上海虹口区小学生屈光不正不同标准筛查结果比较  

Comparison of Refractive Error Results by Using Different Screen Standards Among Pupils

作　　者：刘灯[1] 谭晖[1] 王克利 汪玲[1] 朱剑峰[3] 

机构地区：[1]复旦大学公共卫生学院,上海200032 [2]上海市徐汇区卫生局 [3]上海市眼病防治中心

出　　处：《中国学校卫生》2010年第6期700-701,703,共3页Chinese Journal of School Health

基　　金：2007-2008年度上海市儿童发展研究课题资助(编号:2007SHET08);上海市公共卫生体系建设三年行动计划项目资助

摘　　要：目的探索联合使用远视力表法和自动验光仪法筛查小学生屈光不正的判断标准,为开展学生视力保护工作提供依据。方法以上海市虹口区3所小学自愿参加免费视力检查的392名学生为研究对象,由经培训的医务人员进行裸眼视力、自动验光及睫状肌麻痹检影法检查。结果使用裸眼视力≤4.9、自动验光等效球径度数≤-0.75作为判断标准筛查近视有较好的灵敏度和特异度,使用自动验光球径度数≥0.75或球径度数≤-0.75作为判断标准筛查散光有较好的灵敏度和特异度,而远视的筛查未得到满意的标准。结论对小学生分别使用准裸眼视力≤4.9、自动验光等效球径度数≤-0.75和球径度数≥0.75或球径度数≤-0.75作为判断标准来筛查近视和散光有较好的应用价值,而远视的筛查判断标准有待进一步的探索研究。Objective To explore a standard which can be used as a tool when screening primary school students for refractive error,and to provide evidence for developing vision protection.Methods All students went to hospital were volunteered participating the examination for vision acuity,non-cycloplegic autorefraction and cycloplegic retinoscopy.Results In primary school,it can be used to screen myopia using the standard of vision acuity≤4.9 and SE≤-0.75,while the standard of DC≥0.75 or DC≤-0.75 can be used to screen astigmatism,no satisfactory standard was found for screening hyperopia.Conclusion The standard of vision acuity≤4.9 and SE≤-0.75 and the standard of DC≥0.75 or DC≤-0.75 can be used to screen myopia and astigmatism respectively.A standard for screening hyperopia is still to be explored.

关 键 词：屈光不正 参考标准 对比研究 学生 

分 类 号：R770.421[医药卫生—眼科] R778.1[医药卫生—临床医学]