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中文摘要: 摘 要:目的:分析 2021—2023 年南通市通州区学龄前儿童屈光筛查结果,探讨学龄前儿童视力保健相关防治措施。
方法:2021—2023 年以通州区全部学龄前儿童为研究对象,对其进行屈光筛查。同时指导幼儿园对家长进行基本情况调查,
了解儿童的基本资料、眼部病史、用眼时间、眼部保健行为等,明确影响学龄前儿童屈光筛查结果的主要因素。采用 χ 2 检验
和 logistic 回归分析得出学龄前儿童屈光异常的影响因素。结果:2021—2023 年通州区学龄前儿童共 72 533 人,接受屈光筛
查的共 72 522 人,总受检率为 99.98%。其中,共检出屈光异常儿童 15 936 人,屈光异常筛出率为 21.97% (15 936/72 522),
2021—2023 年屈光异常筛出率分别为 21.87%、22.39%、21.65%。2021—2023 年通州区学龄前儿童异常屈光状态类型主要以
散光、远视、近视为主,总的近视、远视、散光筛出率分别为 2.24%、4.33%和 12.88%。logistic 回归分析结果显示,屈光异
常家族史、家长缺少眼部保健知识、长时间观看电子产品、参与户外活动时间过少是学龄前儿童屈光异常的常见危险因素。
结论:通州区学龄前儿童屈光异常筛出率处于较高水平,建议相关部门加强重视并进行多部门合作,做好屈光筛查工作,有
效落实干预措施,强化宣教力度,更有效地保护学龄前儿童的视觉功能。
Abstract:Abstract: OBJECTIVE To analyze the results of refractive screening among preschool children in Tongzhou District of Nantong
and to explore related preventive measures for visual health care among preschool children. METHODS All preschool children in the
district undergo an annual routine refractive screening from 2021 to 2023 conducted by trained medical using the Welch Allyn Dual
Screen Refractive Screener. At the same time, kindergartens were instructed to conduct a basic investigation of parents, understand
children’s basic information, eye history, eye use time, eye health behavior, etc., and identify the main factors affecting the results
of refractive screening of preschool children. χ 2 test and logistic regression analysis were used to determine the influencing factors of
abnormal refraction in preschool children. RESULTS From 2021 to 2023, there were 72 533 preschool children in Tongzhou District,
and 72 522 received refractive screening, with a total detection rate of 99.98%. Among them, a total of 15 936 children with abnor⁃
mal refraction were detected, and the screening rate of abnormal refraction was 21.97% (15 936/72 522). The failure rate of refrac⁃
tive screening in 2021 was 21.87%, in 2022 was 22.39%, and in 2023 it was 21.65%. From 2021 to 2023, the abnormalities of re⁃
fractive screening in preschool children in Tongzhou District were mainly astigmatism, farsightedness and myopia, and the total
screening rates of myopia, farsightedness and astigmatism were 2.24% , 4.33% and 12.88% , respectively. The results of univariate
and Logistic regression analysis showed a family history of refractive abnormalities, lack of knowledge about eye health among
parents, prolonged use of electronic products, and insufficient time spent on outdoor activities were the influencing factors for refrac⁃
tive abnormalities among preschool children. CONCLUSION Preschool children are in an important stage of visual development, and
relevant need to strengthen their attention and cooperation to do a good job in refractive screening, effectively implement intervention
measures, and enhance educational efforts to better protect the visual function preschool children.
文章编号：3202410012 中图分类号：R778.11 文献标志码：
基金项目:
| 作者 | 单位 |
| 曹晓慧 |
| Author Name | Affiliation |
引用文本：