济南市6~18岁学生屈光参差的流行病学调查  

Epidemiology of anisometropia in students aged 6-18 years in Jinan City

作　　者：尹晓琳 金磊[2] 高蕾[1] 李倩[1] 赵淑静[1] 傅特[1] Yin Xiaolin;Jin Lei;Gao Lei;Li Qian;Zhao Shujing;Fu Te(Department of Ophthalmology,Jinan Second People’s Hospital,Jinan 250000,China)

机构地区：[1]济南市第二人民医院眼科,济南250000 [2]山东省警官总医院眼科,济南250000

出　　处：《中华眼外伤职业眼病杂志》2023年第6期464-469,共6页Chinese Journal of Ocular Trauma and Occupational Eye Disease

摘　　要：目的分析济南市6~18岁学生屈光参差情况及分布特征。方法横断面研究。济南市第二人民医院2021年10月~12月对济南市12个区县1056所学校1016053名年龄6~18岁学生进行非睫状肌麻痹下屈光检测,分析屈光参差的发生率及不同类型分布情况。结果屈光参差检出率21.05%(213879/1016053)。屈光参差程度随年龄增长逐渐增高(B=0.944,95%置信区间1.353~2.166,P<0.001)。其中复合近视性屈光参差检出率最高(10.76%,109327/1016053)。总体屈光参差双眼等效球镜度不同,右眼具有更高度的近视或更低度的远视(t=17.35,P<0.001),差异有统计学意义。结论济南市6~18岁学生屈光参差发生率较高。年龄及近视为屈光参差显著相关因素。Objective To analyze the situation and distribution characteristics of anisometropia in students aged 6 to 18 years in Jinan City.Methods This was a cross-sectional study.A total of 1016053 students aged 6 to 18 years from 1056 schools in 12 districts counties of Jinan City were examined for non-cyclopletic refraction from Oct.2021 to Dec.2021.The prevalence and different types of anisometropia were analyzed.Results The detection rate of anisometropia in children aged 6-18 was 21.05%(213879/1016053).Different degrees of anisometropia increased with age(B=0.944,95%confidence interval:1.353-2.166,P<0.001).Among the different types of anisometropia,the detection rate of compound myopia was the highest(10.76%,109327/1016053).The mean values of equivalent spherical lenses of different types of anisometropia were different,and the right eye had higher degree of myopia or lower degree of hyperopia(χ^(2)=2310.53,P<0.001),which was statistically significant.Conclusion The prevalence rate of anisometropia is high in students aged 6-18 years in Jinan City.Age and myopia are related factors for anisometropia.

关 键 词：参差 屈光 儿童青少年 近视 散光 流行病学 

分 类 号：R778.15[医药卫生—眼科] R181.3[医药卫生—临床医学]