新冠肺炎疫情前后宿迁市小学生筛查性近视率比较

陈鸿雁; 廖娅; 董磊; 王威; 王小娟

doi:10.16835/j.cnki.1000-9817.2021.10.031

新冠肺炎疫情前后宿迁市小学生筛查性近视率比较

doi: 10.16835/j.cnki.1000-9817.2021.10.031

陈鸿雁¹,
廖娅¹,
董磊²,
王威³,
王小娟^1, ,

1.
徐州医科大学附属徐州市立医院眼科, 江苏 221000
2.
宿迁市中小学卫生保健所
3.
徐州医科大学公共卫生学院

基金项目:

江苏大学2021年度临床医学科技发展基金项目 JLY202 1179

详细信息

作者简介:
陈鸿雁(1996-), 女, 四川省人, 在读硕士, 主要研究方向为近视防控、视光临床

通讯作者:
王小娟, E-mail: 153803468@qq.com

中图分类号: R778.11R179G627.8
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- 被引次数: 0
出版历程
- 收稿日期: 2021-03-19
- 修回日期: 2021-03-30
- 网络出版日期: 2021-10-25
- 刊出日期: 2021-10-25

Myopia of primary school students in Suqian before and after COVID-19 epidemic

1.
Department of Ophthalmology, the Affiliated Xuzhou Municipal Hospital of Xuzhou Medical University, Xuzhou(221000), Jiangsu Province, China

摘要

摘要: 目的比较新冠肺炎疫情前后宿迁市小学生筛查性近视率, 为近视防控及科普宣教提供依据。方法于2019与2020年采用整群抽样方法对宿迁市39所小学的学生进行眼健康体检, 包括测量裸眼视力、非睫状肌麻痹电脑验光, 分别对76 823, 76 039名6~12岁小学生进行统计分析, 比较2年筛查性近视率在不同人口学特征下的差异。结果疫情前后筛查性近视率分别为30.2%, 36.9%, 2次检查均得出筛查性近视率随年龄增加而增加, 女生近视率(32.3%, 40.0%)高于男生(28.3%, 34.2%), 城市学生近视率(34.3%, 41.5%)高于农村(26.5%, 32.2%)。各年龄阶段近视率增加均明显, 其中以9~11岁增加最多(增加量为8.6~10.7百分点), 不同性别、城乡小学生近视率增加均明显, 女生、城市小学生增加最多(分别增加7.7, 7.2百分点)。结论疫情后宿迁市小学生筛查性近视率是2019年的1.2倍, 在不同人口学特征下均增加, 疫情后近视现状不容乐观。
- 冠状病毒属 /
- 近视 /
- 患病率 /
- 学生
Abstract: Objective To compare myopia prevalence among primary school students in Suqian before and after COVID-19 epidemic, so as to provide a reference for prevention and scientific propaganda of myopia. Methods Mass sampling was conducted for pupils from 39 primary schools in Suqian during 2019-2020 for ophthalmic examination, including measurement of uncorrected visial acuity and noncycloplegic refractometry. The data of 76 823 and 76 039 students aged 6 to 12 years were statistically analyzed, and the differences of myopia prevalence in two years were compared under different demographic characteristics. Results The myopic rate before and after the epidemic was 30.2% and 36.9%, respectively.The two examinations all obtained that the myopic rate increased with age, the myopic rate of girls (32.3%, 40.0%) was higher than that of boys(28.3%, 34.2%), and the myopic rate of urban students(34.3%, 41.5%) was higher than that of rural students(26.5%, 32.2%). The myopic rate increased significantly at all ages, with students aged 9 to 11 accounted for the most(by 8.6 to 10.7 percentage point), the myopic rate by genders and areas increased significantly, among which female and urban students increased the most(7.7, 7.2 percentage point). Conclusion After the epidemic, the myopic rate was 1.2 times that of 2019. The myopic rate increased significantly under different demographic characteristics.The myopic situation was not optimistic.
- Coronavirus /
- Myopia /
- Prevalence /
- Students

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表 1 宿迁市小学生2019与2020年眼科筛查阳性报告率比较

Table 1. Comparison of the positive rate of ophthalmic screening among the primary school students in Suqian of 2019 and 2020

年份	人数	视力不良			球性屈光不正		散光
年份	人数	轻度	中度	重度	远视	近视	顺规	斜轴	逆规
2019	76 823	6 389(8.3)	10 565(13.8)	7 912(10.3)	6 560(8.5)	23 198(30.2)	4 065(5.3)	191(0.2)	1 106(1.4)
2020	76 039	7 104(9.3)	11 795(15.5)	8 982(11.8)	4 163(5.5)	28 072(36.9)	6 053(8.0)	462(0.6)	1 571(2.1)
χ²值		313.46			1 112.21		668.11
P值		< 0.01			< 0.01		< 0.01
注：()内数字为报告率/%。

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表 2 不同人统计口学特征小学生筛查性近视率比较

Table 2. Comparison of myopic prevalence under different demographic characteristics

人口学指标	统计值	2019年		2020年		Z值
人口学指标	统计值	人数	近视人数	人数	近视人数	Z值
年龄/岁
6		8 799	1 179(13.4)	9 269	1 410(15.2)	-3.48
7		12 977	2 035(15.7)	12 004	2 370(19.7)	-8.45
8		12 500	2 649(21.2)	12 995	3 595(27.7)	-12.01
9		12 687	3 789(29.9)	12 948	4 987(38.5)	-14.59
10		12 777	5 008(39.2)	12 661	6 118(48.3)	-14.67
11		11 147	5 339(47.9)	11 949	7 005(58.6)	-16.33
12		5 936	3 199(53.9)	4 213	2 587(61.4)	-7.53
	χ_趋势²值		6 529.07		7 969.27
性别
男		40 841	11 566(28.3)	40 393	13 809(34.2)	-18.04
女		35 982	11 632(32.3)	35 646	14 263(40.0)	-21.41
	χ²值		145.76		276.01
地区
城市		36 493	12 503(34.3)	38 566	15 995(41.5)	-20.35
农村		40 330	10 695(26.5)	37 473	12 077(32.2)	-17.49
	χ²值		544.87		697.65
注：()内数字为近视率/%；P值均 < 0.01。

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