天津某高校新生计算机视觉综合征现状及影响因素  

Status quo and influencing factors of computer vision syndrome among college freshmen in Tianjin

作　　者：李炳钦 张红梅 王志洋 魏瑞华 LI Bingqin;ZHANG Hongmei;WANG Zhiyang;WEI Ruihua(Tianjin Key Laboratory of Retinal Functions and Diseases,Tianjin Branch of National Clinical Research Center for Ocular Disease,Eye Institute and School of Optometry,Tianjin Medical University Eye Hospital,Tianjin(300384),China)

机构地区：[1]天津医科大学眼科医院/眼视光学院/眼科研究所/国家眼耳鼻喉疾病临床医学研究中心天津市分中心/天津市视网膜功能与疾病重点实验室,天津300384

出　　处：《中国学校卫生》2023年第6期850-853,858,共5页Chinese Journal of School Health

基　　金：天津市卫生健康科技项目(TJWJ2022MS014);天津市医学重点学科(专科)建设项目资助(TJYXZDXK-037A)。

摘　　要：目的 调查新冠肺炎疫情期间天津某高校学生计算机视觉综合征(CVS)的现状及其影响因素,为改善大学生的视觉舒适度提供参考。方法 2021年10-12月,以天津某高校2021级868名新生为研究对象,采用CVS定性分析问卷、眼健康情况调查问卷与眼健康检查相结合的方式进行研究。采用χ^(2)检验和多因素Logistic回归进行数据分析。结果 学生的CVS检出率为68.5%(595名),女生检出率(72.2%)高于男生(61.7%)。女生、非低度近视、入睡需要>30 min、睡前习惯使用手机>1 h、夜间睡眠时长≤8 h的学生CVS检出率(72.2%,70.4%,81.1%,72.7%,71.2%)比男生、低度近视、入睡需要≤30 min、睡前习惯使用手机≤1 h、夜间睡眠时长>8 h高(61.7%,63.3%,67.4%,65.9%,61.1%),差异均有统计学意义(χ^(2)值分别为10.08,3.94,5.89,4.40,7.94,P值均<0.05);每日使用电子设备时间和学业压力不同的学生CVS检出率差异均有统计学意义(χ2值分别为22.03,21.24,P值均<0.05)。多因素Logistic回归显示,每日使用电子设备的时间4~6,7~9,≥10 h,入睡需要>30 min,平时的学业压力适中、很大与CVS呈正相关(OR值分别为1.95,2.94,2.30,2.39,3.51,4.41,P值均<0.05);男生、低度近视、夜间睡眠时长>8 h与CVS呈负相关(OR值分别为0.65,0.70,0.65,P值均<0.05)。结论 天津某高校新生CVS检出率较高,应关注线上学习时学生CVS情况,对广大学生进行宣教,减少不必要电子产品使用时间,保证夜间睡眠,降低CVS的发生。Objective To investigate the current situation and associated factors of computer vision syndrome(CVS)among college freshmen in Tianjin during the COVID-19 epidemic,and to provide a reference for visual comfort of college students.Methods A total of 868 college freshmen from one university in Tianjin were administered with CVS qualitative analysis questionnaire,eye health status questionnaire and eye health examination during Oct to Dec 2021.Chi-square test and multivariate Logistic regression were used for data analysis.Results The detection rate of CVS among the included students was 68.5%(n=595)and was higher in females(72.2%)than in males(61.7%).The CVS detection rate in girls,students without myopia,>30 min sleep onset,>1 h mobile phone usage,and≤8 h sleep duration(72.2%,70.4%,81.1%,72.7%,71.2%)were significantly higher than boys,students with low-grade myopia,sleep onset required≤30 min,use mobile phone for≤1 h,and sleep duration>8 h(61.7%,63.3%,67.4%,65.9%,61.1%)(χ^(2)=10.08,3.94,5.89,4.40,7.94,P<0.05).Differences in CVS detection rates varied significantly by daily electronic device usage and academic stress students(χ^(2)=22.03,21.24,P<0.05).Multivariate Logistic regression analysis showed that daily use of electronic devices 4-6,7-9,≥10 h,sleep onset required>30 min,moderate to higher academic pressure were positively associated with CVS(OR=1.95,2.94,2.30,2.39,3.51,4.41,P<0.05),boys,low-grade myopia,night sleep time>8 h were negatively associated with CVS(OR=0.65,0.70,0.65,P<0.05).Conclusion The detection rate of CVS among freshmen in a university in Tianjing is high.Attention should be paid to the CVS situation of students with e-learning,and general public should also be educated to reduce the time of unnecessary electronic product use and ensure night sleep to reduce the prevalence of CVS.

关 键 词：计算机视觉综合征 睡眠 便携式电话 回归分析 学生 

分 类 号：B844.2[哲学宗教—发展与教育心理学] G478[哲学宗教—心理学] R179[文化科学—教育学]