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| Prevalence and affecting factors of refractive anomalies in 4237 children aged 7-12 years in Wuxi City |
| LI Yun YAO Yong |
| Department of Ophthalmology， Wuxi People′s Hospital Affiliated to Nanjing Medical University, Jiangsu Province, Wuxi 214023, China |
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Abstract Objective To investigate the prevalence of refractive anomalies and its affecting factors in 4237 children aged 7-12 years in Wuxi City. Methods A total of 4237 children were randomly selected from November to December 2018 to study in Wuxi Hechang Primary School, Rongcheng Primary School, Taihu New Town Primary School, Pre-school Campus of Wuxi Normal Primary School and Xiaoyangguang Campus of Wuxi Normal Primary School. According to the diopter, they were divided into the normal group (n = 2362) and the abnormal group (n = 1875). The distribution of vision and prevalence of refractive anomalies in children of different ages were observed, the factors affecting children aged 7-12 years were analyzed, and a multivariate logistic regression model was established to identify the risk factors for children with refractive anomalies. Results The proportion of children aged 7-<11 years old with vision of > 0.8 was the highest, the proportion of children aged 11-<12 years old with vision of 0.5-0.6 was the highest, and the proportion of children aged 12-<13 years old with vision of 0.1-0.4 was the highest. The prevalence of refractive anomalies was highest in children aged 12- < 13 years, and lowest in children aged 7- < 8 years. Daily sleep duration, good eye habits, balanced nutrition, regular visual acuity examination, and age were associated with refractive anomalies in children aged 7-12 years (P < 0.05). Age≥9 years old, daily sleep time < 8 h, poor eye habits, nutritional imbalance and not regularly examined vision were risk factors for refractive anomalies in children aged 7-12 years old (P < 0.05). Conclusion During the prevention of refractive anomalies in children aged 7-12 years old, close attention should be paid to children′s age, sleep time, eye habits, balanced nutrition and regular visual examination, so as to take timely measures to prevent and reduce the incidence of refractive anomalies in children.
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[1] Reddy S，Panda L，Kumar A，et al. Tribal Odisha Eye Disease Study # 4：Accuracy and utility of photorefraction for refractive error correction in tribal Odisha（India）school screening [J]. Indian J Ophthalmol，2018，66（7）：929-933.
[2] Iodice A，Galli J，Molinaro A，et al. Neurovisual Assessment in Children with Ataxia Telangiectasia [J]. Neuropediatrics，2018，49（1）：26-34.
[3] 尤媛.杭州市下城区学龄前儿童视力及屈光状态调查[J].中国妇幼保健，2016，31（17）：3595-3596.
[4] 邹海东，朱剑锋.视力检查在眼病筛查中的作用[J].中华眼科杂志，2011，47（9）：773-776.
[5] 黄俊，李云，程紊，等.上海闵行区学龄前儿童屈光度范围评估及影响因素分析[J].中国斜视与小儿眼科杂志，2012，20（4）：178-182.
[6] 陈俊卿，来坚.学龄前儿童视力发育与生活状况的相关性探讨[J].中国妇幼健康研究，2016，27（9）：1087-1089.
[7] 俞洋，蔡传兰，沈萍，等.学龄前儿童出生状况和日常饮食习惯对视力发育的影响[J].中国妇幼保健，2017，32（7）：1462-1465.
[8] 周明月，刘俊山，徐志东，等.幼儿屈光不正的家庭养育环境因素分析[J].实用预防医学，2019，26（7）：819-822.
[9] 周一龙，杨卫华，沈雪芬.学龄前儿童屈光异常及其影响因素分析[J].中国妇幼保健，2015，30（17）：2759-2762.
[10] 李妮娜，朱雪梅，梁玉梅，等.社区学龄前儿童视力低常研究现状及对策分析[J].中华现代护理杂志，2016，22（34）：5026-5029.
[11] 钟丽萍，陈静，陈丽萍.余杭区2011-2013年学龄前儿童视力筛查结果分析[J].浙江预防医学，2015，27（6）：613-614.
[12] 张丽，吴丹.成都市锦江区3650名学龄前儿童屈光异常状况及影响因素分析[J].中国妇幼保健，2016，31（23）：5136-5139.
[13] 张佩斌，杨翎，吴海霞，等.学龄前儿童17129例视力筛查结果分析[J].中国儿童保健杂志，2016，24（8）：856-858.
[14] 肖朝霞，范开蓉，陈晓芳，等.韶关市区学龄前儿童视力发育现状的横断面调查[J].热带医学杂志，2016，16（8）：1079-1082.
[15] 梁晓翠，周炼红，易贝茜，等.湖北省0~6岁早产儿屈光度参考值范围的调查[J].中华眼视光学与视觉科学杂志，2018，20（10）：593-598.
[16] 夏志伟，王路，赵海，等.北京市2017-2018学年中小学生视力不良及影响因素分析[J].中国学校卫生，2018， 39（12）：87-90.
[17] 覃忠书，覃彦香，韦琳，等.柳州市2010-2013年中小学生视力不良情况分析[J].中华疾病控制杂志，2015，19（6）：567-570.
[18] 黎燕，吴自爱.梧州市4863例学龄前儿童视力筛查结果分析[J].中国妇幼保健，2015，30（33）：5801-5802.
[19] 黄洁蕾，陈翔熙，钟毅敏，等.儿童期青光眼244例临床特征分析[J].中国斜视与小儿眼科杂志，2019，27（2）：1-4.
[20] 汪腊一，易全勇，谢玮玮，等.学龄前儿童眼屈光状态筛查和屈光异常及其影响因素分析可行性报告[J].中国现代医生，2019，57（16）：70-73.
[21] 张建军.隆德地区学龄前儿童视力筛查情况及影响因素分析[J].中国妇幼保健，2018，33（23）：277-279. |
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