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中国多民族地区小学生屈光不正患病率

Ametropia prevalence of primary school students in Chinese multi-ethnic regions.

作者信息

Zhang Yang, Qiu Kaikai, Zhang Qian

机构信息

Ophthalmology Department, First affiliated hospital of Kunming Medical University, Kunming.

Optometry department, Shandong Liangkang Eye Hospital, Jinan.

出版信息

Strabismus. 2020 Mar;28(1):13-16. doi: 10.1080/09273972.2019.1665691. Epub 2019 Sep 21.

Abstract

: To explore the prevalence of visual impairment due to uncorrected ametropia from primary students in multi-ethnic regions of Yunnan (Southern China).: Primary school students of 7 ~ 12 years old from 5 multi-ethnic regions were screened. Cycloplegic refraction and subjective trial lens visual acuity were measured in all children with distance unaided visual acuity < 20/20. Gender, ages, ethnics, and regions were assessed with analysis of difference and Odds Ratio (OR) respectively, by statistics software R.: Of all 24296 children, the incidence rate for visual impairment from ametropia was 19.18% (myopia accounted for 94.31%) for 7 ~ 12 years old in Yunnan primary schools in a multi-ethnic region. Myopia prevalence differed significantly among gender, ages, ethnics, and regions (P = .0003, P < .00001, P < .00001, P < .00001, respectively). Girls were more prone to have myopia (OR = 1.19, 95%, CI = 1.11-1.27) than boys; the risk of myopia increased with age: 9-10 years OR = 2.6 (95% CI = 2.62-3.2), 11-12 years OR = 6.6 (95% CI = 6-7.26). Three ethnic minorities surveyed were less prone to myopia than Han: Dai OR = 0.62 (95% CI = 0.47-0.8) Hani OR = 0.56 (95%CI = 0.41-0.76) Buyi OR = 0.50 (95% CI = 0.4-0.62).: Myopia, not corrected by glasses, was the most frequent cause of visual impairment in Yunnan primary schools, in a muli-ethnic region. Boys, young children and certain ethnic minorities were less prone to myopia.

摘要

探索中国南方云南省多民族地区小学生因未矫正屈光不正导致视力损害的患病率。

对来自5个多民族地区的7至12岁小学生进行筛查。对所有裸眼远视力<20/20的儿童测量睫状肌麻痹验光和主观试镜视力。分别使用统计软件R通过差异分析和优势比(OR)评估性别、年龄、民族和地区。

在所有24296名儿童中,云南省多民族地区7至12岁小学生因屈光不正导致视力损害的发生率为19.18%(近视占94.31%)。近视患病率在性别、年龄、民族和地区之间存在显著差异(P = 0.0003、P < 0.00001、P < 0.00001、P < 0.00001)。女孩比男孩更容易患近视(OR = 1.19,95%CI = 1.11 - 1.27);近视风险随年龄增加:9至10岁OR = 2.6(95%CI = 2.62 - 3.2),11至12岁OR = 6.6(95%CI = 6 - 7.26)。所调查的三个少数民族比汉族患近视的可能性小:傣族OR = 0.62(95%CI = 0.47 - 0.8),哈尼族OR = 0.56(95%CI = 0.41 - 0.76),布依族OR = 0.50(95%CI = 0.4 - 0.62)。

在云南省多民族地区的小学中,未矫正的近视是视力损害最常见的原因。男孩、幼儿和某些少数民族患近视的可能性较小。

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