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目的探讨筛查小学一年级学生弱视的有效方法,为开展小学生视力筛查提供参考。方法对4 326名北京市西城区小学一年级学生筛查远视力,对视力不良者采用小瞳孔下电脑验光来筛查弱视。结果北京市西城区小学一年级学生视力不良检出率为11.07%;78人单眼或双眼怀疑为弱视;疑似为弱视和已诊断为弱视的学生占全体学生的3.84%,占视力不良学生的34.65%。疑似弱视学生的屈光状态以远视为主。68.19%的已确诊为弱视的学生中断治疗,31.81%的已确诊为弱视的学生正在治疗。结论远视力配合小瞳孔屈光检查值得在小学生弱视筛查中推广。应对弱视学生的家长进行健康教育,促进家长对弱视治疗的配合,从而提高弱视的治愈率。
Objective To explore the effective method of screening amblyopia students in primary school, to provide reference for primary school students’ vision screening. Methods A total of 4 326 first-grade primary school students in Xicheng District of Beijing were screened for distance vision, and amblyopia was screened for pupils with poor pupil using small pupil computer optometry. Results The first-grade primary school students in Xicheng District of Beijing showed 11.07% of eyesight defects. 78 eyes were suspected to be amblyopia in one or both eyes. 3.84% of all students suspected of having amblyopia and those with amblyopia accounted for 34.65% of all eyesight students %. Refractive amblyopia students to hyperopia-based state. 68.19% of the students who had been diagnosed with amblyopia were discontinued treatment, and 31.81% of the students who had been diagnosed with amblyopia were under treatment. Conclusion Far vision combined with small pupil refractive examination worth to promote screening in the pupil amblyopia. Health education should be conducted for parents of amblyopia students to promote parents’ cooperation with amblyopia treatment so as to improve the cure rate of amblyopia.