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早产、低体重儿近视眼发病情况分析

An analysis of occurrence of myopia in premature andlow birtk weight children.

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【作者】 廖瑞端周建华郭彦陈咏冲林先轩

【Author】 Liao Rui-duan, el al.(Departmant of Ophthalmology, the First AffiliatedHospital,Sun Yat-sen University of Medical Sciences,Guangzhou 510080)

【机构】 广州市中山医科大学附属第一医院眼科

【摘要】 对3~10岁的136例早产、低体重和47例足月正常体重儿作视网膜检影,了解其近视眼的发生及其与胎龄、出生体重的关系。3组近视眼检出率分别为14.08%,11.54%,13.83%(P>0.05),但3组的近视屈光度不同,早产低体重儿以中、高度近视为主(55%),>6.00D就占35%,不同胎龄组间近视屈光度差异有非常显著性(P<0.01),胎龄越小,近视屈光度越高,直线相关分析示近视屈光度与胎龄有关。建议对有高度近视风险的早产儿特别是超早产儿作包括视网膜检影在内的早期眼科随访。

【Abstract】 AbstractThe occurrence of myopia in 1 36 low birthweight children and 47 full-term nomal birth weightchildren aged 3-10 years was reported with an analy-sis of correlation with gestational age and birthweight. The results showed that the detection rate ofmyopia in preterm low birth weight,full-term lowbirth weight and full-term nomal birth weightchildren were 14.08%,11.54% and 13.83%respectively, their differences being insignificant(P>0.05). However,the preterm low birth weightchildren were dominated in moderat and highmyopia(55%), high myopia accounted for 35%, andthe myopic degrees among these three groups ofchildren were different,the differences were highlysignificant(P<0.01) especially for the LBWIchildren with different gestational age. Linear corre-lated analysis showed that myopic refractive powerwere correlated with gestational age, the shorter thegestational periods,the higher the myopic refractivepower.It is suggested that we should follow up ear-lier for ophthalmic examination purpose includingretinoscopy to preterm low birth weight children es-pecially extremely premature children at risk for highmyopia.

【关键词】 早产儿近视胎龄视网膜检影
  • 【文献出处】 中国斜视与小儿眼科杂志 ,CHINESE JOURNAL OF STRABISMUS & PEDIATRIC OPHTHALMOLOGY , 编辑部邮箱 ,1996年02期
  • 【分类号】R778.11
  • 【被引频次】2
  • 【下载频次】74
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