阿氏评分与3至6岁儿童视力下降
Apgar score and reduced vision in children aged 3 to 6 years.
作者信息
Pan Chen-Wei, Qian Deng-Juan, Zhu Hui, Yu Jia-Jia, Liu Hu
机构信息
Jiangsu Key Laboratory of Preventive and Translational Medicine for Geriatric Diseases, School of Public Health, Medical College of Soochow University, Suzhou, China.
Department of Ophthalmology, the First Affiliated Hospital of Nanjing Medical University, 300 Guangzhou Road, Nanjing, China.
出版信息
Graefes Arch Clin Exp Ophthalmol. 2017 Feb;255(2):401-405. doi: 10.1007/s00417-016-3506-8. Epub 2016 Oct 15.
PURPOSE
We aimed to examine the association between the 5-min Apgar score and reduced vision in children 3 to 6 years of age.
METHODS
A total of 5834 preschool children aged 3 to 6 years participated in this school-based eye survey. Reduced vision was defined as unaided distance vision of 6/12 or worse in the better-seeing eye. The 5-min Apgar scores of the participants were retrieved from medical records.
RESULTS
The overall prevalence of reduced vision in this population was 6.63 % (95 % confidence interval [CI] 5.99-7.27). In multivariate analysis, the presence of reduced vision was associated with a low 5-min Apgar score at birth (<7 vs. 7-10; odds ratio [OR] = 1.66, 95 % CI 1.48-3.05) after adjusting for age, gender, parental history of myopia, maternal age, gestational age, and birth weight. In addition, both myopia and amblyopia were associated with Apgar scores of less than 7 in multivariate analyses.
CONCLUSIONS
Children with 5-min Apgar scores of less than 7 were more likely to have reduced vision at the age of 3 to 6 years.
目的
我们旨在研究3至6岁儿童5分钟阿氏评分与视力减退之间的关联。
方法
共有5834名3至6岁的学龄前儿童参与了这项基于学校的眼部调查。视力减退定义为较好眼的裸眼远视力为6/12或更差。参与者的5分钟阿氏评分从病历中获取。
结果
该人群中视力减退的总体患病率为6.63%（95%置信区间[CI]5.99 - 7.27）。在多变量分析中，在调整了年龄、性别、父母近视史、母亲年龄、孕周和出生体重后，视力减退与出生时低5分钟阿氏评分（<7 vs. 7 - 10；优势比[OR]=1.66，95%CI 1.48 - 3.05）相关。此外，在多变量分析中，近视和弱视均与阿氏评分低于7相关。
结论
5分钟阿氏评分低于7的儿童在3至6岁时更有可能出现视力减退。
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