CAJ | 학술논문

目的调查汕头地区学生人群中间歇性外斜视的患病现况以及与健康行为间的关联.方法横断面研究,分层整群抽样调查,自填式健康行为问卷调查.在汕头地区分层抽取9所城乡中小学校,共7537人.眼位检查采用角膜映光法与交替遮盖法；记录结果并按不同特征进行归类,统计学方法对比分析；Logistic回归分析评价间歇性外斜视学生与正位眼学生的问卷调查结果.结果调查人群中间歇性外斜视患病率为7.98％,占所有类型斜视的73.04％；初中学生的间歇性外斜视患病率低于小学和高中学生,Logistic回归分析显示小学生中间歇性外斜视以男、高年级及乡村小学生多见,在中学生中,以男、高年级及城市中学生多见.问卷结果分析显示间歇性外斜视学生与正位眼学生在部分用眼、生活习惯及情绪方面差异有统计学意义.结论学生群体中间歇性外斜视患病率较高；间歇性外斜视患病率在小初高中及城乡学生间有不同的分布特点,可能与医疗条件及屈光不正患病率有关；间歇性外斜视学生多有不良生活、用眼习惯与情绪表现.
목적 조사산두지구학생인군중간헐성외사시적환병현황이급여건강행위간적관련.방법 횡단면연구,분층정군추양조사,자전식건강행위문권조사.재산두지구분층추취9소성향중소학교,공7537인.안위검사채용각막영광법여교체차개법；기록결과병안불동특정진행귀류,통계학방법대비분석；Logistic회귀분석평개간헐성외사시학생여정위안학생적문권조사결과.결과 조사인군중간헐성외사시환병솔위7.98％,점소유류형사시적73.04％；초중학생적간헐성외사시환병솔저우소학화고중학생,Logistic회귀분석현시소학생중간헐성외사시이남、고년급급향촌소학생다견,재중학생중,이남、고년급급성시중학생다견.문권결과분석현시간헐성외사시학생여정위안학생재부분용안、생활습관급정서방면차이유통계학의의.결론 학생군체중간헐성외사시환병솔교고；간헐성외사시환병솔재소초고중급성향학생간유불동적분포특점,가능여의료조건급굴광불정환병솔유관；간헐성외사시학생다유불량생활、용안습관여정서표현.
Objective To investigate the prevalence of intermittent exotropia (IXT) and associated with health behaviors among urban and rural school students in Shantou district.Methods A cross-sectional study,self-administered questionnaire survey.Stratified sampling was used in selecting 7537 students aged 6 to 19 years old from 9 schools in Shantou district.Comprehensive ophthalmologic examinations and orthoptic assessments were performed.Ocular alignment was assessed by using the Hirschberg light reflex and cover test.Statistical analyses were performed using SPSS statistical software to investigate the association of age,grades,schools and prevalence of IXT.Logistic regression analysis method was used to evaluate the difference between health behaviors between IXT students and orthophoria students.Results Population prevalence of IXT was 7.98％,accounting for 73.04％ of all types of strabismus.The IXT prevalence in middle school students was lower than the elementary and high school students.Logistic regression analysis showed that primary school students with IXT were more common to male,high grade and living in rural area,for the secondary school students,were more common to male,higher grades and living in urban area.Analysis of health behavior questionnaire showed that the IXT students had some statistical differences in eye care habits and psychological and behavioral performance compared with orthophoria students.Conclusions The IXT prevalence is higher in this students-based study.The IXT prevalence and distribution are difference between schools and living areas,may be related to the difference of medical conditions and prevalence of refractive errors.The IXT students are more likely to have bad eye care habits and poor psychological and behavioral performance.