番禺区托幼机构儿童眼保健视力筛查及防治体系建设探讨  

Exploration of the construction of a vision screening and prevention system for the eye care of children in kindergartens in Panyu District

作　　者：张小华 古艳芳 杨育彬 ZHANG Xiaohua;GU Yanfang;YANG Yubin(Children’s Care Department,Family Planning Service Center,Panyu Maternal and Child Care Service Centre of Guangzhou,Guangdong,Guangzhou 511400,China;Children’s Care Department,Panyu Maternal and Child Care Service Centre of Guangzhou,Guangdong,Guangzhou 511400,China;Ophthalmology Department,Panyu Maternal and Child Care Service Centre of Guangzhou,Guangdong,Guangzhou 511400,China)

机构地区：[1]广州市番禺区妇幼保健计划生育服务中心儿童群体保健科,广东广州511400 [2]广州市番禺区妇幼保健院儿童群体保健科,广东广州511400 [3]广州市番禺区妇幼保健院眼科,广东广州511400

出　　处：《中国医药科学》2024年第2期142-145,共4页China Medicine And Pharmacy

基　　金：广东省广州市番禺区科技计划医疗卫生项目(2021-Z04-104)。

摘　　要：目的托幼机构儿童开展眼保健视力筛查,了解托幼机构儿童视力筛查异常发生率,调查视力异常诊治情况,建立适当的托幼机构儿童眼保健视力筛查及防治体系。方法抽取番禺区2022年1—12月10间幼儿园共4308名托幼机构儿童视力筛查数据,并进行回顾性分析,追踪所有视力筛查初筛结果异常儿童的复查和诊治情况。结果在4308名托幼机构儿童中,视力筛查初筛结果未见异常4010名,轻度异常179名,异常119名,异常率为6.92%。初筛结果为轻度异常和异常的共298名儿童中,追踪到去医疗机构复诊的有278名,复查率为93.29%。复查结果为正常的25名,复查结果为异常的有253名,已经配镜的有110名儿童。提示儿童的视力异常情况呈现低龄化。结论番禺区托幼机构儿童眼保健视力筛查结果中视力筛查结果异常儿童占一定比例,情况不容忽视,早期开展视力筛查可以及时发现视力异常儿童,通过及时有效的矫治可以延缓视力异常的发展,有效的宣教和及时的干预可降低托幼机构儿童视力异常发生率和严重率。Objective To conduct vision screening for eye care of children in kindergartens,understand the incidence of abnormal vision screening results for children in kindergartens,investigate the diagnosis and treatment of vision abnormalities,and establish an appropriate vision screening and prevention system for eye care of children in kindergartens.Methods The vision screening data of a total of 4308 children from 10 kindergartens in Panyu District from January to December 2022 were selected for retrospective analysis to track the follow-up and diagnosis and treatment of all children with abnormal vision screening results in the preliminary screening.Results Among 4308 children in kindergartens,4010 showed no abnormalities in the preliminary screening results of vision screening,179 showed mild abnormalities,and 119 showed abnormalities,with an abnormality rate of 6.92%.Out of a total of 298 children with mild and abnormal screening results in the preliminary screening,278 were traced to medical institutions for follow-up,with a follow-up rate of 93.29%.The results of the follow-up were normal for 25 people,and abnormal for 253 people,with 110 children already wearing glasses.It indicated that children’s vision abnormalities are occurring at younger ages.Conclusion The situation that a certain proportion of children in kindergartens in Panyu District were found to have abnormal vision screening results for eye care of children cannot be ignored.Early implementation of vision screening can help timely detect children with abnormal vision,and timely and effective correction can delay the development of vision abnormalities.Effective education and timely intervention can reduce the incidence and severity of vision abnormalities i n children in kindergartens.

关 键 词：托幼机构儿童 眼保健 视力筛查 防治体系建设 

分 类 号：R770.4[医药卫生—眼科]