学龄前儿童眼保健模式探讨

发布时间：2018-02-20 15:46

本文关键词： 学龄前儿童眼保健筛查模式护理　出处：《中国妇幼保健》2014年34期 　论文类型：期刊论文

【摘要】：目的:探讨学龄前儿童眼保健的工作模式。方法:选择佛山市城区幼儿园4 015例3~6岁学龄前儿童为筛查对象,由眼科医生、护士、儿童保健科医生、各幼儿园医生组成筛查组。使用尼德克AR-20型手持自动验光仪,筛查儿童双眼屈光状态,对可疑者眼部进行详细检查以确诊、治疗。幼儿园、医院分别存档筛查结果,并进行眼保健相关因素调查。结果:4 015例3~6岁学龄前儿童中男性2 093例(52.13%),女性1 922例(47.87%),其中屈光异常488例(12.16%),弱视93例(2.37%),先天性眼病8例(0.20%),男性异常率为12.53%,女性异常率为12.17%,总异常率为12.35%。不同性别比较,差异无统计学意义(P0.05),不同年龄组之间比较,差异有统计学意义(P0.05)。结论:早期诊断、早期防治眼病,可以降低儿童弱视的患病率。筛查、治疗过程中护理配合十分重要,学龄前儿童眼保健工作的"医院、幼儿园、家庭一体化"模式是可行的,为今后佛山市儿童眼保健管理工作有序、规范地进行提供了一定的依据。
[Abstract]:Objective: to explore the working mode of eye care for preschool children. Methods: 4 015 preschool children aged 3 to 6 years old in urban kindergartens of Foshan City were selected as screening objects, including ophthalmologist, nurse and child health care doctor. Each kindergarten doctor forms a screening group. Using the Niedek AR-20 hand-held automatic optometry, the children are screened for their binocular refraction, the suspicious eyes are examined in detail to confirm the diagnosis and the treatment. The kindergarten and the hospital file the screening results separately. Results among the 4 015 children aged 3 to 6 years of age, 2 093 cases were male and 1 922 cases were female, including 488 cases with ametropia and 12. 16 cases with amblyopia, 93 cases with amblyopia, 8 cases with congenital ophthalmopathy, 8 cases with congenital ophthalmopathy, 8 cases with congenital ophthalmopathy. The male abnormality rate was 12. 53% and the female abnormal rate was 12. 53%. The normal rate is 12.17 and the total abnormal rate is 12.35.Compared by sex, There was no significant difference between different age groups (P 0.05). Conclusion: early diagnosis, early prevention and treatment of ophthalmopathy can reduce the prevalence of amblyopia in children. The model of "hospital, kindergarten, family integration" of preschool children's eye care work is feasible, which provides a certain basis for the future management of children's eye health care in Foshan city.
【作者单位】：广东省佛山市妇幼保健院眼科;
【基金】：广东省佛山市科技发展专项资金项目〔200908079〕
【分类号】：R778

【参考文献】