大学生视疲劳主观症状调查及影响因素分析  

Analysis on subjective symptoms and influencing factors of visual fatigue among college students

作　　者：侯苏格 齐丽丽 赵佳钰 冯晓芳 王琪 钱程 孙皓瑞 孙丽丽 HOU Su-ge;QI Li-li;ZHAO Jia-yu;FENG Xiao-fang;WANG Qi;QIAN Cheng;SUN Hao-rui;SUN Li-li(Jinzhou Medical University,Liaoning121001,China;Department of Ophthalmology,the Third Affiliated Hospitalof Jinzhou Medical University)

机构地区：[1]锦州医科大学,辽宁121001 [2]锦州医科大学附属第三医院眼科

出　　处：《预防医学论坛》2024年第4期258-263,共6页Preventive Medicine Tribune

基　　金：辽宁省自然科学基金联合基金面上资助计划项目(2023-MSLH-049);辽宁省教育厅高校基本科研项目(面上项目)(LJKMZ20221251);辽宁省教育厅大学生创新创业训练计划项目(2022G011X)。

摘　　要：目的 调查大学生视疲劳的主观症状,并分析其影响因素,为预防大学生视疲劳提供依据。方法 2022年11月以锦州医科大学1 332名在校大学生为调查对象,统计其用眼行为情况;分别用Conlon视觉不适量表、集合不足症候量表(CISS)对视疲劳情况进行调查。采用单因素、多因素logistic回归分析对视疲劳的影响因素进行统计分析。结果 1 332名在校大学生低度近视(近视<3.00 D)627名(占47.07%);父母都不近视875名(占65.69%);明确有干眼症200名(占15.02%);近2周吸烟情况,从不吸烟的1 103名(占82.81%);近2周饮酒情况,从不饮酒的978名(占73.42%)。Conlon视觉不适量表诊断为视疲劳203名,发生率为17.93%;主观症状与视疲劳相关的因素与是否有近视、干眼、调节功能异常、眼部有其他慢性眼表异常、近2周吸烟情况及每天近距离工作时间等有关(χ^(2)值分别为20.854 9、49.978 9、75.666 6、111.146 7、10.892 9、12.624 3,P<0.05);多因素logistic回归分析结果显示,调节功能异常、近视、眼部有其他慢性眼表异常及近2周吸烟情况是视疲劳的主要危险因素(OR值分别为0.342、0.407、2.482,P<0.05)。CISS诊断为视疲劳308名,发生率为27.20%;主观症状与视疲劳相关的因素包括是否近视、干眼、眼部其他慢性眼表异常、调节功能异常、眼球运动功能、其他可能引起视疲劳的眼部因素及近2周饮酒情况、每天近距离使用电子产品的时间等(χ^(2)值分别为43.646 4、73.053 5、89.465 1、110.839 6、61.812 2、106.537 5、8.261 8,P<0.05);多因素logistic回归分析得出,调节功能异常、近视、干眼及是否存在其他引起视疲劳的眼部因素是视疲劳的主要危险因素(OR值分别为0.529、0.316、0.559、1.474,P<0.05)。结论 视疲劳会严重影响大学生的学习和生活,调节功能异常、近视、干眼及是否存在其他引起视疲劳的眼部因素是视疲劳的主要危险因素。Objective To investigate the subjective symptoms and influencing factors of visual fatigue among college students,so as to provide a basis for preventing visual fatigue among college students.Methods In November 2022,a survey was conducted on 1332college students from Jinzhou Medical University to investigate their eye use behavior;Visual fatigue was investigated by Conlon Visual Inappropriate Scale and Convergence Insufficiency Symptom Scale(CISS)respectively.The influencing factors of visual fatigue were statistically analysed using univariate and multivariate logistic regression analysis.Results Of the 1332university students,627(47.07%)had low myopia(myopia<3.00D),875(65.69%)had neither parent with myopia,and 200(15.02%)had definite dry eye.Smoking in the past 2weeks:1103 individuals who never smoked(82.81%).Drinking in the past 2 weeks:978 individuals who never drank(73.42%).There were 203college students diagnosed with visual fatigue through the Conlon Visual Insufficiency Scale survey,with an incidence of 17.93%.Subjective symptoms and factors related to visual fatigue were associated with the presence of myopia,dry eyes,abnormal regulatory function,other chronic ocular surface abnormalities,smoking in the past 2 weeks,and average daily close work hours(χ^(2)=20.8549,49.9789,75.6666,111.1467,10.8929,12.6243,respective-ly;P<0.05)Multivariate logistic regression analysis showed that abnormal regulatory function,myopia,other chronic ocular surface abnormalities,and smoking in the past 2weeks were the main risk factors for visual fatigue(OR=0.342,0.407,2.482,respectively).A total of 308college students were diagnosed with visual fatigue through CISS survey,with an incidence of 27.20%.The factors associated with subjective symptoms and visual fatigue were whether myopia,dry eyes,other chronic ocular surface abnormalities,abnormal regulation function,eye movement function,other eye factors that may cause visual fatigue,as well as alcohol consumption in the past 2weeks,and the time spent using electronic product

关 键 词：视疲劳 近视 大学生 影响因素 

分 类 号：R778.11[医药卫生—眼科] G478[医药卫生—临床医学]