1%环戊通在儿童屈光流行病学调查中的应用  

The application of the use of 1% Cyclopentolate in ametropia epidemiological investigation of children

作　　者：杨小梅[1] 杨发斌[1] 周华 师文[1] 李海燕 王晓林 马自明 曹仕涛 左芸[1] 龙旭东[1] 

机构地区：[1]云南省妇幼保健院眼科,昆明650051 [2]保山市隆阳区妇幼保健院 [3]临沧市临翔区妇幼保健院 [4]玉溪市第三人民医院眼科 [5]玉溪市江塔区妇幼保健院

出　　处：《中国斜视与小儿眼科杂志》2013年第2期26-29,共4页Chinese Journal of Strabismus & Pediatric Ophthalmology

基　　金：云南省2009年社会发展科技计划(应用基础研究)(2009ZC199M)

摘　　要：目的探讨1%环戊通在儿童屈光流行病学调查中的应用价值方法用小瞳检影法分别对玉溪市、临沧市7所幼儿园2～6岁儿童进行屈光筛查,对在检影时顺影动>+1.50DS(远视)、有逆影动(近视)或两个子午线影动不对称(散光)的儿童,疑为屈光不正,通知家长复诊。对复诊儿童给1%环戊通点眼麻痹睫状肌,5min/次,连续点眼2～3次,休息60 min进行视网膜检影,明确诊断。结果在受检的3378名(6756眼)儿童中,通知复诊246人(屈光异常率为7.28%),实际散瞳验光144人(复诊率为58.54%),在验光的144人288眼中。诊断为屈光不正237眼,屈光不正眼占复查眼的82.29%。可疑弱视83眼(患病率为1.23%)。斜视37人(患病率为1.10%)。结论在儿童屈光流行病学调查中,可选用1%环戊通进行睫状肌麻痹验光,由于它对儿童的学习和生活影响较小,且在点药当天就可以进行检影验光,从而减少了在流调工作中医患之间沟通的繁琐程序,容易被患儿和家长所接受。Objectives The goal of the present research is to probe the application of 1% cyclopentolate in ametropia epidemioiogical investigation of children. Methods There was a ametropia epidemiological investigation carried out among children a＇ged 2 to 6 in seven kindergartens in Yuxi City, Lincang City, using the small-pupil-retinoscope, and examining children with symptoms of direct or indirect shade movements 〉＋l.50DS,or symptom of unsymmetrical shade movements between the two meridians,who can be considered as potential ametropia patients and then notified to their parents. When given 1% cyclopentolate to palsy ciliary muscles, once every five minutes, two to three times in total,there will be a retina rctionoscopy optometry 60 minutes later. The patients can be diagnosed as ametrapia if the symptoms maintain. Results The results shows： among the 3378 children （6756 eyes） ,there were 246 （7.28%） children were notified re-examination. In fact, only 144 （288 eyes/58.54%） children recame, 237 eyes were diagnosed as ametropia, 83 （1.23%） eyes as potential amblyopia, and 37 （1.10%） children as strabismus. Conclusions The using of 1% cyclopento- late in ametropia epidemiological investigation of children, has been an easy-canTing-out method. The optometry can be done within a day after using the 1% cyclopentolate, therefore, it is well welcomed by both children and parents, bringing more convenience to children and less communication problems between doctors and patients.

关 键 词：儿童 屈光 流行病学调查 环戊通 散瞳验光 

分 类 号：G617[文化科学—学前教育学] R778[文化科学—教育学]