目的:探讨运用双目间接检眼镜成像系统进行早产儿视网膜病变(retinopathy of prematurity,ROP)教学的方法。方法:采用计算机辅助的双目间接检眼镜成像系统对2008-05/2010-10来我院参加国家级继续教育培训班及进修的481名学员进行早产儿视网膜病变相关知识的教学及双目间接检眼镜成像系统的基本操作的培训,观察培训效果。结果:通过培训,84.8%的学员能在1wk内了解中国早产孩子的正常眼底特点、ROP病变的典型眼底,能鉴别常见的易混淆的眼底病变及正确的激光光凝方法等,均能熟练掌握双目间接检眼镜的成像原理,ROP的基本筛查流程。在我院集中训练的学员90.0%在3mo内能够熟练掌握双目间接检眼镜的使用并能开展筛查工作,并向筛查治疗中心输送需治疗的患者。运用此系统进行培训与运用常规方法进行培训的效果对比,两者具有明显的统计学差异(P<0.05)。结论:双目间接检眼镜成像系统用于ROP筛查的培训中直观、易掌握、可行性强,值得推广。

AIM:To discuss the methods of retinopathy of prematurity(ROP) screening training using binocular indirect ophthalmoscope-linked(BIO-linked) image system. METHODS:By the use of BIO-linked image system, 481 students attended national continuing education courses of our hospital . The associated knowledge of ROP and the basic operation of BIO-linked image system were taught and the effects of training were analyzed. RESULTS:After training, 84.8% students could master the characteristics of prematurity normal fundus and classical ROP, differences of various common pathological changes of fundus, the methods of laser photocoagulation in a week. These students also mastered the image principles of BIO and the basic screening steps of ROP. And 90.0% students mastered the use of BIO, proceeded screening and sent the patients to the treatment center in three months. There was statistically significant difference between using BIO-linked image system and using routine method for training. CONCLUSION:BIO-linked image system is directly perceived, easily mastered and feasible, which is worth promoting for ROP screening training.

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中国广东省科技厅基金资助项目(No.83086);中国广州市科技信息化局基金资助项目(No.2008J1-C011)~~