2014, № 12 (173)

Astasheva I.B., Kan I.G., Degtyarev D.N., Degtyareva A.V. FEATURES OF DEVELOPMENT AND COURSE OF RETINOPATHY OF PREMATURITY WITH THE USE OF NEW APPROACHES TO RESPIRATORY THERAPY ON STAGE OF NEONATAL RESUSCITATIONThe authors studied 2 groups of infants: the first group — 260 infants — received high concentrations of oxygen in the breathing mix (50 %) during resuscitation, they were on the long-term invasive mechanical ventilation. The second group — 66 children — received low concentrations of oxygen during resuscitation (not more than 45 %), there were dominated non-invasive methods of respiratory therapy (CPAP and non-invasive ventilation). It was found that in group 2, the disease is more favorable, later starts, early and often spontaneously regresses, it is characterized by a short period of the active phase of ROP, develops fewer severe ROP, which are requiring laser treatment, III stage of ROP occurs less frequently, the timing of its occurrence is later, it regresses faster, there is no aggressive posterior ROP, do not develop retinal detachment, ROP proceeds more favorably even with the wide avascular zone.Key words: retinopathy of prematurity, the incidence of retinopathy of prematurity, back aggressive retinopathy of prematurity, neonatal resuscitation.

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References:

1. The frequency of retinopathy of prematurity in the perinatal centers of Moscow / I.B. Astasheva [et al.] // Questions of Practical Pediatrics. Proceedings of the IV Annual Congress of Perinatal Medicine Specialists "Modern perinatology: organization, technology and quality". — 2009. — Volume 4, Annex №1. — P. 4–5.

2. Kogoleva, L.V. Long-term outcome of retinopathy of prematurity among students of specialized schools for blind children №1 / L.V. Kogoleva, N.N. Arestova // Moscow All-Russian scientific and practical conference with international participation "Retinopathy of Prematurity 2011". — Moscow. — April 7, 2011. — P. 182–187.

3. Principles of infants with respiratory distress syndrome // Methodical recommendations. — M., 2008. — 26 p.

4. Risk factors and frequency of retinopathy in very preterm children in the use of modern perinatal technologies / E.I. Sidorenko [et al.] // Russian children ophthalmology. — 2012. — №3. — P. 5–9.

5. Chronic conditions, functional limitations, and special health care needs in 10 to 125year old children born at 23 to 25 weeks' gestation in the 1990s: a Swedish national prospective follow up study / A. Farooqi [et al.] // Pediatrics. — 2006. — №118. — P. 1466–1477.

6. A change in oxygen supplementation can decrease the incidence of retinopathy of prematurity / J.E. Sears [et al.] // Ophthalmology. — 2009. — №116(3). — Р. 513–518.

7. Shimoyama, T. Clinical course of retinopathy of prematurity and other neonatal complications in Kobe Children's Hospital / T. Shimoyama, T. Yokoyama, K. Nomura // Nihon Ganka Gakkai Zasshi. — 2013. — №117(8). — Р. 616–620.

About this article

Author: Astasheva I.B.

Year: 2014

Editor-in-chief

Sergey Aleksandrovich
MIROSHNIKOV

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