3849例学龄前儿童眼屈光度筛查的结果分析  

Analysis on the screening results of eye diopter of 3 849 preschool children

作　　者：雷光明[1] 赵文慧[2] 

机构地区：[1]鹤壁职业技术学院医学院,河南鹤壁458030 [2]鹤壁职业技术学院护理学院

出　　处：《中国妇幼保健》2011年第24期3746-3747,共2页Maternal and Child Health Care of China

摘　　要：目的:了解儿童弱视发生情况及相关因素。方法:2010年1月～12月期间对鹤壁市所有幼儿园(包含幼托所)在园的3 849例学龄前儿童进行屈光度筛查,分析屈光不正儿童在各年龄组的构成比及弱视眼在不同屈光不正组的构成比。结果:远视眼者占2.5%,近视者占1.4%;左眼远视者占2.0%,近视者占1.1%;双眼远视者占1.5%,近视者占0.8%。356例屈光不正儿童中被确诊为弱视者96例(132眼),占2.5%。屈光不正儿童在各年龄组的构成比差异具有统计学意义(P<0.05)。弱视眼在不同屈光不正组的构成比差异具有统计学意义(χ2=7.21,P=0.003 1)。结论:随着年龄的增长,远视儿童所占比例呈现下降趋势,弱视在较小儿童中所占比例更高,临床筛查弱视更应重视较小年龄组儿童。Objective：To understand the prevalence and related factors of amblyopia among children. Methods：From January to December in 2010,3 849 preschool children from all the kindergartens（including nursery） in Hebi city received the screening of eye diopter,the proportion of children with ametropia in children of different age groups and the proportion of amblyopia in different ametropia groups were analyzed. Results：The proportions of hypermetropia,myopia,hypermetropia of left eye,myopia of left eye,hypermetropia of both eyes and myopia of both eyes were 2.5%,1.4%,2.0%,1.1%,1.5% and 0.8%,respectively.Among 356 children with ametropia,96 children（132 eyes） were diagnosed with amblyopia definitely,accounting for 2.5%.There was significant difference in the proportion of children with ametropia among different age groups（P0.05）.There was significant difference in the proportion of children with amblyopia among different ametropia groups（χ2=7.21,P=0.003 1）. Conclusion：The proportion of children with hypermetropia shows a decreasing trend with age,the proportion of amblyopia in little children is relatively high,more attention should be paid to them in clinical screening of amblyopia.

关 键 词：学龄前儿童 屈光度筛查 弱视 

分 类 号：R788[医药卫生—口腔医学]