摘要
目的：分析学龄前儿童弱视的发病原因和心理行为的变化,为及早预防弱视和提高弱视疗效提供客观依据。方法：采用美国伟伦公司SureS ight手持验光仪在无锡市6所幼儿园对2 635例4～6岁的学龄前儿童进行屈光检测,对屈光异常者再用1%阿托品眼液扩瞳进行视网膜检影验光以确定最佳矫正视力。矫正远视力≤0.8定为弱视。筛查同时采用Achen-bach儿童行为量表（CBCL）家长用表进行调查。结果：在资料完整的2 596例学龄前儿童中检出弱视98例（188眼）,弱视检出率为3.8%。其中屈光不正性弱视71例（72.4%）,屈光参差性弱视22例（22.4%）,斜视性弱视5例（5.1%）。心理行为调查结果显示弱视儿童社交能力较正常儿童明显降低,行为攻击的发生率明显高于对照组,其差异均有非常显著性意义（P〈0.001）。结论：学龄前儿童弱视与屈光不正密切相关,及时矫正屈光不正和心理行为干预是防治弱视的关键。
Objective To genic behavior changes and to study the pathogenesis correlated with amblyopia in preschool children and their psychoprovide evidences for prevention and cure of amblyopia. Method Refraction was detected in 2 635 preschool children aged 4-6 in six kindergartens using SureSight hand-held refractometer, children with ametropia were examined with retinoscopy after administration of 1% atropine, and if corrected distant visual acuity was ≤0. 8, amblyopia was determined. Meanwhile, Child Behavior Checklist （CBCL） questionnaire study was performed in their parents. Results Among 2 596 preschooler with integrated data, 98 patients （ 188 eyes） were determined to have amblyopia with a detection rate 3.7%. Ametropic amblyopia was 71 cases （72.4%）; anisometropic amblyopia, 22 cases（22.4% ）; heterotropic amblyopia, 5 cases（5.1% ）. The social intercourse ability in children with ametropia was significantly lower （P 〈0. 001 ） and the incidences of behavior attack were significantly higher than those of normal controls （P 〈 0. 001 ）. Conclusion The development of amblyopia in preschoolers is significantly correlated with ametropia. Rectification of amblyopia and psychogenic behavior intervention are important to prevent and cure amblyopia.
出处
《东南大学学报（医学版）》
CAS
2007年第4期310-312,共3页
Journal of Southeast University(Medical Science Edition)
关键词
学龄前儿童
弱视
心理行为
preschooler
amblyopia
psychogenic behavior
