CAJ | 학술논문

目的：了解大连市西岗区托幼儿童的眼屈光状态，及早发现屈光异常和弱视并进行干预治疗。方法采用美国伟伦SURESIGHT筛查仪对该区幼儿园5597名儿童进行屈光度检测，按年龄分为3组（＜3岁组，≥3岁且＜5岁组和5～6岁组）。调查各年龄组近视、远视及散光分布情况，应用卡方检验对结果进行分析。统计不同程度、类型散光与弱视程度的关系，采用Spearman相关分析及Kruskal Wallis检验对结果进行分析。结果不同年龄组近视眼患病率随年龄增加而增加（χ2＝19．968，P＜0．001），远视眼患病率随年龄增加而降低（χ2＝34．171，P＜0．001）。散光程度和弱视程度呈显著正相关（Spearman r＝0．804，P＜0．001），其中混合散光所致弱视严重程度最高。结论早期对学龄前儿童进行屈光检测，对弱视眼的发生、发展进行早期干预和治疗至关重要。
목적：료해대련시서강구탁유인동적안굴광상태，급조발현굴광이상화약시병진행간예치료。방법채용미국위륜SURESIGHT사사의대해구유인완5597명인동진행굴광도검측，안년령분위3조（＜3세조，≥3세차＜5세조화5～6세조）。조사각년령조근시、원시급산광분포정황，응용잡방검험대결과진행분석。통계불동정도、류형산광여약시정도적관계，채용Spearman상관분석급Kruskal Wallis검험대결과진행분석。결과불동년령조근시안환병솔수년령증가이증가（χ2＝19．968，P＜0．001），원시안환병솔수년령증가이강저（χ2＝34．171，P＜0．001）。산광정도화약시정도정현저정상관（Spearman r＝0．804，P＜0．001），기중혼합산광소치약시엄중정도최고。결론조기대학령전인동진행굴광검측，대약시안적발생、발전진행조기간예화치료지관중요。
Objective To understand the state of refraction in the kindergarten children through ophthalmic testing in Xi-gang district of Dalian so that ametropia and amblyopia could been found and treated as early as possible.Methods The di-opters of 5597 preschoolers in the district were checked using the screening instrument of Whalen SURESIGHT.To under-stand the distribution of myopia, hyperopia, astigmatism in different age groups, the results were analyzed by chi-square test.To understand the relationship between astigmatism in different degrees, types and the degree of amblyopia, the re-sults were analyzed by Spearman correlation analysis and Kruskal Wallis test.Results The incidence of myopia increased with age (χ2 =19.968, P<0.001), and a reverse relationship was found between hyperopia and age(χ2 =34.171,P<0.001).The degree of astigmatism and amblyopia was positively correlated(Spearman r=0.804,P<0.001).Amblyopia induced by mixed astigmatism had the highest severity.Conclusion It is necessary to check the development of the refrac-tion of preschoolers,in order to find latent problems and offer early intervention.