低体重儿弱视调查及多因素分析  

An investigation with multivariate analysis ofamblyopia in low birth weight children

作　　者：廖瑞端[1] 关征实[1] 陈咏冲[1] 周建华[1] 梁丹[1] 郭彦[1] 吴玉兰[1] 麦光焕[1] 

机构地区：[1]广州市中山医科大学附属第一医院眼科,广州市中山医科大学中山眼科中心

出　　处：《中国斜视与小儿眼科杂志》1994年第3期101-103,共3页Chinese Journal of Strabismus & Pediatric Ophthalmology

摘　　要：报告１４５例３～１０岁低体重儿弱视的发生及相关因素分析。弱视检出率为５０％，其中以屈不正性弱视为主（７２％）。以两眼中弱视程度较重的眼为因变量，用有序分类Ｌｏｇｉｓｔｉｃ回归模型作多因素分析，结果显示年龄、胎龄是弱视的保护性因素，弱视与屈光不正程度有关。提示弱视的防治要着眼于学龄前，从围产期做起，重视早产低体重儿的眼科随访。Abstract The occurrence of amblyopia in 145 low birthweight Children aged 5 to 10 years was reported withan analvsis of its reported with an analysis of its rele-vant factors. The detection rate of amblyopia was50%, with a predominance of ametropic amblyopia(70%).A multivariate analysis was worked out withlogistic regression modal for ordinal categories, inwhich the occurrence or not of amblyopia of themore severe eye was taken as dependent variable.Itshowed that age and gestational age were the protec-tive factors for ambeyopia, and amblyopia was posi-tively related to the degrees of refractory error.It therefore suggests that the prevention and treatmentof amblyopia should begin not only from thepreschool age, but also from the perinatal periodand appropriate attention should be paid to theophthalmological follow-up of the prematurechildren with low birth weight to correct ametropiaas early as possible.

关 键 词：弱视 多因素分析 早产低体重儿 调查 保护性因素 眼干 相关因素分析 胎龄 学龄前 眼科 

分 类 号：R777.44[医药卫生—眼科] R722[医药卫生—临床医学]