"安阳儿童眼病研究"模式对儿童青少年近视眼防控效果的临床研究  

Effects of"Anyang Childhood Eye Study"on prevention and control of myopia in children

作　　者：李翯[1] 刘洛如 孟海林[1] 姬亚洲 郭继援 He Li;Luoru Liu;Hailin Meng;Yazhou Ji;Jiyuan Guo(Department of Opthalmology,Anyang Eye Hospital,Anyang 455000,China)

机构地区：[1]河南省安阳市眼科医院视光中心,455000

出　　处：《中华眼科医学杂志（电子版）》2021年第6期333-338,共6页Chinese Journal of Ophthalmologic Medicine(Electronic Edition)

摘　　要：目的探讨"安阳儿童眼病研究"模式开展后对安阳当地儿童青少年近视眼防控的效果。方法收集2011年10月至12月在河南安阳地区的小学一年级和初中一年级在校学生4981例(4981只眼)的研究资料。其中,小学一年级学生男性1654例(1654只眼),女性1203例(1203只眼);年龄5.7~9.3岁,平均年龄(7.1±0.4)岁。初中一年级学生男性1065例(1065只眼),女性1059例(1059只眼);年龄10.0~15.6岁,平均年龄(12.7±0.5)岁。采用数字表法随机抽取2018年11月至12月在河南安阳地区的小学一年级和初中一年级在校学生387例(387只眼)进行研究。其中,小学一年级学生男性103例(103只眼),女性79例(79只眼);年龄6.3~7.4岁,平均年龄(6.8±0.3)岁。初中一年级学生男性112例(112只眼),女性93例(93只眼);年龄10.8~14.7岁,平均年龄(12.7±0.4)岁。采用非散瞳电脑验光的方式获得学生患眼屈光度,测量3次取平均屈光度值,计算求得等效球镜屈光度(SE)。SE屈光度采用均数±标准差进行描述,并计算其屈光不正的患病率。"安阳儿童眼病研究"开展期间,采取政府-医院-学校三方模式来防控儿童青少年近视眼,采用独立样本t检验比较"安阳儿童眼病研究"模式开展前后学龄儿童的屈光度,采用χ^(2)检验比较"安阳儿童眼病研究"模式开展前后学龄儿童近视眼的患病率。结果2011年随机抽取2857例小学一年级和2124例初中一年级学生的平均屈光度为(-0.50±1.10)D和(-2.28±1.78)D。2018年随机抽取的182例小学一年级和205例初中一年级人群的平均屈光度为(0.12±0.64)D和(-2.02±2.01)D。经t检验,"安阳儿童眼病研究"模式开展前后,2018年与2011年相比小学一年级学生屈光度的差异具有统计学意义(t=-12.024,P<0.05)。初中一年级学生屈光度差异不明显,但2018年比2011年患者近视眼屈光度有所降低。根据屈光度分成近视组、正视组及远视组3组,2011年小学一年级近视眼患者1256例,占Objective To explore the effective myopia prevention and control strategy after"Anyang Childhood Eye Study".Methods The research data of 4981 cases(4981 eyes)of grade 1 and grade 7 students of Anyang city from October to December 2011 were collected.There were 1654 males(1654 eyes)and 1203 females(1203 eyes)in grade 1 students with the average age of(7.1±0.4)years-old(ranged from 5.7 to 9.3 years-old).Among them,there were 1065 males(1065 eyes)and 1059 females(1059 eyes)in grade 7 students with the average age of(12.7±0.5)years-old(ranged from 10.0 to 15.6 years-old).387 students(387 eyes)in grade 1 and grade 7 students in Anyang city from November to December 2018 were randomly selected.Among them,there were 103 males(103 eyes)and 79 females(79 eyes)in grade 1 students with the average age of(6.8±0.3)years-old(ranged from 6.3 to 7.4 years-old).There were 112 males(112 eyes)and 93 females(93 eyes)in grade 7 students with the average age of(12.7±0.4)years-old(ranged from 10.8 to 14.7 years-old).Refraction were measured by noncycloplegic autorefraction for three times,and spherical equivalent(SE)were calculated.SE was described by±s,and then the prevalence of refractive error were analyzed.During the period of"Anyang Childhood Eye Study",the government-hospital-school tripartite model was used to prevent and control children′s myopia.The children′diopters before and after the"Anyang Childhood Eye Study"model were compared by independent sample t test,and the prevalence of myopia before and after was compared by Chi square test.Results In 2011,the average diopters of 2857 in grade 1 students and 2124 in grade 7 students were(-0.50±1.10)D and(-2.28±1.78)D,respectively.In 2018,the average diopters of 182 in grade 1 students and 205 in grade 7 students were(0.12±0.64)D and(-2.02±2.01)D.There was statistically significant difference in eye diopter before and after the"Anyang Childhood Eye Study"model(t=-12.024,P<0.05).There was no significant difference in diopter in grade 7 students,but the diopter of chil

关 键 词：儿童青少年 近视 屈光不正 统计分析 

分 类 号：R778.11[医药卫生—眼科]