Refractive screening status of 1 390 children aged 2 - 6 years in Huaibei, Anhui province

doi:10.11852/zgetbjzz2023-0014

Abstract

Abstract: Objective To investigate the refractive changes of young children in Huaibei area, Anhui province, in order to provide evidence for eye care, prevention and control of myopia and amblyopia. Methods A total of 1 390 2- to 6-year-old children in Huaibei District, who took physical examination in 18 kindergartens, were randomly selected into this study. Refractive screening with Suresight automatic optometry, along with the risk of amblyopia, was analyzed. The rate of refractive abnormality was determined and the composition of refractive abnormality factors was analyzed according to the standards provided by the instrument and the national specifications for eye care and vision examination services for children aged 0 - 6 years (trial). Results The rate of abnormal binocular refraction in preschool children was 22.99% based on the instrument standards, the rate ofhyperopia was 26.47%, and the rate of refractive abnormalities was 14.39% based on the national specifications. There was no statistically significant difference in refractive abnormalities in different age and sex groups (χ²=3.36,0.90,P>0.05). In terms of the refractive status, the proportion rates of suspected hyperopia, astigmatism, anisometropia and hypermetropia were 74.7%, 25.8%, 22.3% and 1.8%, respectively. Conclusion It is highly recommended that the national standard of refractive errors should be used in refractive screening for early identification of refractive abnormality, which helps to facilitate the graded health management of refractive screening, and is one key component for children's eye care.

Key words: refractive screening, young children, eye care, anisometropia

摘要： 目的了解安徽淮北地区2~6岁儿童屈光状态,为儿童眼保健及近视、弱视防控提供参考依据。方法 2020年在安徽淮北城区对18所幼儿园2~6岁儿童进行健康体检,随机抽取1 390名儿童采用Suresight验光仪进行屈光筛查,并结合弱视发生的危险因素进行分析。根据仪器提供标准及国家《0~6岁儿童眼保健及视力检查服务规范(试行)》标准分别判定屈光异常率,分析屈光异常因素的构成。结果根据仪器屈光异常的标准判定儿童双眼屈光异常率为22.99%;按《服务规范》推荐标准判定屈光异常为14.39%,可疑远视储备量不足为26.47%。不同年龄及性别的儿童屈光异常差异无统计学意义(χ²=3.36,0.90,P>0.05)。对各屈光状态构成分析,可疑远视储备量不足因素占74.7%,其次是散光因素占25.8%,屈光参差占22.3%,远视占1.8%。结论采用国家推荐屈光异常判定标准,早期发现各种屈光异常,有利于屈光筛查分级健康管理,对指导儿童眼保健工作具有重要意义。

关键词: 屈光筛查, 低龄儿童, 眼保健, 屈光参差

CLC Number:

R778.2

CUI Mingming, SUI Guanghui, ZHANG Hao, LYU Yanyu, YANG Suhong, WANG Lin. Refractive screening status of 1 390 children aged 2 - 6 years in Huaibei, Anhui province[J]. Chinese Journal of Child Health Care, 2023, 31(9): 1028-1032.

崔明明, 随光辉, 张浩, 吕岩玉, 杨素红, 王琳. 安徽淮北地区1 390名2~6岁儿童屈光筛查现状分析[J]. 中国儿童保健杂志, 2023, 31(9): 1028-1032.

References

[1] Kulp MT, Ciner E, Ying GS, et al. Vision Screening, Vision Disorders, and Impacts of Hyperopia in Young Children:Outcomes of the Vision in Preschoolers (VIP) and Vision in Preschoolers - Hyperopia in Preschoolers (VIP-HIP) Studies[J]. Asia Pac J Ophthalmol (Phila), 2022,11(1):52-58.
[2] Anley DT, Anteneh RM, Tegegne YS, et al. Prevalence of visual impairment and associated factors among children in Ethiopia:Systematic review and meta-analysis[J]. PLoS One,2022,17(7):e0271433.
[3] 徐晔倩,黄毅.闵行区学龄前儿童视力低常检出情况及影响因素分析[J].中国初级卫生保健,2018,32(2):18-20.
Xu YQ, Huang Y. Analysis of the Status of Influence Factors of Poor Eyesight in Preschool Children of Minhang District[J]. Chinese Primary Health Care, 2018,32(2):18-20.(in Chinese)
[4] 全国儿童医院(妇幼保健院)眼科专家协作组.我国儿童眼科的现状与发展策略专家共识[J]. 中国斜视与小儿眼科杂志,2019,27(1):1-4,14.
Cooperation Group of ophthalmologists of the National Children's Hospital (Maternal and child health care hospital). The current situation and development strategy of pediatric ophthalmology in China[J]. Chinese Journal of Strabismus & Pediatric Ophthalmology,2019,27(1):1-4,14.(in Chinese)
[5] 刘丹彦,杨宙,白万冰,等. Plusoptix屈光筛查仪在儿童屈光筛查中的应用[J].中国斜视与小儿眼科杂志,2022,30(1):1-4,38.
Liu DY, Yang Z, Bai WB, et al. Evaluation of Plusoptix in pediatric patients refractive screening. Chinese Journal of Strabismus & Pediatric Ophthalmology, 2022,30(1):1-4,38.(in Chinese)
[6] 国家卫生健康委办公厅.关于印发0～6岁儿童眼保健及视力检查服务规范(试行)的通知[A/OL].(2021-06-17)http://www.nhc.gov.cn/fys/s7906/202106/15c5e7d23b3843daa3d87d2d7cebc3ce.shtml
[7] 冯晶晶,李亚平,闫琦,等. 北京市海淀区17356例4月～6岁儿童的屈光筛查情况分析[J]. 中国斜视与小儿眼科杂志,2010,18(3):120-122,124.
Feng JJ,Li YP,Yan Q,et al. Analysis the refraction of 4 months to 6 years old 17356 children in Beijing Haidian[J].Chinese Journal of Strabismus & Pediatric Ophthalmology, 2010,18(3):120-122,124.(in Chinese)
[8] 肖俐佳,崔馨,何真,等. 5531例学龄前儿童屈光状态分析[J].中国斜视与小儿眼科杂志,2018,26(3):43-45.
Xiao LJ,Cui X,He Z,et al.Refractive analysis in 5531 preschool children[J]. Chinese Journal of Strabismus & Pediatric Ophthalmology, 2018,26(3):43-45.(in Chinese)
[9] 李素毅,王丹.北京市东城区2017—2019年新入园儿童屈光筛查结果分析[J].中国初级卫生保健,2021,35(1):52-54.
Li SY, Wang D. 2017-2019, Analysis on the Results of Refractive Screening for Kindergartens Fresh Children in Dongcheng District, Beijing[J]. Chinese Primary Health Care,2021,35(1):52-54.(in Chinese)
[10] 冯晶晶,仝欢,陈巍,等. 学龄前儿童散光特征分析[J].北京医学,2018,40(12):1141-1144.
Feng JJ,Tong H,Chen W,et al. Analysis of astigmatic characteristics in preschool children[J].Beijing Medical Journal,2018,40(12):1141-1144.(in Chinese)
[11] 褚仁远, 赵家良. 儿童青少年屈光不正诊治应以睫状肌麻痹下验光结果为基准[J]. 中华眼科杂志, 2019, 55(2):86-88.
Zhu RY, Zhao JL. It is essential to diagnose and correct children's ametropia after cycloplegic refraction[J]. Chinese Journal of Ophthalmology,2019,55(2):86-88.(in Chinese)
[12] 吴广强,魏宁,吴兴香,等.6月龄～6岁儿童屈光筛查界值点的研究[J].中国儿童保健杂志,2019,27(12):1365-1367.
Wu,GQ, Wei N, Wu XX, et al.Study on the cut-off point of refractive screening in children aged 6 months to 6 years[J].Chin J Child Health Care,2019,27(12):1365-1367.(in Chinese)
[13] 崔金玉,徐韬,武一萍,刘小舟,张晓玲,谷建平. 北京市西城区婴幼儿条栅视力和屈光度发育水平纵向监测研究[J]. 中国妇幼卫生杂志,2019,36(3):36-39.
Cui JY,Xu T,Wu YP,Liu XD,Zhang XL,Gu JP. Longitudinal analysis on the grating visual acuity and dioptre of infants in Xicheng District of Beijing[J].Chinese Journal of Women and Children Health,2019,36(3):36-39.(in Chinese)
[14] 何炯.Suresight视力筛查仪检查低龄儿童屈光标准[J].中国妇幼保健,2017,32(13):2930-2932.
He J. Refractive criteria of Suresight vision screening instrument in preschool children[J]. Maternal and Child Health Care of China,2017,32(13):2930-2932.(in Chinese)
[15] 金今实,陈翠翠,姜宇,等.延吉市 7岁以下儿童屈光筛查分析[J].中国斜视与小儿眼科杂志,2016,24(4):45.
Jin JS, Chen CC, JiangY, er al. Analysis the refraction under 7 years old in the Yanji city[J]. Chinese Journal of Strabismus & Pediatric Ophthalmology, 2016,24(4):45.(in Chinese)
[16] 王立华,冯晶晶,陈巍,等. SureSight检查与睫状肌麻痹验光的相关性研究[J]. 北京医学,2020,42(1):43-46.
Wang LH,Feng JJ,Chen W,et al.Correlation analysis between the optometry measured by Suresight refractometer and retinoscopy with atropine cycloplegia[J]. Beijing Medical Journal, 2020,42(1):43-46.(in Chinese)
[17] 李丽红,刘虎.儿童眼病筛查[M].北京:科学出版社,2017:125-126.
Li LL, Liu H.Screening for eye disease in children[M]. Beijing:Science Press,2017:125-126.(in Chinese)
[18] 周艳芬.12203例低龄儿童视力筛查结果分析[J].中国卫生标准管理,2019,10(1):10-12.
Zhou YF. Analysis of Visual Screening Results of 12203 preschool children[J].China Health Standard Management,2019,10(1):10-12.(in Chinese)
[19] Harrington SC, Stack J, O'dwyer V. Risk factors associated with myopia in school children in Ireland [J]. Brit J Ophthalmol, 2019, 103(12):1803 - 1809.
[20] 中华人民共和国中央人民政府. 教育部等八部门关于印发《综合防控儿童青少年近视实施方案》的通知[A/OL].(2018-08-30) https://www.gov.cn/gongbao/content/2019/content_5361801.htm.
[21] Yang GY, Huang LH, Schmid KL, et al. Associations between screen exposure in early Life and myopia amongst Chinese preschoolers [J]. Int J Environ Res Public Health, 2020, 17(3):1056.
[22] 王登封.中国综合防控儿童青少年近视发展报告(2018-2021年)[M].合肥:安徽科学技术出版社,2022.
Wang DF. Comprehensive prevention and control of Myopia in children and adolescents in China (2018-2021) [M].Hefei:Anhui Science and Technology Press,2022.(in Chinese)