[1]常翠荣,于建国,齐世欣,等.早产儿与足月儿学龄期屈光状态的2年随访研究[J].眼科新进展,2018,38(7):673-676.[doi:10.13389/j.cnki.rao.2018.0158]
 CHANG Cui-Rong,YU Jian-Guo,QI Shi-Xin,et al.The refractive status in premature infants and full-term infants when they are at school age during 2 years follow-up[J].Recent Advances in Ophthalmology,2018,38(7):673-676.[doi:10.13389/j.cnki.rao.2018.0158]
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早产儿与足月儿学龄期屈光状态的2年随访研究/HTML
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《眼科新进展》[ISSN:1003-5141/CN:41-1105/R]

卷:
38卷
期数:
2018年7期
页码:
673-676
栏目:
应用研究
出版日期:
2018-07-05

文章信息/Info

Title:
The refractive status in premature infants and full-term infants when they are at school age during 2 years follow-up
作者:
常翠荣于建国齐世欣刘会娟
301800 天津市宝坻区人民医院眼科
Author(s):
CHANG Cui-RongYU Jian-GuoQI Shi-XinLIU Hui-Juan
Ophthalmology,Tianjin Baodi Section People’s Hospital,Tianjin 301800,China
关键词:
早产儿足月儿屈光不正学龄期
Keywords:
premature infantsfull-term infantsrefractive errorschool age
分类号:
R779.7
DOI:
10.13389/j.cnki.rao.2018.0158
文献标志码:
A
摘要:
目的 了解早产儿和足月儿学龄期时屈光发育的差异,分析早产儿屈光状态的影响因素。方法 纵向研究,随机选取2014年9月至2015年3月在本院进行健康体检的262名6~7岁一年级学生,跟踪随访2 a,收集相关资料并作对比。结果 最终完成2 a随访者早产儿81例(162眼)、足月儿138例(276眼)。基线时早产儿与足月儿屈光状态均以正视为主,随访2 a后,早产儿近视比例为30.9%(50/162),高于足月儿25.7%(71/276)。早产儿的基线等效球镜度数为(-0.04±0.85)D,小于足月儿的(0.15±0.59)D(t=-2.860,P=0.004),早产儿近视进展速度为每年-0.19 D,快于足月儿的-0.15 D(F=9.621,P<0.05),两组间基线时、随访1 a和随访2 a时的散光检出率差异均无统计学意义(均为P>0.05)。胎龄越小,学龄期早产儿的近视进展越快,其中胎龄≤30周、>30~33周、>33~36周时2 a等效球镜度数改变量分别为(-0.61±1.03)D、(-0.32±0.72)D和(-0.22±0.55)D(F=3.073,P=0.049)。较大的出生胎龄(OR=0.70)、较长的户外活动时间(OR=0.40)是早产儿近视发病的保护因素。结论 早产儿学龄期时的近视进展速度高于足月儿,且胎龄越小,近视发展速度越快。
Abstract:
Objective To explore the differences in refractive development between premature infants and full-term infants when they are at school age and analyze the risk factors of refractive in premature infants.Methods It was a longitudinal study in 262 first grade children at 6-7 years old who had health check-ups in our hospital.We collected basic information about these children and followed them for two years.Results Totally 81 premature infants (162 eyes) without retinopathy of prematurity (ROP) and 138 full-term infants (276 eyes) returned for all the follow-up examinations.Emmetropia was the main type in both premature infants and full-term infants at baseline.Two years later,the prevalence of myopia was 30.9% (50/162) in premature infants,which was higher than that of full-term infants (25.7%,71/276).There was a significant difference in the mean spherical equivalent (SE) between the premature infants [(-0.04±0.85)D] and full-term infants[(0.15±0.59)D] (t=-2.860,P=0.004) at baseline.The rate of myopia progression in premature infants (-0.19 D·a-1) was faster than that in full-term infants (-0.15 D·a-1) (F=9.621,P<0.05).There was no significant difference in the prevalence of astigmatism between full-term infants and premature infants when they were at baseline one year later and two years later (all P>0.05).Myopia development was faster with the decrease of gestational age in premature infants,and the changes in SE was (-0.61±1.03)D,(-0.32±0.72)D,and (-0.22±0.55)D in gestational age ≤33 weeks,gestational age ranging from 30 to 33 weeks,and gestational age from 33 to 36 weeks (F=3.073,P=0.049),respectively.Older gestational age (OR=0.70) and longer time in outdoor activity (OR=0.40) were protective factors for new myopia in premature infants.Conclusion The premature infants shows more myopic and faster myopia development than full-term infants in their school age,and myopia development is faster with decreasing gestational age.

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更新日期/Last Update: 2018-07-12