应用智能眼镜监测学龄儿童用眼行为的效果分析  

Monitoring effect of smart glasses on visual behavior in school-age children:analysis of 46 cases

作　　者：范玉洁 宋胜仿[1] 刘世纯[1] 蔡血芹 吕莎[1] 杨巧 董垚汐 廖娟[2] 李华[1] FAN Yujie;SONG Shengfang;LIU Shichun;CAI Xueqin;LYU Sha;YANG Qiao;DONG Yaoxi;LIAO Juan;LI Hua(Department of Ophthalmology,Yongchuan Hospital Affiliated to Chongqing Medical University,Chongqing,402160,China;Central Laboratory,Yongchuan Hospital Affiliated to Chongqing Medical University,Chongqing,402160,China)

机构地区：[1]重庆医科大学附属永川医院眼科,重庆402160 [2]重庆医科大学附属永川医院中心实验室,重庆402160

出　　处：《第三军医大学学报》2021年第14期1396-1401,共6页Journal of Third Military Medical University

基　　金：重庆市社会事业与民生保障专项一般项目(cstc2016shmszx130070);重庆市科卫联合医学科研项目(2018MSXM114)。

摘　　要：目的探讨智能眼镜在学龄儿童用眼行为监测中的价值。方法纳入46名在重庆医科大学附属永川医院就诊的9-11岁近视儿童,采用问卷记录参与者基线时期日常的户外活动时间、近距离用眼时间,询问父母监督用眼情况;采用Akeso智能眼镜客观记录所有参与者2019年9-12月每天的戴镜时间、户外活动时间、近距离用眼时间。比较两种方法记录的用眼行为差异,比较智能眼镜客观记录的学习日和周末用眼行为差异,分析父母监督对佩戴眼镜时间的影响。结果调查问卷记录的户外活动时间各阶段人数分布情况:≤30 min(n=5)、>30-60 min(n=6)、>60-120 min(n=23)、>120 min(n=12),智能眼镜记录的户外活动时间各阶段的人数分布情况:≤30 min(n=16)、>30-60 min(n=26)、>60-120 min(n=4)、>120 min(n=0),两种方式记录的户外活动时间分布差异具有统计学意义(P<0.001);智能眼镜客观记录的学习日和周末的户外活动时间分别为24(4,56) min/d和15(3,43) min/d,差异具有统计学意义(P<0.001);学习日和周末的近距离用眼时间分别为(363.36±98.55)min/d和(329.08±105.90)min/d,差异具有统计学意义(P<0.001)。父母参与监督用眼行为者每天的戴镜时间是(711.80±101.63)min,父母未参与监督用眼行为者每天的戴镜时间是(641.64±84.79)min,两组差异具有统计学意义(P=0.026)。结论智能眼镜能客观记录儿童用眼行为,在近视防控研究中可用于补充或代替调查问卷;父母参与监督的儿童戴镜依从性更好。Objective To explore the value of smart glasses in monitoring the visual behavior of school-age children.Methods A total of 46 myopic children aged 9 to 11 years who visited our hospital during April to August 2019 were included in this study.Questionnaires were used to record the participants’daily outdoor time,near-work time,and parental supervision to obtain the baseline value of children’s visual behavior.Besides,Akeso smart glasses were used to objectively record the daily wearing time,outdoor time,and near-work time of all participants from September 2019 to December 2019.Subsequently,we compared the differences in the children’s visual behavior recorded by the questionnaire and Akeso smart glasses.In addition,we also compared the differences in the children’s visual behavior on school days and weekends recorded by Akeso smart glasses,and analyzed the impact of parental supervision on the length of time the child wears glasses.Results The number of children corresponding to the different outdoor time recorded by the questionnaire was as follows:≤30 min(n=5),>30 to 60 min(n=6),>60 to 120 min(n=23),>120 min(n=12),and this children’s visual behavior parameter recorded by Akeso smart glasses was≤30 min(n=16),>30 to 60 min(n=26),>60 to 120 min(n=4),>120 min(n=0).There were statistical differences between the results recorded by the above methods(P<0.001).The results of Akeso smart glasses also showed significant differences were in the outdoor time spent on school days and weekends[24(4,56)vs 15(3,43)min/d,P<0.001],and in the near-work time spent on school days and weekends(363.36±98.55 vs 329.08±105.90 min/d,P<0.001).The children with parental supervision wore glasses for 711.80±101.63 min every day,while the wearing time for those without was 641.64±84.79 min,and there were statistical differences between these 2 groups(P=0.026).Conclusion Akeso smart glasses is able to objectively record children’s visual behavior and can be used to supplement or replace questionnaires in the prevention an

关 键 词：近视 儿童 可穿戴设备 问卷调查 近距离用眼时间 户外活动时间 

分 类 号：R181.37[医药卫生—流行病学] R778.11[医药卫生—公共卫生与预防医学]