视近作业与儿童青少年近视的Meta分析  

Nearwork and myopia in children and adolescents: A systematic review and meta-analysis

作　　者：方云[1] 陶芳标[1,2] 伍晓艳[1] 万宇辉[1] 华文娟 高国朋[3] 金菊香[1] 裴晨璐 

机构地区：[1]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 [2]安徽人口健康与优生省级重点实验室 [3]安徽医科大学公共卫生学院流行病与卫生统计学 [4]安徽医科大学第二附属医院眼科

出　　处：《中国学校卫生》2013年第11期1302-1305,1308,共5页Chinese Journal of School Health

基　　金：2012年度卫生公益性行业科研专项经费项目(201202010)

摘　　要：目的综合评价视近作业尤其是读写对儿童青少年近视的影响，为预防儿童青少年近视提供参考依据。方法研究中的文献主要来自2个数据库（Medline和Google高级学术搜索）以及可获得研究中的参考文献。使用Meta分析的随机效应模型对纳入的多项研究进行定量综合分析，研究数据主要包括视近作业与近视发病率、近视患病率和近视进展。结果不同视近作业类型对近视影响各异。纳入Meta分析的原始文献共7篇，各项研究结果之间并不同质（I2=85．0％，Pheterogeneily=0．000）。随机效应模型的Meta分析显示儿童青少年每周读写每增加1h，产生的近视联合0R值为1．02（95％CI=1．01～1．03）。结论视近作业对近视影响各异，读写时间的增加对近视存在持续性影响，但影响较弱。Objective To synthetically summarize the impact of nearwork especially reading and writing on myopia in children and adolescents, and to provide reference for myopia prevention. Methods The literature were searched from 2 databases （Medline, Google scholar） and reference lists of retrieved studies. The random effects meta-anlysis was implemented for quantitative analysis to examine the association between nearwork and prevalent myopia, incident myopia, and myopic progression. Results The impact of nearwork on myopia depends on its types. Seven pieces of literature included were inhomogenous （ I2 = 85.0%, Pheterogeneily=0.000）. Random effects meta-analysis yielded a pooled OR for myopia of 1.02 （95%CI= 1.01-1.03 ） per additional hour of time spent nearwork per week. Conclusion The overall findings indicate different type of nearwork has a different impact on myopia. Reading and writing may be a simple faint but continuous factor in developing myopia in children and adolescents.

关 键 词：视力 低 META分析 青少年 文献计量学 

分 类 号：R179[医药卫生—妇幼卫生保健] R778[医药卫生—公共卫生与预防医学]