上海市6 ~ 15 岁学生屈光状态的横断面调查
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瞿小妹,E-mail :quxiaomei2002@126.com

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上海市科学技术委员会科研计划项目(No :14411969500)


Cross-sectional study of refractive status of students aged 6-15 years in Shanghai
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    摘要:

    目的 了解上海城区中小学生屈光状态,分析屈光参数的流行病学特征。方法 选取2008 年上 海城区9 086 例6 ~ 15 岁学生,检测裸眼远视力、小瞳下屈光度、眼轴及角膜曲率。结果 6 ~ 15 岁学生 近视眼患病率为53.4%。其中,女性为55.3%,男性为51.6% ;6 ~ 12 岁为45.2%,13 ~ 15 岁为76.7% ;高度 近视患病率为4.8%,远视为4.8%。女性较男性易近视。随着年龄增大,患近视的危险性及屈光度负值升高, 10 岁起OR 值>3。右眼屈光度(-1.96±0.02)D,眼轴(23.92±0.01)mm,角膜曲率(43.19±0.02)D。 正视眼眼轴均值23.30 mm,远视眼22.37 mm,近视眼24.66 mm,随近视程度加深而增长;正视眼角膜曲率 43.08 D,远视眼43.13 D,近视眼43.30 D,近视眼与正视眼比较,差异有统计学意义(P <0.05)。屈光度与眼轴、 角膜曲率呈负相关,眼轴与角膜曲率呈负相关(P <0.05)。女性较男性眼轴短,角膜曲率大(P <0.05)。眼轴 随年龄增大而增长。结论 上海城区中小学生近视眼患病率高,近视程度重,应定期筛查,10 岁起加强干预, 并重点关注女性。

    Abstract:

    Objective To study the refractive status of primary and secondary school students in Shanghai, and to analyze the epidemiological characteristics of important refractive parameters. Methods Totally 9,086 students aged 6-15 years in Shanghai were selected. The distant visual acuity, diopter, ocular axial length and corneal curvatures were measured. The data were analyzed with SPSS 18.0. Results The prevalence of myopia was 53.4% in 6-15 years old students, 55.3% in female students; 51.6% in male students; 45.2% in 6-12 years old students and 76.7% in 13-15 years old students. The prevalence of high myopia was 4.8%, that of hyperopia was 4.8%. The risk of suffering from myopia was higher in girls than in boys. The risk of myopia and the negative values of refraction increased with age. OR value was over 3 from the age of 10. The mean spherical equivalent refraction (SER), axial length (AL) and corneal curvature (CC) of the right eye were (–1.96 ± 0.02) D, (23.92 ± 0.01) mm and (43.19 ± 0.02) D. The mean AL was 23.30 mm for emmetropia, 22.37 mm for hyperopia, and 24.66 mm for myopia, and increased gradually with the deepening of myopia degree. The mean CC was 43.08 D for emmetropia, 43.13 D for hyperopia and 43.30 D for myopia, there was statistical difference between myopia and emmetropia (P < 0.05). SER was negatively correlated with AL and CC, and AL was negatively correlated with CC. AL of females was shorter and CC was larger than males. AL increased with age, while CC didn’t change with age. Conclusions The students of primary and middle school in Shanghai have a high prevalence rate and a high degree of myopia. Diopter and ocular axial length should be measured for all students as regular screening. From the age of 10, it is necessary to strengthen the intervention, and the females deserve more attention.

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陈露,瞿小妹.上海市6 ~ 15 岁学生屈光状态的横断面调查[J].中国现代医学杂志,2018,(20):74-79

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  • 收稿日期:2017-06-23
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  • 在线发布日期: 2018-07-20
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