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残疾儿童屈光状态及视力损害危险因素的观察

Observations on Refractive Status and Risk Factors for Visual Impairment in Children with Disabilities.

作者信息

Holhoș Larisa Bianca, Coroi Mihaela Cristiana, Lazăr Liviu

机构信息

Department of Morphological Disciplines, Faculty of Medicine and Pharmacy, University of Oradea, 10 December Square Street, 410028 Oradea, Romania.

Medical Doctoral School, University of Oradea, 1 Universitatii Street, 410087 Oradea, Romania.

出版信息

Medicina (Kaunas). 2021 Apr 22;57(5):403. doi: 10.3390/medicina57050403.

DOI:10.3390/medicina57050403
PMID:33921968
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8143578/
Abstract

Vision integrates all the senses and plays a fundamental role in the acquisition of different skills and the general development of a child. Recently, refractive errors and visual impairment have become serious health problems among children. : The aim of this study was to identify the prevalence of refractive errors and visual impairment in children with disabilities. Moreover, this study aimed to explore the risk factors for visual impairment in children with respect to vitamin D levels, parental smoking, and the use of spectacles. : We retrospectively analyzed 161 children aged 5-16 years old, divided into two groups: a group of 80 children with disabilities and a control group consisting of 81 clinically healthy children. All the children underwent refraction measurements, visual acuity testing, and plasmatic vitamin D level dosing, measured in ng/mL. : Refractive errors and visual impairment were found to have a higher prevalence in the group of children with disabilities than in the control group. Moreover, the plasma level of vitamin D was lower in the group of children with special health needs. : Given the present results, children with disabilities should undergo special eye examinations as soon as possible to ensure the quality of their socio-academic lives.

摘要

视力整合了所有感官,在儿童获得不同技能和全面发展中起着基础性作用。最近,屈光不正和视力损害已成为儿童中的严重健康问题。本研究的目的是确定残疾儿童中屈光不正和视力损害的患病率。此外,本研究旨在探讨与维生素D水平、父母吸烟和眼镜使用有关的儿童视力损害危险因素。我们回顾性分析了161名5至16岁的儿童,分为两组:一组80名残疾儿童和一组由81名临床健康儿童组成的对照组。所有儿童均接受了验光测量、视力测试以及以纳克/毫升为单位测量的血浆维生素D水平检测。结果发现,残疾儿童组中屈光不正和视力损害的患病率高于对照组。此外,有特殊健康需求儿童组的血浆维生素D水平较低。鉴于目前的结果,残疾儿童应尽快接受特殊眼部检查,以确保其社会学业生活质量。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/41a8/8143578/0d18f7ab1a9a/medicina-57-00403-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/41a8/8143578/0d18f7ab1a9a/medicina-57-00403-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/41a8/8143578/0d18f7ab1a9a/medicina-57-00403-g001.jpg

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本文引用的文献

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Prevalence and Risk Factors of Amblyopia among Refractive Errors in an Eastern European Population.东欧人群屈光不正性弱视的患病率及危险因素。
Medicina (Kaunas). 2018 Mar 20;54(1):6. doi: 10.3390/medicina54010006.
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Spectrum of Darkness, Agent of Light: Myopia, Keratoconus, Ocular Surface Disease, and Evidence for a Profoundly Vitamin D-dependent Eye.黑暗光谱,光明使者:近视、圆锥角膜、眼表疾病以及维生素D对眼睛有深远影响的证据
Cureus. 2018 Jun 5;10(6):e2744. doi: 10.7759/cureus.2744.
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Prevalence and factors associated with childhood visual impairment in Ethiopia.
埃塞俄比亚儿童视力障碍的患病率及相关因素。
Clin Ophthalmol. 2017 Nov 6;11:1941-1948. doi: 10.2147/OPTH.S135011. eCollection 2017.
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A Meta-Analysis for Association of Maternal Smoking with Childhood Refractive Error and Amblyopia.母亲吸烟与儿童屈光不正和弱视相关性的Meta分析。
J Ophthalmol. 2016;2016:8263832. doi: 10.1155/2016/8263832. Epub 2016 May 9.
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Vitamin D: Implications for ocular disease and therapeutic potential.维生素D:对眼部疾病的影响及治疗潜力
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Ophthalmic Epidemiol. 2013 Jun;20(3):138-47. doi: 10.3109/09286586.2013.767354.
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Vitamin D rejuvenates aging eyes by reducing inflammation, clearing amyloid beta and improving visual function.维生素 D 通过减少炎症、清除淀粉样β蛋白和改善视觉功能来使衰老的眼睛恢复活力。
Neurobiol Aging. 2012 Oct;33(10):2382-9. doi: 10.1016/j.neurobiolaging.2011.12.002. Epub 2012 Jan 2.
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