30週這兩組的,則分別是5到6週及34週;出生體重大於1,250公克及週數大於30週這兩組的,則分別是4週及35到36週。因此我們建議早産兒第一次檢查眼底的時間應在出生後4週或懷孕後33週,視何者後至。另外早産兒視網膜病變的持續追蹤是很重要的。不可因出院被打斷而失去治療的先機。 |
英文摘要 | Timely detection of the threshold retinopathy of prematurity (ROP) is very important. The goal of this study was to discuss the optimal timing of the initial screening for ROP as well as ROP progression in the outpatient department (OPD) follow-up after discharge. Herein we retrospectively review the charts of224preterm babies with gestational ages (GAs) of less than 35 weeks or birth weights (BWs) of less than or equal to 2000g. These babies were admitted to Taipei Veterans General Hospital from January 1998 to December 2000. The relationship between the severity and the time course of ROP with respect to various BWs was recorded. These infants were also divided into groups according to the ROP stage of the last retinal examination before discharge, and the recorded results of OPD follow-up. In this study, there was a total of 4l infants with stage IIIROP, of which 36 progressed to threshold ROP, including 13 (13/41, 31.7%) and 10 (10/36, 27.8%) who were respectively detected after discharge. In 89 infants with positive findings, the postnatal age (PNA) at the time ROP was detected for the first time was about 7 weeks in extremely low birth weight (ELBW, BW≤1000 g) infants and about 4-5 weeks in larger infants: however the postconcep tional age (PCA) was about 35 to 36 weeks, and this was not influenced by birth weight. The earliest PCA and PNA when infants with a BW of≤1,000 g or GA≤28 weeks reached the threshold ROP were 33 and 7 weeks; infants with a BW of 1,001-1,250 g or GA of 28-30 weeks, the times were 34 and6 weeks; and for infants with a BW of>1,250 g or GA of more than 30 weeks, they were 35 and 4 weeks, respectively. Although it seemed that ROP tended to develop at the same PCA, the dual criteria of4 weeks of PNA or 33 weeks of PCA, whichever comes later, may be the optimal timing for the initial retinal examination for premature infants. It is also important to keep in mind that follow-up programs should not be interrupted because of discharge. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。