屈光形式与弱视发生风险分析  

The relationship between the refractive form and the risk of amblyopia

作　　者：李兴[1] 尹忠贵[1] 陈艳艳[1] 顾晓鸣[2] 

机构地区：[1]上海市浦东新区人民医院眼科,201200 [2]上海市浦东新区人民医院信息科,201200

出　　处：《中国斜视与小儿眼科杂志》2015年第2期5-7,共3页Chinese Journal of Strabismus & Pediatric Ophthalmology

摘　　要：目的观察屈光不正性弱视儿童的屈光特点,分析不同屈光形式发生弱视的风险。方法病例对照研究。弱视组为我院就诊屈光不正性弱视儿童273例(400眼);对照组为幼儿园体检视力正常儿童200例(400眼)。比较两组各种屈光形式的分布,采用多因素Logistic回归分析,明确屈光不正性弱视发病的主要危险因素。结果 logistic回归分析显示,远视(>+4.00D)(OR=305.07,95%CI:94.64,983.38:P<0.001)、散光(>2.00D)(OR=114.45,95%CI:58.32,224.57;P<0.001)、远视性屈光参差(OR=17.19,95%CI:6.71,44.01;P<0.001)在两组间的差异具有统计学意义。结论导致弱视的屈光不正主要是高度远视(>+4.00D)、散光(>2.00D)和远视性屈光参差。对导致弱视的高危屈光不正要尽早予以矫正。Objective To observe the refractive charalteristics of ametropic amblyopia,risk analysis of different forms of refractive amblyopia. Methods This is a case-contral study.273 cases（400eyes） of children with ametropic amblyopia were amblyopia group.200 coses（400eyes） of normal visual acuity children were control group.Comparison of the various refractive form distribution of two groups were analysed by multivariate logistic regression analysis, to make clear the main risk factor for the onset of ametropic amblyopia. Results logistic regressionan analysis showed,hyperopia（＋4.00D）（OR=305.07,95%CI：94.64983.38;P〈0.001）,astigmatism（2.00D）（OR=114.45,95%CI：58.32224.57;P〈0.001）,anisometropia（OR=17.19,95%CI：6.71,44.01;P〈0.001） have statistical significance difference between the two groups. Conclusions High hyperopia（＋4.00D）, astigmatism（2.00D）and anisometropia are the main risk factors,and the high-risk factors should be corrected as early as possible.

关 键 词：儿童 屈光不正 弱视 多自变量logistic回归分析 

分 类 号：R777.44[医药卫生—眼科]