新疆喀什市城区学龄前儿童眼病及相关因素调查  

Eye diseases and related factors in preschool children in Kashgar,Xinjiang

作　　者：姜爱新[1] 艾则孜·吾买尔[1] 曹淑娟[1] 谢玲玲 谭青[2] 阿卜杜热西提·图尔荪 伍桂军[2] Jiang Ai-xin;Aiziz ·wumer;Cao Shujiian(Ophthalmological Center, The First People's Hospital in Kashgar, Kashgar 844000, China)

机构地区：[1]喀什地区第一人民医院眼科中心 [2]南方医科大学南方医院眼科

出　　处：《中国斜视与小儿眼科杂志》2019年第2期19-22,12,共5页Chinese Journal of Strabismus & Pediatric Ophthalmology

基　　金：新疆维吾尔自治区科技厅面上项目(2017D01C007)

摘　　要：目的调查喀什市城区学龄前儿童眼科疾病谱,了解本地儿童眼科疾病发病的相关危险因素。方法2016年5月至9月对喀什市城区26所幼儿园3185名3~6岁的儿童进行眼病调查。调查内容包括视力、眼位、眼睑;对视力低常儿童用手持式裂隙灯和眼底镜检查结膜、角膜、内眼等,并使用阿托品眼用凝胶散瞳验光,对结果进行分析。结果获得2195例完整资料,其中视力低常(屈光矫正前)患儿375例,占17.10%,其中汉族250例,维吾尔族125例,两个民族之间城区儿童视力低常发生率无明显差异(P=0.195)。单因素分析结果显示:年龄、斜视、母亲学历和婴儿喂养方式与3~6岁儿童视力低常有关(P<0.05)。多因素分析结果显示:年龄(OR=1.787)和斜视(OR=1.579)是视觉发育的危险因素。结论喀什市城区学龄前儿童眼病仍以视力低常最多见,其发病率随年龄的增长而升高。应大力开展本地区儿童眼病的筛查工作,早发现早干预。Objective To investigate the spectrum of ophthalmic diseases of preschool children in urban areas of Kashgar,to understand the related risk factors of ophthalmic diseases of local children.Methods From May to September2016,3185 children aged 3~6 years in 26 kindergartens in Kashgar City were investigated for ophthalmopathy.The investigation included visual acuity,eye position and eyelid.The conjunctiva,cornea and inner eye of children with low vision were examined by hand-held slit lamp and ophthalmoscope,and the results were analyzed by atropine eye drops.Results According to the relevant methods and standards,375 children with low vision(before refractive correction)were screened out,accounting for 17.10%.Among them,250 children of Han nationality and 125 children of Uygur nationality had no significant difference in the incidence of low vision between urban children of two nationalities(P=0.195).Age,strabismus,maternal education and infant feeding style were associated with low vision in children aged 3~6 years(P<0.05).Age(OR= 1.787)and strabismus(OR= 1.579)were risk factors for visual development.Conclusion Low vision is still the most common ophthalmopathy among preschool children in urban areas of Kashgar,and its incidence increases with age.We should vigorously carry out the screening of children’s ophthalmopathy in this region,so that children’s ophthalmopathy can be detected early and intervened early.

关 键 词：喀什 学龄前儿童 眼病调查 

分 类 号：R77[医药卫生—眼科]