无锡市新吴区学龄前儿童视力筛查结果分析  

Analysis of visual acuity screening results of preschool children in Xinwu district of Wuxi city

作　　者：白杨 费春丽 BAI Yang;FEI Chunli(Ophthalmology Department,Wuxi Branch of Ruijin Hospital Affiliated to Shanghai Jiaotong University School of Medicine,Wuxi 214000,China)

机构地区：[1]上海交通大学医学院附属瑞金医院无锡分院眼科,江苏无锡214000

出　　处：《临床医学研究与实践》2024年第2期9-12,共4页Clinical Research and Practice

摘　　要：目的 分析无锡市新吴区学龄前儿童视力筛查结果,为建立学龄前儿童视力健康档案提供数据支持。方法 选择2021年6月至2022年1月无锡市新吴区各幼儿园的14 686名学龄前儿童为研究对象。对所有儿童行屈光检查和视力检查。分析不同年龄、性别儿童的屈光、视力及眼睛相关情况。结果 对不同年龄学龄前儿童行屈光及视力检查发现,共3 336名儿童存在屈光异常,其中5岁和6岁儿童的屈光异常占比较高,3岁儿童视力不良占比最低。不同年龄学龄前儿童的近视、远视、散光、屈光异常、视力不良占比比较,差异具有统计学意义(P<0.05)。女童和男童的近视、远视占比比较,差异无统计学意义(P>0.05);女童和男童的散光、视力不良占比比较,差异具有统计学意义(P<0.05)。眼外观、视觉行为、红光反射、眼球运动异常在各年龄学龄前儿童中的发生率均较低。不同年龄学龄前儿童的眼外观、视觉行为、红光反射、眼位筛查、眼球运动异常占比比较,差异无统计学意义(P>0.05)。女童和男童的眼外观、视觉行为、红光反射、眼位筛查、眼球运动异常占比比较,差异无统计学意义(P>0.05)。6岁视力不良儿童中,高达41.81%的儿童合并屈光异常;4岁视力不良儿童中,仅28.00%的儿童合并屈光异常;5岁屈光不正儿童中,高达63.22%的儿童合并视力不良。不同年龄视力不良儿童中屈光异常占比比较,差异具有统计学意义(P<0.05);不同年龄屈光异常儿童中视力不良占比比较,差异具有统计学意义(P<0.05)。结论 落实学龄前儿童视力筛查有助于提早发现视力异常,做到早发现、早诊断、早治疗,能够有效提高学龄前儿童视力发育水平。Objective To analyze the results of visual acuity screening for preschool children in Xinwu district of Wuxi city,and provide data support for establishing vision health records for preschool children.Methods A total of 14686 preschool children from kindergartens in Xinwu district of Wuxi city from June 2021 to January 2022 were selected as the research objects.Refractive examination and visual acuity examination were performed on all children.The refraction,visual acuity and eye related conditions of children of different ages and genders were analyzed.Results Refraction and visual acuity tests were performed on preschool children of all ages,and a total of 3336 children were found to have refractive abnormalities.Among them,the proportion of refractive abnormalities in children aged 5 and 6 was relatively high,and the proportion of poor vision in children aged 3 was the lowest.There were statistically significant differences in the proportions of myopia,hyperopia,astigmatism,refractive abnormality and poor vision among preschool children of different ages(P<0.05).There were no significant differences in the proportions of myopia and hyperopia between girls and boys(P>0.05);there were statistically significant differences in the proportions of astigmatism and poor vision between girls and boys(P<0.05).The incidence of eye appearance,visual behavior,red light reflex and abnormal eye movement in preschool children of all ages was low.There were no significant differences in the proportions of eye appearance,visual behavior,red light reflex,eye position screening and abnormal eye movement among preschool children of different ages(P>0.05).There were no significant differences in the proportion of eye appearance,visual behavior,red light reflex,eye position screening and abnormal eye movement between girls and boys(P>0.05).Among the 6 year old children with poor vision,up to 41.81%of the children had refractive abnormalities;among the 4 year old children with poor vision,only 28.00%of them had refractive abnormaliti

关 键 词：学龄前儿童 视力筛查 屈光异常 视力不良 

分 类 号：R770.4[医药卫生—眼科]