学校卫生监督对小学生近视防控的效果评价  

Evaluation of the effect of school health supervision on myopia prevention and control amongprimary school students

作　　者：寇博煦 朱晓鹏 田晨 王普 张一凡 KOU Boxu;ZHU Xiaopeng;TIAN Chen;WANG Pu;ZHANG Yifan(Comprehensive Supervision Service Center of Hebei Health Commission,Shijiazhuang 050000,China)

机构地区：[1]河北省卫生健康委综合监督服务中心,石家庄050000

出　　处：《医学动物防制》2023年第7期683-685,共3页Journal of Medical Pest Control

基　　金：2021年度河北省医学科学研究课题项目(20210361)。

摘　　要：目的 评价学校卫生监督在小学生近视防控工作的实际效果,为近视的精准防控提供理论依据。方法 随机选取2021年7月至2022年7月石家庄市新华区城市和农村小学各1所,整群抽取1~6年级所有在校学生(1 405名)作为干预组;就近选取客观条件相当的城市和农村小学各1所,将所有在校学生(1 410名)作为对照组。干预组研究对象学习日增加课间户外活动和眼保健操,由卫生监督人员每月指导落实;对照组仅要求学习日增加课间户外活动和眼保健操,不作卫生监督干预。干预开始前、干预后第6个月末和第12个月末对所有研究对象进行视力检查。结果 干预开始前和干预后第6个月末,干预组(4.90±0.21,4.86±0.24)与对照组(4.90±0.22,4.85±0.25)学生平均视力差异无统计学意义(t_(干预前)=0.16,P干预前>0.05;t _(6月末)=1.85,P _(6月末)>0.05);干预后第12个月末,干预组平均视力(4.86±0.25)显著好于对照组(4.82±0.27),差异有统计学意义(t_( 12月末)=12.63,P _(12月末)<0.01)。结论 小学生近视防控工作中,学校卫生监督是一种精准、有效、可行的学生近视防控措施。Objective To evaluate the actual effect of school health supervision on the prevention and control of myopia among primary school students,so as to provide a theoretical basis for the accurate prevention and control of myopia.Methods From July 2021 to July 2022,one urban primary school and one rural primary school in Xinhua District of Shijiazhuang were randomly selected,and all students(1405)in grades 1 to 6 were selected as the intervention group.A nearby urban primary school and a rural primary school with similar objective conditions were selected,and all the students(1410)were selected as the control group.In the intervention group,outdoor activities and eye exercises were added on school days,and the implementation was guided by health supervisors every month.The control group was only asked to increase outdoor activities and eye exercises during school days,without health supervision intervention.The visual acuity of all subjects was examined before the intervention and at the end of the 6th and 12th month after the intervention.Results There was no significant diference(t_(before intervention)=0.16,P_(before intervention)>0.05;t_(the end of the 6th mouth)=1.85,P_(the end of the 6th mouth)>0.05)in the average visual acuity between the intervention group,Fhemdotheohmenh intervention.At the end of the 12th month after the intervention,the average visual acuity of the intervention group(4.86+0.25)was significantly better than that of the control group(4.82±0.27),and the difference was statistically significant(t_(the end of the 12th mouth)=12.63,P_(the end of the 12th mouth)<0.01).ConclusionSchl heath supervision is an accurate,efective and feasibe measure for the prevention and control of myopia in primary school students.

关 键 词：近视 近视影响因素 学校卫生监督 小学生 效果评价 

分 类 号：R778.11[医药卫生—眼科]