首页|北京市海淀区学龄前儿童近视患病率及影响因素

北京市海淀区学龄前儿童近视患病率及影响因素

Investigation of myopia prevalence and influencing factors in preschool children in Beijing Haidian District

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目的 调查北京市海淀区3~6岁学龄前儿童近视患病率并分析其影响因素.设计横断面研究.研究对象北京市海淀区27所幼儿园3~6岁儿童1864人.方法 采用对数视力表检查视力,1.0%盐酸环戊酸酯睫状肌麻痹后采用电脑验光仪进行屈光度检测,对家长问卷调查儿童的每日户外活动时长、每日使用电子产品时长、每日总睡眠时长、读写姿势、挑食情况、眼部异常表现及父母近视情况.近视定义为等效球镜度≤-0.50 D.近视的相关影响因素分析采用多因素Logistic回归分析.主要指标近视患病率、影响因素.结果 1864名3~6岁学龄前儿童近视患病率为4.61%.其中男童近视患病率为5.35%,女童近视患病率为3.81%(P>0.05).多因素分析显示,父母至少一方近视(OR=1.60,P<0.05)、每日户外活动时间<2小时(OR=0.03,P<0.05)、每日使用电子产品时长超过1小时(OR=1.07,P<0.05)、每日睡眠时间低于10小时(OR=1.89,P<0.05)及眼部出现异常表现(OR=1.34,P<0.01)均与近视的发生呈正相关.结论 北京市海淀区学龄前儿童近视患病率约达4.6%.适当增加户外活动时间、保证充足的睡眠、控制电子产品的使用时间、眼部有异常表现及对于父母任意一方有近视史的儿童加强关注有助于学龄前儿童近视防控.(眼科,2024,33:362-366)
Objective To investigate the prevalence of myopia among 3~6 year old preschool children in Haidian District,Beijing and analyze its influencing factors.Design Cross-sectional study.Participants 1864 preschool children from 27 kindergartens in Haid-ian District,Beijing.Methods The visual acuity and diopter of the children were tested using LogMAR visual acuity chart and comput-er optometer which test after cycloplegia with 1.0%cyclopentate hydrochloride.Daily outdoor activity time,daily use time of electronic products,daily total sleep time,reading and writing posture,picky eating,and abnormal eye performance and parents'myopia were col-lected by questionnaire.Myopia is defined as equivalent spherical ≤-0.50 D.Multivariate logistic regression analysis was used to ana-lyze the influencing factors of myopia.Main Outcome Measures myopia prevalence,risk factors.Results The prevalence of myopia was 4.61%in the 1864 preschoolers,in which,5.35%in boys and 3.81%in girls(P>0.05).Multivariate analysis showed that at least one parent myopia(OR=1.60,P<0.05),daily outdoor activity time<2 hours(OR=0.03,P<0.05),daily use of electronic products(OR=1.07,P<0.05),daily sleep time less than 10 hours(OR=1.89,P<0.05)and abnormal eye appearance(OR=1.34,P<0.01)were positively cor-related with the prevalence of myopia.Conclusion The prevalence of myopia among preschool children in Beijing Haidian District is about 4.6%.Appropriately increasing outdoor activity time,ensuring sufficient sleep,controlling the use of electronic devices,showing abnormal eye symptoms,and paying more attention to children whose parents have a history of myopia can help prevent and control my-opia in preschool children.(Ophthalmol CHN,2024,33:362-366)

myopiapreschool childrenepidemiology

马张芳、侯锦、米雪景、陈巍、浦佳宁、焦永红、张宛侠

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首都医科大学附属北京同仁医院 北京同仁眼科中心 眼科学与视觉科学北京市重点实验室,北京 100730

北京市海淀区妇幼保健院,北京 100080

近视 学龄前儿童 流行病学

2024

眼科
中日友好医院,北京同仁医院,北京市眼科研究所

眼科

CSTPCD
影响因子:0.483
ISSN:1004-4469
年,卷(期):2024.33(5)