中国儿童青少年近视防控公共卫生综合干预行动专家共识  

Chinese expert consensus on comprehensive public health intervention for myopia prevention and control in children and adolescents

作　　者：中国学生营养与健康促进会视力健康分会 中华预防医学会公共卫生眼科分会 陶芳标[2,15] 陶舒曼 伍晓艳[4] 何鲜桂[5] 张欣[6] 潘臣炜[7] 王宁利 毕宏生[9,10,11] 卢次勇 范奕[13] 黄思哲[14] Vision Health Branch of Chinese Association for Student Nutrition and Health Promotion;Public Health Ophthalmology Branch of Chinese Preventive Medicine Association;Tao Fangbiao(不详;School of Public Health,Anhui Medical University,Hefei 230032,China)

机构地区：[1]不详 [2]安徽医科大学公共卫生学院儿少卫生与妇幼保健学系,合肥230032 [3]安徽医科大学第二附属医院眼科 [4]安徽医科大学公共卫生学院儿少卫生与妇幼保健学系 [5]上海市眼病防治中心临床研究中心 [6]天津医科大学公共卫生学院儿少卫生与妇幼保健学系 [7]苏州大学公共卫生学院儿少卫生与妇幼保健学系 [8]首都医科大学附属北京同仁医院,北京同仁眼科中心,北京市眼科研究所 [9]山东中医药大学附属眼科医院 [10]山东中医药大学眼科研究所 [11]山东中医药大学眼科与视光医学院 [12]中山大学公共卫生学院流行病学系 [13]江西省疾病预防控制中心公共卫生研究所 [14]中山市中小学卫生保健所 [15]安徽医科大学公共卫生学院,出生人口健康教育部重点实验室,合肥230032

出　　处：《中华医学杂志》2023年第38期3002-3009,共8页National Medical Journal of China

基　　金：国家重点研发计划(2021YFC2702100,2021YFC2702105)

摘　　要：近视防控干预行动有效实施是实现我国近视防控目标的基础。然而,近视防控干预的实施与评价仍然缺乏指导性文件。因此,中国学生营养与健康促进会视力健康分会、中华预防医学会公共卫生眼科分会经深入研究并总结相关实践经验,讨论形成《中国儿童青少年近视防控公共卫生综合干预行动专家共识》。本共识从公共卫生视域构建近视防控综合干预行动理论框架,形成视力健康档案建立与近视风险评估、视力保健行为评价与合理用眼行为养成、师生家长全员健康教育、家校读写环境改善、日间户外活动2 h、近视分级管理与医学矫正等6项综合干预行动,提出实施与效果评价指标体系,为儿童青少年近视防控工作提供经济有效、普遍适宜的公共卫生“处方”。The effective implementation of myopia prevention and control interventions is the foundation of achieving the goal of myopia prevention and control in China.However,relevant guidance documents for the implementation and evaluation of myopia prevention and control interventions are still lacking.Therefore,after in-depth research and summarizing relevant practical experiences,the Vision Health Branch of Chinese Association for Student Nutrition and Health Promotion and the Public Health Ophthalmology Branch of Chinese Preventive Medicine Association discussed and proposed the Chinese expert consensus on comprehensive public health intervention for myopia prevention and control in children and adolescents.The consensus develops a theoretical framework of comprehensive intervention actions for myopia prevention and control from the perspective of public health,creates six comprehensive intervention actions,including the establishment of vision health records and myopia risk assessment,evaluation of vision care related behaviors and the development of proper eye-use behaviors,health education for teachers,students and parents,improvement of reading and writing environment at home and school,2 hours of daytime outdoor activities,hierarchical management and medical orthosis of myopia,and proposes a system of indicators for the implementation and effectiveness evaluation of myopia intervention actions,so as to provide a cost-effective and universally appropriate public health prescription for myopia prevention and control in children and adolescents.

关 键 词：近视 公共卫生 干预 儿童青少年 

分 类 号：R778.11[医药卫生—眼科]