江苏省阜宁县农村50岁及以上人群未矫正屈光不正流行病学调查

发布时间：2018-08-14 12:02

【摘要】：目的分析江苏省阜宁县农村50岁及以上人群中未矫正屈光不正的患病率情况。方法采用随机整群抽样的方法,在江苏省盐城阜宁县对50岁及以上农村人群进行视力和眼部检查。未矫正屈光不正的定义参照较好眼日常生活视力20/40,屈光矫正后视力提高≥2行的标准。定量资料采用均数±标准差表示,组间比较采用t检验;计数资料采用率或构成比表示,组间比较采用χ2检验。应用logistic回归分析了解受检者不同年龄、性别等因素对未矫正屈光不正患病率的影响。结果阜宁应调查6145人,实际接受调查5947人,受检率为96.8%。未矫正屈光不正2388人,患病率为40.2%。单纯近视、单纯远视、单纯散光和远视合并散光的未矫正屈光不正患病率分别为84.4%、84.2%、64.1%和100.0%。高龄(OR=1.07,P0.001)、女性(OR=1.38,P0.001)人群未矫正屈光不正患病率高,受教育程度方面则是初中、高中及以上人群较文盲人群未矫正屈光不正患病率低(OR=0.74,P=0.003;OR=0.55,P0.001)。结论江苏省阜宁县农村50岁及以上人群中,未矫正屈光不正患病率较高,是影响老年人视力的主要原因之一。
[Abstract]:Objective to analyze the prevalence of uncorrected ametropia in rural population aged 50 and over in Funing County, Jiangsu Province. Methods the visual acuity and eye examination of rural population aged 50 and above were performed in Funing County of Yancheng Jiangsu Province by random cluster sampling. The definition of uncorrected ametropia was compared with the standard of better visual acuity of 20 / 40 in daily life and improved visual acuity of more than 2 lines after refractive correction. The quantitative data were expressed as mean 卤standard deviation, and the t test was used for the comparison between groups, and the rate or composition ratio was used for counting data, and 蠂 2 test was used for the comparison between groups. Logistic regression analysis was used to study the influence of age, sex and other factors on the prevalence of uncorrected ametropia. Results 6145 people should be investigated in Funing, 5947 were actually investigated, and the rate of examination was 96.8. There were 2388 patients with uncorrected ametropia, and the prevalence rate was 40.2%. The prevalence of uncorrected ametropia in simple myopia, hyperopia, simple astigmatism and hyperopia combined with astigmatism was 84.4% and 100.0%, respectively. The prevalence rate of uncorrected ametropia was higher in the elderly (OR1. 07 / P0.001) and female (OR1. 38 / P0. 001) than in the middle school, and was lower in the senior middle school and above than in the illiterate (OR0. 74 / P = 0. 003 / 0. 05 P0.001). Conclusion the prevalence rate of uncorrected ametropia is higher in the rural population aged 50 and above in Funing County of Jiangsu Province, which is one of the main reasons that affect the visual acuity of the elderly.
【作者单位】：南通大学附属医院眼科;
【基金】：国家自然科学基金(编号:81470616)~~
【分类号】：R778.1

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