济南市青少年儿童视力筛查结果分析-国际临床研究杂志-CSCIED科技核心评价数据库

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济南市青少年儿童视力筛查结果分析

Analysis of visual screening results of children and adolescents in Jinan City

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DOI	10.12208/j.ijcr.20230058
刊名	国际临床研究杂志 International Journal of Clinical Research
年，卷(期)	2023, 7(2)
作者	赵晓楠,田肖,程先宁,李秀秀,王红*,
作者单位	山东大学齐鲁医院山东济南 ; 济南爱尔眼科医院山东济南 ; 淮北爱尔眼科医院安徽淮北 ; 爱尔眼科济南高新门诊山东济南 ;
摘要	分析青少年视力筛查结果，探讨近视防控工作方式方法。方法分析2016、2017、2018以及2021年济南市历城区及历下区部分学校学生的视力筛查结果，统计视力不良情况。结果 4年累计筛查学生21656人次，四年间除2017年1~4年级外，其余时间各年级视力不良率呈现逐年增加的趋势，小学阶段各年级不同筛查年份之间比较差异有统计学意义（P＜0.05）；初中阶段各年级不同筛查年份之间均无统计学意义（P＞0.05）。各年级女生视力不良率均高于男生，其中1~2年级男女生视力不良率差异无统计学意义（P＞0.05）；3~9年级男女生视力不良率比较差异明显，有统计学意义（P＜0.05）。但进入初中后，男女生视力不良差异有逐渐缩小趋势。结论受疫情等多方面因素的影响，2021年视力不良率反而有升高趋势，应积极探讨尝试更为有效的近视防控方式；女生视力不良率高于男生，应将其作为近视防控的重点人群。 Objective To analyze the results of adolescent vision screening and explore the methods of myopia prevention and control. Methods: The visual acuity screening results of some school students in Licheng District and Lixia District of Jinan city in 2016, 2017, 2018 and 2021 were retrospectively analyzed, and the cases of poor visual acuity were counted. Results: A total of 21,656 students were screened during the four years. The rate of poor vision in all grades increased year by year in the four years except for grade 1 to grade 4 in 2017. There was statistically significant difference between grade 1 and grade 4 in primary school in different screening years (P<0.05).There was no statistical significance between grades and screening years in junior middle school (P>0.05).The visual impairment rate of girls in all grades was higher than that of boys, and there was no significant difference in the visual impairment rate of boys and girls in grade 1 and grade 2 (P > 0.05).There was a significant difference in visual acuity rate between male and female students from grade 3 to grade 9 (P<0.05).However, after entering junior middle school, the difference of poor vision between male and female students gradually narrowed. Conclusions: Affected by the epidemic and other factors, the rate of poor eyesight will increase in 2021, so more effective methods of myopia prevention and control should be actively explored.The rate of poor eyesight of girls is higher than that of boys, so they should be regarded as the key group of myopia prevention and control.
关键词	儿童青少年；学生；视力；近视；筛查 Children and adolescents; Students; Vision; Myopia; Screening
基金项目
页码	18-24

参考文献
相关文献

[1] DOLGIN, ELIE. THE MYOPIA BOOM
[J]. Nature, 2015, 519(Mar.19 TN.7543):276-278.

[2] Arevalo JF, Ramirez E, Suarez E, et al. Rhegmatogenous retinal detachment after laser-assisted in situ keratomileusis (LASIK) for the correction of myopia. Retina 2000; 20:338–341.

[3] Arevalo JF, Azar-Arevalo O. Retinal detachment in myopic eyes after laser in situ keratomileusis. Am J Ophthalmol 2000; 129:825–826.

[4] Avila MP, Weiter JJ, Jalkh AE, et al. Natural history of choroidal neovascularization in degenerative myopia. Ophthalmology 1984; 91:1573–1581.

[5] Steidl SM, Pruett RC. Macular complications associated with posterior staphyloma. Am J Ophthalmol 1997; 123:181–187.

[6] Vongphanit J, Mitchell P, Wang JJ. Prevalence and progression of myopic retinopathy in an older population. Ophthalmology 2002; 109:704–711.

[7] MORGAN, IAN G., HE, MINGGUANG, ROSE, KATHRYN A.. EPIDEMIC OF PATHOLOGIC MYOPIA What Can Laboratory Studies and Epidemiology Tell Us?
[J]. Retina,2017,37(5):989-997.

[8] Refraction of the Eye and its Components in Twins
[J]. Nature,1962,195(4843):758-759. DOI:10.1038/195758d0.

[9] Huang HM, Chang DS,WuPC. The association between near work activities and myopia in children: a systematic review and meta-analysis. PLoS One 2015; 10:e0140419.

[10] You QS, Wu LJ, Duan JL, et al. Factors associated with myopia in children in China: the Beijing childhood Eye Study. PLoS One 2012; 7:e52668.

[11] Lee YY, Lo CT, Sheu SJ, et al. What factors are associated with myopia in young adults? A survey study in Taiwan military conscripts. Invest Ophthalmol Vis Sci 2013; 54:1026–1033.

[12] Gong Y, Zhang X, Tian D, et al. Parental myopia, nearwork, hours of sleep and myopia in Chinese children. Health 2014; 6:64–70.

[13] Wallman J, Gottlieb MD, Rajaram NV, et al. Local retinal regions control local eye growth and myopia. Science 1987; 237:73–77.

[14] Rose KA, Morgan IG, Smith W, et al. Myopia, lifestyle, and schooling in students of Chinese ethnicity in Singapore and Sydney. Arch Ophthalmol 2008; 126:527–530.

[15] Dirani M, Tong L, Gazzard G, et al. Outdoor activity and myopia in Singapore teenage children. Br J Ophthalmol 2009; 93:997–1000.

[16] Sherwin JC, Reacher MH, Keogh RH, et al. The association between time spent outdoors and myopia in children and adolescents: a systematic review and meta-analysis. Ophthalmol 2012; 119:2141–2151.

[17] Sherwin JC, Reacher MH, Keogh RH, et al. The association between time spent outdoors and myopia in children and adolescents: a systematic review and meta-analysis. Ophthalmol 2012; 119:2141–2151.

[18] RoseKA,MorganIG, SmithW,etal. Myopia,lifestyle, and schooling in students of Chinese ethnicity in Singapore and Sydney. Arch Ophthalmol. 2008;126:527–530.

[19] French, A.N., Morgan, I.G., Mitchell, P., Rose, K.A., 2013. Risk factors for incident myopia in Australian schoolchildren: the Sydney Adolescent Vascular and Eye Study. Ophthalmology 120 (10), 2100–2108.FFFF

[20] Ashby, R. S., & Schaeffel, F. (2010). The Effect of Bright Light on Lens Compensation in Chicks. Investigative Opthalmology & Visual Science, 51(10), 5247.

doi:10.1167/iovs.09-4689&

[21] Alvarez-Peregrina C, Martinez-Perez C, Villa-Collar C, et al. Impact of COVID-19 Home Confinement in Children's Refractive Errors. Int J Environ Res Public Health. 2021 May 17;18(10):5347. doi: 10.3390/ijerph18105347.

[22] Wu, P.-C., Tsai, C.-L., Wu, H.-L., Yang, Y.-H., & Kuo, H.-K. (2013). Outdoor Activity during Class Recess Reduces Myopia Onset and Progression in School Children. Ophthalmology, 120(5), 1080–1085.

doi:10.1016/j.ophtha.2012.11.009

[23] Ngo, C. S., Pan, C.-W., Finkelstein, E. A., Lee, C.-F., Wong, I. B., Ong, J., … Saw, S.-M. (2014). A cluster randomised controlled trial evaluating an incentive-based outdoor physical activity programme to increase outdoor time and prevent myopia in children. Ophthalmic and Physiological Optics, 34(3), 362–368.

doi:10.1111/opo.12112&

[24] Liu, Y. X., Wikland, K. A. & Karlberg, J. New reference for the age at childhood onset of growth and secular trend in the timing of puberty in Swedish. Acta Paediatr. 89, 637–643 (2000).

[25] LYU, IN JEONG, KIM, MYUNG HUN, BAEK, SUN-YOUNG, et al. The Association Between Menarche and Myopia: Findings From the Korean National Health and Nutrition Examination, 2008-2012
[J]. Investigative ophthalmology & visual science,2015,56(8):4712-4718. DOI:10.1167/iovs.14-16262.

[26] YIP,V.C.-H., PAN,C.-W., LIN,X.-Y., et al. The relationship between growth spurts and myopia in Singapore children
[J]. Investigative ophthalmology & visual science, 2012,53(13):7961-7966.&

DOI:10.1167/iovs.12-10402.

[27] Fledelius, H. C. Myopia profile in Copenhagen medical students 1996–98. Refractive stability over a century is suggested. Acta Ophthalmol. Scand. 78, 501–505 (2000).

[28] 王柏敏,向晖,钟良,等. 青少年近视患者血清中微量元素含量分析
[J]. 临床和实验医学杂志,2007,6(2):101. DOI:10.3969/j.issn.1671-4695.2007.02.075.

[29] 司宏宗,格鹏飞,任晓岚,等. 农村小学生性别与近视患病率的调查分析
[J]. 国际眼科杂志,2008,8(12):2485-2486.

[30] Pararajasegaram R. Vision 2020—The right to sight: From strategies to action: Editorial. Am J Ophthalmol. 1999; 128(3):359–60.

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