河北省某市2020—2021年小学生筛查性近视结果分析  

Analysis of the results of screening myopia of primary school students in a city in Hebei Province from 2020 to 2021

作　　者：赵艳 江雷 杨楠[1] 刘香 张卫平[1] 丁国涛 李学东 ZHAO Yan;JIANG Lei;YANG Nan;LIU Xiang;ZHANG Weiping;DING Guotao;LI Xuedong(Handan Center for Disease Control and Prevention,Handan,Hebei 056000,Cihina;不详)

机构地区：[1]邯郸市疾病预防控制中心,河北邯郸056000 [2]邯郸市第二医院

出　　处：《医学动物防制》2024年第5期467-470,共4页Journal of Medical Pest Control

基　　金：河北省医学科学研究课题(20220511)。

摘　　要：目的了解河北省某市2020—2021年小学生近视情况,为制定近视防控措施提供参考。方法采用分层整群随机抽样方法,收集2020—2021年某市小学生视力筛查资料,2020年20552人,2021年20602人。视力筛查和近视判定标准按《儿童青少年近视筛查规范》进行。结果2021年参与调查的小学生近视率为38.68%(7969/20602),低于2020年的40.47%(8318/20552),差异有统计学意义(χ^(2)=13.820,P<0.01)。2021年和2020年女生近视率均高于男生,差异有统计学意义(χ^(2)=52.771、47.604,P<0.01);城区近视率均高于郊县,差异有统计学意义(χ^(2)=11.750、70.912,P<0.01);近视率均随年级的升高而升高,差异有统计学意义(χ^(2)=2204.903、2364.109,P<0.01);轻度近视占比随着年级的升高而降低,高度近视占比2020年呈现随着年级的升高而升高,2021年从四年级开始随着年级的升高而升高,且五、六年级的高度近视占比增长较快。结论河北省某市小学生近视率情况不容乐观,应重点关注,加强小学阶段近视防控工作。Objective To understand the situation of myopia of primary school students in a city in Hebei Province from 2020 to 2021,and to provide reference for the establishment of prevention and control measures of myopia.Methods The vision screening data of primary school students in a city from 2020 to 2021 was collected using stratified cluster random sampling,including 20552 in 2020 and 20602 in 2021.The criteria for vision screening and myopia determination were conducted according to the Standard for Screening Myopia in Children and Adolescents.Results The myopic rate of primary school students participating in the survey in 2021 was 38.68%(7969/20602),lower than that of 40.47%(8313/20552)in 2020,and the difference was statistically significant(χ^(2)=13.820,P<0.01).In both 2021 and 2020,the myopia rates of female students were higher than those of male students,and the differences were statistically significant(χ^(2)=52.771,47.604,P<0.01).The myopia rates of students in urban areas were higher than those of students in suburban counties,and the differences were statistically significant(χ^(2)=11.750,70.912,P<0.01).All myopia rates increased with the increase of grade,and the differences were statistically significant(χ^(2)=2204.903,2364.109,P<0.01).The proportion of mild myopia decreased with the increase of grade,while the proportion of high myopia increased with the increase of grade in 2020,increased with the increase of grade from grade 4,and increased rapidly in grades 5 and 6 in 2021.Conclusion The situation of myopia rate of primary school students in a city in Hebei Province is not optimistic.We should focus on attention to strengthen the prevention and control of myopia in primary school.

关 键 词：小学生 近视 筛查 分析 

分 类 号：R778.11[医药卫生—眼科]