摘要
早产儿视网膜病变（ROP）是儿童首位致盲原因，及时发现和治疗可以有效防止病变进展，改善视力预后。建立集科普宣传、筛查、诊治、随访为一体的较完善的ROP防治体系是降低儿童致盲率的关键。以县级以下地区的医疗卫生机构为一级单位，地市级和部分中心城市的综合医院和妇幼保健院眼科为二级单位，国内重点关注ROP的医疗中心为三级单位，构建ROP三级防治网，从而有效发挥现有医疗资源配置在ROP防治过程中的最大效益。该构想既符合现阶段社会发展实际，又能避免资源浪费。近年来在陕西省域范围的初步实践结果显示，通过ROP三级防治网开展工作，增加了ROP筛查覆盖面，推动了ROP防治工作进程。但这一工作尚在起步阶段，还需要扩大范围，加大推广力度，从而探索出符合我国国情的防治ROP之路。
Retinopathy of prematurity （ROP） is the leading cause of blindness for children, early detection and treatment can prevent ROP progression and improve the visual prognosis. ROP prevention system, including advocacy, screening, diagnosis/treatment and follow-up, is the key to reducing the rate of blindness in children. The proposed tertiary ROP prevention network includes primary health centers in county-level, secondary health centers in municipal-level and tertiary health centers in provincial-level or national-level. The idea is to explore the greatest benefits in the ROP prevention process from the existing allocation of medical resources, but also to avoid wasting at the current stage of social development. We tested this idea in Shaanxi Province recently. The preliminary practice results indicated that ROP tertiary prevention network can increase the ROP screening coverage, promote the prevention and treatment of ROP. However this work is still in its infancy. We need to expand its scope and strength the advocacy efforts to find a way to prevent and treat ROP in China.
出处
《中华眼底病杂志》
CAS
CSCD
北大核心
2014年第1期6-8,共3页
Chinese Journal of Ocular Fundus Diseases
关键词
早产儿视网膜病
流行病学
早产儿视网膜病
治疗
早产儿视网膜病
预防和控制
述评
Retinopathy of prematurity/epidemiology~ Retinopathy of prematurity/therapy^Retinopathy of prematurity/prevention ~ control
Editorial
