摘要
目的分析学龄前儿童弱视的发生现状及其危险因素。方法回顾性分析2019年4月至2021年5月于本院行视力测试的800名学龄前儿童的临床资料,根据其是否患弱视分为弱视组(n=45)与视力正常组(n=755)。收集800名学龄前儿童的临床资料,采用多因素Logistic回归分析法分析学龄前儿童弱视的危险因素。结果两组年龄、性别比较差异无统计学意义;弱视组母亲妊娠年龄及吸烟史、饮酒史、近亲近视史者占比均高于视力正常组,孕次、产次均多于视力正常组,孕龄短于视力正常组,差异有统计学意义(P<0.05)。多因素Logistic回归分析结果显示,母亲妊娠年龄大、孕龄短、孕次多、产次多、有吸烟史、有饮酒史、有近亲近视史是学龄前儿童发生弱视的独立危险因素(OR>1,P<0.05)。结论学龄前儿童患弱视的风险较高,母亲妊娠年龄大、孕龄短、孕次多、产次多、有吸烟史、有饮酒史、有近亲近视史均为学龄前儿童患弱视危险因素,临床可据此给予指导,以降低学龄前儿童弱视的患病风险。
Objective To analyze the present situation and risk factors of amblyopia in preschool children.Methods The clinical data of 800 preschool children who underwent visual acuity test in our hospital from April 2019 to May 2021 were retrospectively analyzed,and they were divided into amblyopia group(n=45)and normal vision group(n=755)according to whether they had amblyopia or not.The clinical data of 800 preschool children were collected and the risk factors of amblyopia in preschool children were analyzed by multivariate Logistic regression analysis.Results There were no significant differences in age and sex between the two groups;the proportion of pregnant age,smoking history,drinking history and nearsightedness of close relatives in amblyopia group was higher than that in normal vision group,the pregnancy time and delivery time were higher than that in normal visual acuity group,and the gestational age was shorter than that in normal vision group,the difference was statistically significant(P<0.05).Multivariate Logistic regression analysis showed that the independent risk factors for amblyopia in preschool children were older gestational age,shorter gestational age,multiple pregnancies,multiple births,smoking history,drinking history and myopia history in close relatives(OR>1,P<0.05).Conclusion Preschool children have a high risk of amblyopia,older gestational age,shorter gestational age,more pregnancies,more births,smoking history,drinking history,and a history of myopia in close relatives are the risk factors for amblyopia in preschool children,clinical guidance can be given based on these factors to reduce the risk of amblyopia in preschool children.
作者
童林利
熊永强
林春堤
林琳
吕月娥
TONG Linli;XIONG Yongqiang;LIN Chundi;LIN Lin;LYU Yue'e(Department of Ophthalmology,Women and Children's Hospital Affiliated to Xiamen University/Xiamen Maternity and Child Health Hospital,Xiamen,Fujian,361003,China)
出处
《当代医学》
2023年第13期144-146,共3页
Contemporary Medicine
关键词
弱视
学龄前儿童
危险因素
近视
Asthenopia
Preschool children
Risk factor
Myopia
