门诊儿童视力筛查异常现状及其相关影响因素分析  

Analysis of abnormal status and related risk factors of vision screening in out-patient children

作　　者：占丽丽 ZHAN Li-li(The Second Affiliated Hospital of Nanchang University,Nanchang 330000,Jiangxi,China)

机构地区：[1]南昌大学第二附属医院,江西南昌330000

出　　处：《青岛医药卫生》2022年第6期440-443,共4页Qingdao Medical Journal

摘　　要：目的探讨门诊儿童视力筛查异常现状及其相关危险因素。方法选择2020年10月至2022年3月期间于本院门诊进行视力筛查的儿童586例为研究对象,将视力异常儿童纳入异常组,视力正常儿童纳入正常组。采用医院自制基线资料调查问卷记录儿童及其家长基本资料,分析可能影响门诊儿童视力异常的危险因素。结果视力正常460例(78.50%),视力异常126例(21.50%),其中近视16例,散光43例,远视67例;两组父母视力异常,看电视或电子设备距离<3m,儿童每天用眼时间>3h/d,每天户外活动时间<2h/d,两组比较差异有统计学意义(P<0.05);经多项Logistic回归分析结果显示,儿童父母视力异常、看电视或电子设备距离<3m、儿童每天用眼时间>3h/d、每天户外活动时间<2h/d是影响门诊儿童视力异常的危险因素(OR>1,P<0.05)。结论门诊儿童视力筛查异常率较高,可能的影响因素有父母遗传、近距离看电视或电子设备、过度用眼及户外活动少等。Objective To analyze the status and risk factors of abnormal vision screening in out-patient children.Methods A total of 586 children who underwent visual acuity screening in outpatient department of our hospital from October 2020 to March 2022 were selected as subjects.Children with abnormal vision were included in abnormal group and children with normal vision were included in normal group.The basic information of the children and their parents were recorded by the self-made baseline data questionnaire,and compared to find out the risk factors that may affect the abnormal vision of children in the outpatient department.Results 460 cases(78.50%)had normal visual acuity,126 cases(21.50%)had abnormal visual acuity,16 cases of myopia,43 cases of astigmatism,67 cases of hyperopia.The differences between the two groups were statistically significant(P<0.05),including parents′abnormal visual acuity,distance from TV or electronic devices<3m,children′s daily eye use time>3h/d,and outdoor activity time<2h/d.According to multiple Logistic regression analysis results,children′s parents′abnormal vision,the distance from watching TV or electronic devices<3m,children′s daily eye use time>3h/d,and outdoor activity time<2h/d were the risk factors affecting children′s abnormal vision in outpatient department(OR>1,P<0.05).Conclusion The abnormal rate of outpatient visual acuity screening in children is high,which may be influenced by the risk factors of parents′heredity,close watching TV or electronic devices,excessive use of eyes and less outdoor activities.

关 键 词：儿童 视力筛查 视力异常 户外活动时间 用眼时间 

分 类 号：R770.4[医药卫生—眼科]