摘要
目的 调查眼科门诊职业人群视疲劳现状,并进一步分析其影响因素,有助于为职业人群开展视疲劳防治提供一定参考依据.方法 采用方便抽样法选择2021年7月至2023年6月期间在北京市某院眼科门诊行健康体检、且有完整体检资料的北京地区职业人群作为研究对象,收集其基本情况,对其进行裸眼视力与最佳矫正视力、裂隙灯及眼底镜检查.采用描述性分析方法分析职业人群视疲劳发生情况;采用单、多因素分析方法分析影响职业人群视疲劳的相关因素.结果 本研究纳入2 104名职业人群,共检出视疲劳患者1 304例,检出率为61.98％,裸眼视力0.1～1.2,最佳矫正视力均＞1.0,裂隙灯检查未检测出有角结膜病损者.多因素logistic回归分析结果显示年龄(OR=1.865)、受教育水平(OR=1.702)、糖尿病(OR=1.914)、职业类型(企事业单位职员OR=2.277、国家公务员OR=2.298)、用眼强度越高(OR=1.788)、工作年限越长(OR=1.919)、近视年限越长(OR=2.208)是职业人群视疲劳的危险因素;睡眠时间(OR=0.738)是其保护因素.结论 职业人群视疲劳检出率较高,应加强对职业人群的视力监测及宣传教育,缓解视疲劳.
Abstract
Objective To investigate the status of asthenopia in occupational population in ophthalmology clinic and further analyze its influencing factors,to provide a reference for the prevention and treatment of asthenopia in occupa-tional population.Methods Convenience sampling method was used to select the occupational population in Beijing who underwent physical examination in the ophthalmology clinic of a hospital in Beijing from July 2021 to June 2023 and had complete physical examination data.The basic personal conditions of the subjects were investigated,and the naked eye vi-sual acuity,best corrected visual acuity,slit-lamp,and ophthalmoscopy were examined.Descriptive analysis was used to analyze the occurrence of asthenopia in occupational population,and univariate and multivariate analyses were used to ana-lyze the related factors affecting asthenopia.Results In this study,2 104 occupational population were included,and 1 304 patients with asthenopia were detected,the detection rate was 61.98％,the naked eye visual acuity was 0.1-1.2,the best corrected visual acuity was＞1.0,and the slit-lamp examination did not detect the keratoconjunctival lesion.Multivari-ate Logistic regression analysis showed that age(OR=1.865),education level(OR=1.702),diabetes(OR=1.914),occupa-tion type(OR=2.277 for employees of enterprises and public institutions,OR=2.298 for civil servants),higher intensity eye use(OR=1.788),longer working years(OR=1.919),and longer myopia(OR=2.208)were the risk factors for asthenopia in the occupational population,while sleep duration(OR=0.738)was a protective factor.Conclusion The detection rate of asthenopia in the professional population is high,so the visual monitoring and publicity of the professional population should be strengthened to alleviate asthenopia.
基金项目
中国中医科学院科技创新工程项目(CI2021A03210)
NETL
NSTL
维普
万方数据