引用本文:李 丹 1,肖绪武 1,沈 苓 1,刘哥良 2,张立军 3,邢 进 4,何长华 4.大连市西岗区托幼儿童眼屈光异常与弱视调查分析[J].大连医科大学学报,2015,37(5):468-470.
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大连市西岗区托幼儿童眼屈光异常与弱视调查分析
李 丹 1,肖绪武 1,沈 苓 1,刘哥良 2,张立军 3,邢 进 4,何长华 41,2,3,4
1.大连市妇幼保健院,辽宁 大连 116033;2.大连市卫生计生委员会妇幼处, 辽宁 大连 116001;3.大连市第三人民医院 眼科, 辽宁 大连 116091;4.大连市西岗区妇幼保健院, 辽宁 大连 116011
摘要:
[摘要] 目的 了解大连市西岗区托幼儿童的眼屈光状态,及早发现屈光异常和弱视并进行干预治疗。 方法 采用美国伟伦SURESIGHT筛查仪对该区幼儿园5597名儿童进行屈光度检测,按年龄分为3组(<3岁组,≥3岁且<5岁组和5~6岁组)。调查各年龄组近视、远视及散光分布情况,应用卡方检验对结果进行分析。统计不同程度、类型散光与弱视程度的关系,采用Spearman相关分析及Kruskal Wallis检验对结果进行分析。 结果 不同年龄组近视眼患病率随年龄增加而增加(χ 2=19.968,P<0.001),远视眼患病率随年龄增加而降低(χ 2=34.171,P<0.001)。散光程度和弱视程度呈显著正相关(Spearman r=0.804,P<0.001),其中混合散光所致弱视严重程度最高。 结论 早期对学龄前儿童进行屈光检测,对弱视眼的发生、发展进行早期干预和治疗至关重要。
关键词:  托幼儿童  屈光  筛查  弱视
DOI:10.11724/jdmu.2015.05.13
分类号:
基金项目:基金项目:大连市西岗区人民政府民生工程项目(2014)
Investigation of the ametropia and amblyopia in 5597 preschoolers in Xigang district of Dalian
LI Dan 1,XIAO Xu-wu 1,SHEN Ling 1,LIU Ge-ling 2,ZHANG Li-jun 3,XING Jin 4,HE Chang-hua 41,2,3,4
1.Department of Ophthalmology, Dalian Maternal and Child Health Hospital, Dalian 116033, China;2.Women’ sand Children’s Place, Health and Family Plannning Commission of Dalian, Dalian 116001, China;3.Department of Ophthalmology, The Third People’s Hospital of Dalian, Dalian 116091, China;4.Xigang District Maternity and Child Care Center, Dalian 116011, China
Abstract:
[Abstract] Objective To understand the state of refraction in the kindergarten children through ophthalmic testing in Xigang district of Dalian so that ametropia and amblyopia could been found and treated as early as possible. Methods The diopters of 5597 preschoolers in the district were checked using the screening instrument of Whalen SURESIGHT. To understand the distribution of myopia, hyperopia, astigmatism in different age groups, the results were analyzed by chi-square test. To understand the relationship between astigmatism in different degrees, types and the degree of amblyopia, the results were analyzed by Spearman correlation analysis and Kruskal Wallis test. Results The incidence of myopia increased with age (χ 2=19.968, P<0.001), and a reverse relationship was found between hyperopia and age(χ 2=34.171,P<0.001).The degree of astigmatism and amblyopia was positively correlated(Spearman r=0.804,P<0.001). Amblyopia induced by mixed astigmatism had the highest severity. Conclusion It is necessary to check the development of the refraction of preschoolers,in order to find latent problems and offer early intervention.
Key words:  [Key words] preschoolers  refraction  screening  amblyopia