北京市东城区2017-2019年新入园儿童屈光筛查结果分析  

2017-2019,Analysis on the Results of Refractive Screening for Kindergartens Fresh Children in Dongcheng Distict,Beijing

作　　者：李素毅 王丹 LI Su-yi;WANG Dan(Maternal and Child Health Care Hospital of Dongcheng District,Beijing,100061,China)

机构地区：[1]北京市东城区妇幼保健计划生育服务中心,北京100061

出　　处：《中国初级卫生保健》2021年第1期52-54,共3页Chinese Primary Health Care

摘　　要：目的:了解近年来北京市东城区新入园儿童的屈光状态变化,为新入园儿童的眼保健及弱视防控提供依据。方法:对2017—2019年北京市东城区妇幼保健计划生育服务中心南院区辖区新入园儿童的屈光检查结果做回顾性分析。按仪器提供标准及弱视因素两种标准分别判定异常率,分析异常率、屈光参差因素占比、异常因素构成及总体屈光状况。结果:连续3年的严重异常率无明显差异,平均为8.29%;其中屈光参差占6.7%;严重屈光不正眼中,单纯散光和复合散光分别占72.31%和17.77%,复合散光中以复性远视散光为主。球镜和等效球镜的(x±s)分别为(1.45±0.57)和(1.15±0.54),散光值的P75为0.75,P95为1.5。结论:以统一的、可能导致弱视的屈光不正界值为标准判定异常,更有利于筛查工作的开展;在使用单目筛查仪时要关注屈光参差,以防漏诊;北京市东城区南片新入园儿童的屈光状态不容乐观,散光仍是造成新入园儿童屈光异常的主要因素。OBJECTIVE To understand the changes in refractive status of kindergartens fresh children in Dongcheng District,Beijing in recent years,and to provide a basis for the eye care and the control of amblyopia.METHODS A retrospective analysis of the results of refractive examinations of fresh children in kindergartens in the South District of Beijing Dongcheng District Maternal and Child Health and Family Planning Service Center from 2017 to 2019.There were two criterias for determining the abnormality rate:one was provider by equipment and the other was by amblyopia factors,and the abnormality rate,the proportion of anisometropia factors,the composition of abnormal factors and the condition of the overall refractive were analyzed.RESULTS There was no significant difference in the rate of serious abnormalities in three consecutive years and this rate accounted for 8.29%averagely,of which anisometropia accounted for 6.7%.In severe ametropia,simple astigmatism and compound astigmatism accounted for 72.31%and17.77%respectively.In compound astigmatism,compound hyperopic astigmatism accounted for the main part.The result of x±s of spherical lens and equivalent spherical lens were 1.45±0.57 and 1.15±0.54 respectively.The P75 of astigmatism in each age group was 0.75,and the P95 was 1.5.CONCLUSION Using a unified refractive error threshold to determine abnormalities was more conducive to the work of screening.It needed to pay attention to anisometropia when using a monocular screen to prevent missed diagnosis.The refractive status of kindergartens fresh children in southern part of Dongcheng District was not optimistic.Astigmatism was still the main factor causing children’s refractive abnormalities.

关 键 词：儿童 Suresight筛查仪 屈光不正 屈光参差 

分 类 号：R778[医药卫生—眼科]