CAJ | 학술논문

目的了解中学生近视眼合并周边部眼底退行性病变的患病特点及其影响因素.方法采取群体抽样的原则对豫东平原地区的五县市五所重点中学在校学生进行眼底流行病学调查,对其双眼屈光状况,视力及矫正视力,以及眼底病变等进行统计分析.结果 (1)共检出近视眼者3465人(72.6%),其中合并有各种周边部眼底退行性病变者488人,患病率为14.08%.(2)近视者中4.01%患有视网膜格子样变性,6.03%患霜样变性,3.2%患囊样变性,0.63%有裂孔.(3)低度近视者周边部眼底病变患病率为8.97%,中度近视者为20.09%,高度近视者为28.0%(x2=128,P<0.001).(4)自述有症状合并有周边部眼底退行性病变者的患病率为19.07%;无自觉症状者则为10.68%,(x2=47,P<0.001).(5)学生为城镇居民者合并患有周边部眼底退行性病变者的患病率为15.44%;为乡村居民者则为13.06%,(x2=2.3,P>0.05).结论在校高中学生近视眼的发生率为72.6%.近视眼合并有周边部眼底退行性病变的患病率为14.08%,其患病率与近视程度和有无自觉症状相关.
목적 료해중학생근시안합병주변부안저퇴행성병변적환병특점급기영향인소.방법 채취군체추양적원칙대예동평원지구적오현시오소중점중학재교학생진행안저류행병학조사,대기쌍안굴광상황,시력급교정시력,이급안저병변등진행통계분석.결과 (1)공검출근시안자3465인(72.6%),기중합병유각충주변부안저퇴행성병변자488인,환병솔위14.08%.(2)근시자중4.01%환유시망막격자양변성,6.03%환상양변성,3.2%환낭양변성,0.63%유렬공.(3)저도근시자주변부안저병변환병솔위8.97%,중도근시자위20.09%,고도근시자위28.0%(x2=128,P<0.001).(4)자술유증상합병유주변부안저퇴행성병변자적환병솔위19.07%;무자각증상자칙위10.68%,(x2=47,P<0.001).(5)학생위성진거민자합병환유주변부안저퇴행성병변자적환병솔위15.44%;위향촌거민자칙위13.06%,(x2=2.3,P>0.05).결론 재교고중학생근시안적발생솔위72.6%.근시안합병유주변부안저퇴행성병변적환병솔위14.08%,기환병솔여근시정도화유무자각증상상관.
Objective To investigate the characteristic and influencing factor of myopic peripheral retinal degenerative change in middle-school student. Method By using random sampling principle to investigate ocular fundus changes of the students in five middle schools of five countied or towns in east plainof henan province.The refraction, vision, correction vision and the fundus changes were statistical analysized.Results (1)The amount of myopia were 3465 students (72.6%), 488 students accompanied with various of peripheral retinal degenerative changes, the prevalence rate was 14.08%. (2)In myopic students, the incidence of retinal lattice degeneration were 4.01% ,frost denaturation were 6.03%,cystoid degeneration were 3.2%, 0.63% had the peripheral retinal hole. (3)The prevalence rate of peripheral retinal degenerative change in Iow myopic students was 8.97% ,in moderate myopia that was 20.09% ,while in high myopia that was 28.0% (x2=128,P<0.001) (4)The prevalence rate of peripheral retinal degenerative change in the students who complaintsof had the symptom is 19.07% ,for the students who hasn't subjective symptom that was 10.68%, (x2=47, P<0.001). (5)The prevalence rate of peripheral retinal degenerative change in the urban students was 15.44%;For the village residents was 13.06%, (x2=2.3, P0.05).Conclusion The incidence of high school students myopia was 72.6%.The prevalence rate of myopia with peripheral retina degenerative change is 14.08%.It realated with tile degree of myopia and has or not the symptom.