郑州市2023年小学生近视现状及影响因素分析  

Analysis of prevalence and influencing factors of myopia among primary school students in Zhengzhou in 2023

作　　者：胡国敏[1] 尹磊 柳鹏领 孙金艳 李仕明[3] 魏士飞 HU Guomin;YIN Lei;LIU Pengling;SUN Jinyan;LI Shiming;WEI Shifei(Department of Ophthalmology,Nanyang First People′s Hospital,Nanyang,Henan 473000;Department of Ophthalmic Optometry,Zhengzhou Seventh People′s Hospital,Zhengzhou 450006;Optometry Center,the Affiliated Beijing Tongren Hospital,Capital Medical University,Beijing 100730)

机构地区：[1]南阳市第一人民医院眼科,河南南阳473000 [2]郑州市第七人民医院眼视光科,郑州450006 [3]首都医科大学附属北京同仁医院视光中心,北京100730

出　　处：《郑州大学学报（医学版）》2024年第4期573-577,共5页Journal of Zhengzhou University(Medical Sciences)

基　　金：郑州市科技惠民计划项目(2021KJHM0009)。

摘　　要：目的:了解2023年郑州市小学生近视现状及影响因素,为小学生近视防控提供科学依据。方法:采用随机分层整群抽样的方法,在2023年3月至6月选择郑州市18所小学一至五年级小学生共30662人进行调查,并采用Logistic回归分析近视的影响因素。结果:2023年郑州市小学生近视的患病率为44.56%。轻度、中度和高度近视分别占34.14%、9.50%和0.92%。女生[OR(95%CI)为1.274(1.213~1.339)]、高年级[OR(95%CI)为1.528(1.502~1.555)]、持续用眼时间≥60 min/d[OR(95%CI)为3.579(3.264~3.923)]、运动时间<2 h/d[OR(95%CI)为2.163(1.984~2.358)]、睡眠时间<9 h/d[OR(95%CI)为1.832(1.669~2.012)]、偏食[OR(95%CI)为1.262(1.143~1.392)]与近视高风险有关。结论:郑州市小学生近视的患病率较高,应重点关注女生、高年级、用眼时间过长、运动时间较短、睡眠不充足、偏食的小学生的视力情况。Aim:To investigate the status and influencing factors of myopia among primary school students in Zhengzhou in 2023,and provide scientific basis for the prevention and control of myopia.Methods:From March to June 2023,a total of 30662 primary school students from grades 1 to 5 in 18 schools located in Zhengzhou were selected using a random stratified cluster sampling method and surveyed.Logistic regression analysis was applied to analyze the influencing factors of myopia.Results:In Zhengzhou in 2023,the prevalence of myopia among primary school students was 44.56%.Mild,moderate,and severe myopia accounted for 34.14%,9.50%and 0.92%,respectively.Compared with boys,girls had a higher risk of myopia[OR(95%CI)was 1.274(1.213-1.339)],and the risk increased with grade level[OR(95%CI)was 1.528(1.502-1.555)].Students who spent at least 60 minutes per day using their eyes,those who spent less than 2 hours per day exercising,those who slept for less than 9 hours per day,and those who had a dietary bias were also at a higher risk of myopia[OR(95%CI)was 3.579(3.264-3.923),2.163(1.984-2.358),1.832(1.669-2.012),and 1.262(1.143-1.392)].Conclusion:The prevalence of myopia is high among primary school students in Zhengzhou.More attention should be paid to girls,senior students,students with long eye time,short exercise time,insufficient sleep and dietary bias.

关 键 词：近视 屈光度 小学生 影响因素 郑州市 

分 类 号：R778[医药卫生—眼科]