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目的:比较城市及山区小学生屈光不正发生率及配镜差异,探讨小学生所在地域与其的关系,并为制定干预措施提供依据。方法:于2016年7月~8月随机选取部分绍兴市小学及广西省巴马县山区小学生进行天津索维sw-800手持自动验光仪进行屈光筛查,并分析两地小学生屈光不正及配镜差异。结果:648名城市小学生中,屈光不正发生率为38.6%;394名山区学龄儿童中,屈光不正发生率为21.3%。两地区小学生屈光不正发生率差异有统计学意义(P<0.05)。城市小学生屈光不正发生率呈两个极端,低年级组和高年级组屈光不正发生率较高,山区小学生屈光不正发生率呈增长趋势;两地屈光不正的小学生配镜率存在差异(P<0.05)。结论:小学生屈光异常发生率较高,不同地区有所差距,应加强学生及家长眼保健意识和屈光异常儿童的个案管理,小学生进行屈光筛查对早期发现屈光不正具有重要意义。
OBJECTIVE: To compare the prevalence and differences of the refractive errors of primary school students in urban and mountainous areas, to explore the relationship between primary school students’ geographical location and their location, and to provide the basis for the formulation of intervention measures. Methods: From July to August in 2016, some Shaoxing primary schools and mountainous primary school students in Bama County of Guangxi Province were randomly selected for Tianjin Tianwei SW-800 hand-held autorefractometer for refraction screening. Glasses differences. Results: The incidence of refractive error in 648 urban pupils was 38.6%. Among 394 mountain school-aged children, the incidence of refractive errors was 21.3%. There was a significant difference in the incidence of refractive errors among primary school students in both regions (P <0.05). The prevalence of refractive errors in urban primary school students showed two extremes. The incidence of refractive errors in lower grades and senior grades was higher, and the incidence of refractive errors in primary school students in mountainous regions showed an increasing trend. (P <0.05). Conclusion: The prevalence of refractive errors in primary school pupils is high and there is a gap in different regions. Students ’and parents’ eye health awareness and case management of children with refractive abnormalities should be strengthened. Refractive screening by pupils is of great significance for the early detection of refractive errors.