欢迎来到天天文库
浏览记录
ID:38186619
大小:232.09 KB
页数:3页
时间:2019-05-22
《小瞳验光在4~6岁视力低常儿童近视眼筛查中的应用》由会员上传分享,免费在线阅读,更多相关内容在行业资料-天天文库。
1、782中国儿童保健杂志2014年O7月第22卷第7期CJCftCJULY2Ol4,Vol22,No.7·适宜技术·小瞳验光在4---6岁视力低常儿童近视眼筛查中的应用戴寅妍,沈斌,夏庆华,蔡蔚,朱剑锋1上海市长宁区疾病预防控制中心,上海20005l;2上海市眼病防治中心,上海200040摘要:目的分析上海市长宁区学龄前儿童散瞳前、后屈光度的差异,研究在非睫状肌麻痹状态下进行大规模儿童近视眼筛查的可行性。方法整群抽取35所区属公立幼儿园4~6岁儿童进行视力、屈光筛查,视力低常患儿行散瞳验光,比较各年龄组散瞳前、后屈光状态,建立散瞳前、后等效球镜的线性回归方程,并探讨
2、在非睫状肌麻痹状态下近视眼筛查的最佳阳性界值。结果各年龄组儿童散瞳前、后等效球镜差异具有统计学意义,且存在线性相关。在非睫状肌麻痹状态下,4岁儿童近视眼筛查的最佳阳性界值为等效球镜<一1.00D。5~6岁儿童为等效球镜<一0.75D。结论小瞳验光对于大规模儿童近视眼的初步筛查是有效可行的。关键词:小瞳验光;近视眼筛查;儿童中图分类号:R779.7文献标识码:A文章编号:10086579(2014)07—0782—03doi:10.n852/zgeJzz2OH22O7—38Useofn0ncycIOpJegicautorefraetionformyopiascree
3、ningin4~6-year-oldchildrenwithpooreyesight.DAIYinyan,SllENBin,XIAQing—hua,CAIWei,ZHUJian—feng.(1ChangningDistrictMunicipalCenterforDiseaseControlatzdPre—vention,Shanghai200051,China;2ShanghaiEyeDiseasePreventionandTreatmentCenter,Shanghai200040,China)Abstract:0bjectiveToanalyzethediff
4、erencebetweenthesphericalequivalent(SE)beforeandaftercycloplegiainpreschoolchildrenandexploretheeffectivenessandfeasibilityofnoncycloplegicautorefraction(NCAR)forlarge—scalemyo—piascreeninginchildren.MethodsAclustersamplingmethodwasusedtOselectchildrenaged4to6from35kindergar—tensinCha
5、ngningdistrict.Thevisualacuity(VA)andnoncyc1opIegicautorefractionweremeasuredineveryctlildandcycloplegiaautorefractionwasmeasuredinchildrenwithpooreyesight.Statisticalanalysisandlinearregressionanalysiswereconducted.Thebestpositivecutoffpointsandtheircorrespondingsensitivitiesandspeci
6、ficitiesforNCARwerealsoex—plored.ResultsSEwasmorepositiveaftercycloplegiawithstatisticalsignificancethanthatbeforecycloplegia,thelinearcorrelationwasprovedbetweentheSEbeforeandaftercycloplegia.WhenusingNCARtoestimatemyopia,thebestpositivecutoffpointwasSElessthan一1.00Dinchildrenaged4ye
7、arsoldandSElessthan一0.75Dinchildrenaged5~6yearsold,respectively.ConclusionNCARisaneffectiveandfeasiblemethodforlarge—scalemyopiascreeninginpreschoolchildren.Keywords:noncycloplegicautorefraction;myopiascreening;children近年来,沉重的课业负担、电子产品的普及、不童4667人,删除诊断有屈光不正以外其他眼病以良的用眼卫生习惯等使得儿童近视率持续升高,发
8、及拒绝签署
此文档下载收益归作者所有