Analysis of risk factors of neonatal dacryocystitis
Zhou Wenke, He Liying, Tao Xueying, et al
(Department of Ophthalmology,Otorhinolaryngology, Chongqing Health Center for Women and Children, Women and Children’s Hospital of Chongqing Medical University, Chongqing 400000, China)
Abstract: 【Abstract】 Objective To investigate the influencing factors of neonatal dacryocystitis and explore the best time for irrigation of lacrimal passage, so as to provide a reliable clinical basis for the prevention and treatment of neonatal dacryocystitis. Method A retrospective case-control study was used to collect 553 cases of neonatal dacryocystitis treated in Chongqing Health Center for Women and Children from March 2019 to August 2022 and 553 cases of normal control group. The control group was non-neonatal dacryocystitis with the same non-investigation factors. Relevant information such as maternal medical history,delivery mode, gestational age and fetal weight of infants were extracted from the medical record system, the cure rate of neonatal dacryocystitis after first irrigation of lacrimal passage at different months was compared. The statistical methods performed by univariate analysis and multivariate Logistic regression analysis, χ2 test. Result The results of multivariate Logistic regression analysis showed that cesarean section, male, maternalpregnancy combined with systemic disease were the risk factors for neonatal dacryocystitis (all P <0.05), theprobability of neonatal dacryocystitis during cesarean section was 1.279 times that of vaginal delivery, and the probability of dacryocystitis in newborns of pregnant women with systemic diseases during pregnancywas 1.399 times that of healthy pregnant women during pregnancy. Gestational age, birth weight of infantsand maternal ethnicity were not significantly different from neonatal dacryocystitis (all P>0.05). The cure rate of neonatal dacryocystitis was statistically significant with different months of first irrigation of lacrimal passage (P=0.038), and the highest cure rate of the first irrigation of lacrimal passage was 2 to 3 months (the cure rate was 28.25%). Conclusion Cesarean section, male and maternal pregnancy combined with systemic diseases may lead to neonatal dacryocystitis. Strengthening the health education during pregnancy and encourage pregnant women to give birth naturally under appropriate conditions, which can effectively reduce the occurrence of neonatal dacryocystitis. For children with neonatal dacryocystitis, it is recommended that the first irrigation of lacrimal passage was 2 to 3 months.
2024, Vol. 12 
