2018年上海市闵行区某镇中小学生裸眼视力及屈光发育状态分析  

Investigation of naked visual acuity and refraction status of primary and secondary school students in a town of Minhang District of Shanghai City in 2018

作　　者：陈佳玥 陆莉英 刘萍 王维思 张庆聪 CHEN Jia-yue;LU Li-ying;LIU ping;WANG Wei-si;ZHANG Qing-cong(Zhuanqiao Community Health Care Center,Minhang District,Shanghai 201108,China)

机构地区：[1]上海市闵行区颛桥社区卫生服务中心,上海201108

出　　处：《中国校医》2021年第6期409-411,共3页Chinese Journal of School Doctor

基　　金：2019年闵行区自然科学研究课题(2019MHZ046)。

摘　　要：目的了解上海市颛桥镇中小学生视力与屈光状况,为社区中小学生眼病防治提供科学依据。方法运用描述性流行病学方法对2018年上海市颛桥镇6~16周岁中小学生视力与屈光状态资料进行统计分析。结果2018年颛桥镇中小学生裸眼视力异常发生率为32.69%;屈光异常近视发生率为63.07%,远视发生率为1.40%,散光发生率为8.88%。9、11、12、13岁组男女生裸眼视力异常发生率差异有统计学意义(P<0.05)。2018年颛桥镇中小学生左右眼等效球镜(SE)值分别为(-0.70±1.75)、(-0.82±1.77),各年龄组右眼SE值低于左眼,除16岁组外,差异均有统计学意义(P<0.05)。性别、年龄、父母近视状态、屈光状态是影响学生裸眼视力筛查异常的主要因素。结论颛桥社区中小学生视力与屈光状态现状不容乐观。屈光异常以近视居多,且右眼近视程度高于左眼。应继续巩固中小学眼保健的宣教、常规视力检测和屈光状态筛查。Objective To investigate the visual acuity and refractive status of primary and secondary school students in Zhuanqiao Town of Minhang District,Shanghai City,so as to provide the evidence for the prevention and treatment of eye diseases in the students.Methods The epidemic data of the visual acuity and refraction of 6-16 years old students in Zhuanqiao Town of Minhang District,Shanghai City in 2018 were collected and statistically analyzed by using the descriptive epidemiological method.Results In 2018,among the students in Zhuanqiao Town,the incidence of naked visual acuity abnormalities was 32.69%,the incidence of refractive myopia was 63.07%,the incidence of hyperopia was 1.40%,and the incidence of astigmatism was 8.88%.The incidence of naked eye vision abnormality among the 9-,11-,12-,13-year-old groups was significantly correlated with gender(P<0.05).The spherical equivalent(SE)values of left eye and right eye were(-0.70±1.75)and(-0.82±1.77)respectively,and the SE value of right eye was lower than that of left eye,and the differences were significant among all the age groups except the 16-year-old group(P<0.05).Gender,age,parents’myopia and refractive status were the main factors affecting the abnormal naked visual acuity screening in the students.Conclusion The status of abnormal eyesight and ametropia of primary and secondary school students in Zhuanqiao community is not optimistic.Myopia is the most common refractive disorder,and the degree of myopia in right eye is higher than that in left eye.It will be imperative to strengthen the education of eye care,visual inspection and ametropia screening.

关 键 词：中小学生卫生保健服务 视力普查 屈光不正 

分 类 号：R179[医药卫生—妇幼卫生保健]