上海市浦东新区婴儿视力筛查社区模式的可行性研究

发布时间：2018-04-17 15:59

本文选题：视力筛查 + 婴儿　；参考：《中国儿童保健杂志》2014年10期

【摘要】：目的探索上海市浦东新区社区婴儿视力筛查模式,为在上海乃至全国推广提供决策依据。方法参考美国儿科学会、美国眼科学会等推荐的指南,制定婴儿视力筛查方法,对浦东新区出生的婴儿分别在4、6和9月龄时进行三次视力筛查,内容包括眼外观检查、红光反射等。筛查出异常者进行转诊。结果共筛查6 729名婴儿,异常者转诊后共确诊17名异常,包括泪道狭窄、先天性白内障、先天性小眼球等。社区儿保医生完成1例视力筛查平均需5.90min。83.3%儿保医生认为开展视力筛查非常有必要,93.3%认为本套筛查方法比较完善。结论本研究建立了一套易于操作、实用性强的婴儿视力筛查模式,可筛查出可能影响婴儿视力的疾病,从而早期进行临床干预,具有较大的经济学和社会学意义。本套视力筛查模式适宜在社区卫生服务中心推广。
[Abstract]:Objective to explore the model of infant vision screening in community in Pudong New District, Shanghai, and to provide decision basis for popularizing it in Shanghai and all over the country.Methods referring to the guidelines recommended by the American Academy of Pediatrics and the American Academy of Ophthalmology, we developed a method of visual screening for infants born in Pudong New area at the age of 46 months and 9 months respectively.The reflection of red light, etcThose with abnormal screening were referred.Results A total of 6 729 infants were screened, 17 of them were diagnosed abnormal after referral, including lacrimal duct stenosis, congenital cataract, congenital small eyeball and so on.Community child care doctors completed the visual acuity screening in an average of 5.90 min.83.3% of the child care doctors think that it is very necessary to carry out visual screening and 93.3% think that this screening method is relatively perfect.Conclusion this study has established a set of easy to operate and practical infant visual acuity screening model, which can screen out the diseases that may affect the infant visual acuity, and carry out early clinical intervention, which has great economic and sociological significance.This vision screening model is suitable to be popularized in community health service center.
【作者单位】：上海交通大学医学院附属上海儿童医学中心发育行为儿科上海市环境与儿童健康重点实验室;上海市浦东新区妇幼保健所儿童保健科;上海市浦东新区妇幼保健院儿童保健科;上海交通大学医学院附属上海儿童医学中心眼科;
【基金】：上海申康医院发展中心项目(SHDC12007227) 浦东新区卫生系统优秀青年医学人才培养计划(PWRq2011-30)
【分类号】：R779.7

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