医学生视频终端使用现状与眼部症状的相关分析  

Analysis of Video Display Terminal Use and Eye Symptoms of Medical Students

作　　者：周祁 林慧 邵玉婷 刘歆[2] 毕燕龙[2] ZHOU Qi;LIN Hui;SHAO Yuting;LIU Xin;BI Yanong(Exam Center,Tongji University School of Medicine,Shanghai 200070,China;Department of Ophthalmology,Tongji Hospital of Tongji University,Shanghai 200065,China)

机构地区：[1]同济大学医学院临床教学培训与考试中心,上海200070 [2]同济大学附属同济医院眼科,上海200065

出　　处：《中国继续医学教育》2024年第20期134-140,共7页China Continuing Medical Education

基　　金：上海市同济医院第六周期重点培育学科A类建设项目;同济大学“中央高校基本科研业务费”专项资金项目(22120210483)。

摘　　要：目的探讨医学生使用视频显示终端(visual display terminal,VDT)和眼部症状之间的关系。方法2022年1月采用随机整群抽样法,对同济大学医学院787名在校大学生进行VDT相关的眼部症状问卷调查,对数据采用χ^(2)检验及多因素logistic回归统计学分析。结果VDT相关的眼部症状中最常见的是干涩不适;平均每天使用VDT时间≥6 h会增加眼痛、视力下降或视物模糊的不适[OR=2.102,95%CI(1.560,2.831),P<0.05];相比本科生,研究生平均每天使用VDT时间≥6 h的情况增加,但其将手机作为最常用的VDT的比例及其出现眼痛的现象降低[OR=0.628,95%CI(0.455,0.866),P<0.05]。手机屏幕测评等级与眼部干涩症状相关[OR=1.256,95%CI(1.108,1.424),P<0.05]。结论医学生VDT相关最常见的眼部症状为干涩不适;调整使用距离、减少使用时间和改善屏幕等级可降低VDT综合征的发生。Objective To explore the relationship between the use of visual display terminals(VDTs)by college students and eye symptoms.Method In January 2022,a random cluster sampling survey was conducted on 787 college students of Tongji University to investigate the eye symptoms related to VDTs.The data were analyzed using chi-square test test and multivariate logistic regression analysis.Results The most common eye symptoms related to VDT were dryness and discomfort;Using VDT for an average of 6 hours per day can increase discomfort such as eye pain,decreased vision,or blurred vision;Compared to undergraduate students,the average daily use of VDT for≥6 hours among graduate students increased[OR=2.102,95%CI(1.560,2.831),P<0.05],but the proportion of using mobile phones as the most commonly used VDT and the occurrence of eye pain decreased[OR=0.628,95%CI(0.455,0.866),P<0.05].The evaluation level of mobile screen is correlated with dry eye symptoms[OR=1.256,95%CI(1.108,1.424),P<0.05].Conclusion The most common eye symptom related to VDT among college students in this university is dryness and discomfort;Adjusting usage distance,reducing usage time,and improving screen level can reduce the occurrence of VDT syndrome.

关 键 词：高校医学生 视频显示终端 眼部症状 眼部干涩 视力 视疲劳 

分 类 号：G642[文化科学—高等教育学]