应用Suresight对1-3岁婴幼儿屈光状态的筛查与分析研究

发布时间：2018-08-14 12:46

【摘要】：目的应用Suresight手持式自动视力筛查仪对1~3岁婴幼儿的屈光状态进行检测,了解婴幼儿视觉系统屈光状态及分布规律。方法选取2013年8月至2014年2月于郑州市儿童医院眼科门诊进行视力体检的1~3岁婴幼儿239名,按年龄分成4组:12~17个月龄组、18~23个月龄组、24~29个月龄组、30~36个月龄组,利用Suresight手持式自动视力筛查仪进行屈光检测,并对结果进行统计分析。结果在239名被检测幼儿中,有18名幼儿未检测出其屈光状态,其总检测率为92.5%,其中近视状态2例。12~17个月龄组、18~23个月龄组、24~29个月龄组、30~36个月龄组屈光球镜值分别为(+1.93±0.63)D、(+1.79±0.55)D、(+1.50±0.65)D、(+1.54±0.71)D,各组间差异有显著统计学意义(F=7.062,P=0.000),屈光柱镜值分别为(0.82±0.40)D、(0.78±0.46)D、(0.69±0.49)D、(0.72±0.43)D,各组间差异无统计学意义(F=1.125,P=0.339)。相关及回归分析显示,1~3岁婴幼儿月龄与其屈光球镜值之间存在负相关关系(r=-0.411,P=0.000),即1~3岁婴幼儿屈光球镜值随年龄增长而降低;1~3岁婴幼儿月龄与其屈光柱镜值之间存在负相关关系(r=-0.105,P=0.035),即1~3岁婴幼儿屈光柱镜值随年龄增长而降低,但其相关性较低。结论建议婴幼儿应从出生后6个月起至少每半年进行一次视力及屈光检查,密切观察屈光及视力的发育状态,保证视力健康发育。
[Abstract]:Objective to study the refractive state and distribution of visual system in infants and children aged 1 to 3 years by using Suresight automatic visual acuity screening instrument. Methods 239 infants aged 1 or 3 years were selected from August 2013 to February 2014 in the ophthalmological clinic of Zhengzhou Children's Hospital. According to their age, 239 infants were divided into 4 groups: 180-23 months old group, 30 ~ 36 months old group. The refraction was detected by Suresight hand-held automatic visual acuity screening instrument, and the results were statistically analyzed. Results of the 239 children tested, 18 did not detect their refractive status. The total detection rate of myopia was 92.5, in which 2 cases of myopia (n = 2, n = 12 ~ 17 months old) and 24 ~ 29 months old group (n = 24 ~ 29 months old) were (1.93 卤0.63) D, (, 1.79 卤0.55) D, (, 1.50 卤0.65) D, (, 1.54 卤0.71) Drespectively, and the diopter values were (1.93 卤0.63) D, (卤0.55) D, (1.50 卤0.65) D, (1.54 卤0.71) Drespectively. (0.82 卤0.40) D, (, 0.78 卤0.46) D, (, 0.69 卤0.49) D, (, 0.72 卤0.43) D. there was no significant difference among the three groups (F = 1.125, P < 0.339). The correlation and regression analysis showed that there was a negative correlation between the age of 3-year-old infants and their refractive lens values (r ~ (-0.411) P ~ (0. 000), that is to say, there was a negative correlation between the refractive specular value of 1 ~ 3 year old infants and their refraction lens values with the increase of age. There was a negative correlation (r-0.105 P0. 035), that is, the refractive column value decreased with the increase of age. But its correlation is low. Conclusion it is suggested that visual acuity and refraction should be examined at least once every six months after birth to observe the development of refractive and visual acuity so as to ensure the healthy development of visual acuity.
【作者单位】：郑州市儿童医院眼科;
【基金】：郑州市科技局科技发展计划项目(编号:9412014Y0236)~~
【分类号】：R778

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