关键词: 早产儿视网膜病变, 筛查, 随访

Abstract: Objective To investigate the screening and follow-up stituation of retinopathy of prematurity (ROP) in maternal and child health care hospital, so as to provide suggestions for improving the quality of screening and follow-up. Method Screening, follow-up and intervention data of 3 579 premature infants, who were screened for ROP and met the screening criteria in triple A maternal and child health hospitals from January 1st to December 31st in 2019, were retrospectively investigated by referring to inpatient medical records, outpatient registration and ROP management files. Result The detection rate of ROP was 11.2%(400/3 579), 3.4% in stage 1, 6.2% in stage 2, and 1.6% in stage 3 and above. With the decrease of gestational age and birth weight, the detection rates of ROP and severe ROP increased. The detection rate of ROP in infants at corrected gestational age (week)of 31 ~ and 32 ~ group was higher in the first screening. The intervention rates of infants with ROP stage 1 and stage 2 were 1.6% and 1.7%, respectively, lower than 30.9% for ROP stage 3. The main intervention method was vitreous injection of drugs (91.3%). The settlement rate of all positive cases was 41.2%. The case settlement rate of infants with ROP stage 1 and stage 2 was 51.7% and 40.8%, respectively, higher than 21.8% for stage 3. Conclusion Maternal and child health care hospitals should improve the service capacity of eye care, strengthen ROP screening, improve the project management, regular follow-up, intervention of children with ROP and referral of positive cases to reduce the occurrence of adverse outcomes.

Key words: retinopathy of prematurity, screening, follow-up