3~6岁儿童屈光不正的影响因素分析  

Influencing factors of refractive error in children aged 3-6 years

作　　者：毕雪[1] BI Xue(Department of Ophthalmology of the First Affiliated Hospital of Jiamusi University,Jiamusi 154002 Heilongjiang,China)

机构地区：[1]佳木斯大学附属第一医院眼科,黑龙江佳木斯154002

出　　处：《中国民康医学》2022年第7期146-148,共3页Medical Journal of Chinese People’s Health

摘　　要：目的:探讨3~6岁儿童屈光不正的影响因素。方法:回顾性分析2017年1月至2019年12月于该院进行屈光状态检查的200例3~6岁儿童的临床资料,根据屈光状态检查结果,将患儿分为屈光正常组与屈光不正组,比较两组患儿一般临床资料和可疑影响因素,并对导致屈光不正的影响因素进行单因素和多因素Logistic回归分析。结果:200例3~6岁儿童中检出屈光不正75例,检出率为37.50%(75/200),其中12例近视,39例远视,24例散光;屈光不正组母亲吸烟、近距离用眼量大、每天电子产品使用时间≥3 h、未定期体检、每天户外活动时间<2 h占比均高于屈光正常组,差异有统计学意义(P<0.05);两组性别、年龄、父母屈光状态、母乳喂养占比情况比较,差异均无统计学意义(P>0.05);经Logistic回归分析显示,母亲吸烟、近距离用眼量大、每天电子产品使用时间≥3 h、未定期体检、每天户外活动时间<2 h均为影响3~6岁儿童屈光不正的独立危险因素(OR>1,P<0.05)。结论:母亲吸烟、近距离用眼量大、每天电子产品使用时间≥3 h、未定期体检、每天户外活动时间<2 h均为影响3~6岁儿童屈光不正的独立危险因素。Objective:To explore influencing factors of refractive error in children aged 3-6 years.Methods:The clinical data of 200 children aged 3-6 years who underwent refractive status examination in our hospital from January 2017 to December 2019 were retrospectively analyzed.According to the results of refractive status examination,these children were divided into normal group and refractive error group.The general clinical data and the suspicious influencing factors of the two groups were compared.The univariate and multivariate Logistic regression analysis were performed on the influencing factors of refractive error.Results:Among the 200 children aged 3-6 years,75 cases of refractive errors were detected with a detection rate of 37.50%(75/200),including 12 cases of myopia,39 cases of hyperopia,and 24 cases of astigmatism.The proportion of mothers who smoked,the proportion of the children who used a lot of eyes at close range,the proportion of the children who used electronic products for more than 3 hours per day,the proportion of the children who did not have regular physical examination,and the proportion of the children who spent less than 2 hours in outdoor activities per day in the refractive error group were higher than those in the normal group,and the differences were statistically significant(P<0.05).However,there were no significant differences in gender,age,parental refractive status,and breastfeeding proportion between the two groups(P>0.05).Logistic regression analysis showed that maternal smoking,heavy eye use at close range,daily use of electronic products≥3 h,no regular physical examination,and daily outdoor activity time<2 h were independent risk factors affecting the children aged 3-6 years with refractive error(OR>1,P<0.05).Conclusions:Maternal smoking,heavy eye use at close range,daily use of electronic products≥3 h,no regular physical examination,and daily outdoor activity time<2 h are the independent risk factors affecting the children aged 3-6 years with refractive error.

关 键 词：屈光不正 儿童 影响因素 

分 类 号：R778[医药卫生—眼科]