6个月至5岁儿童视力查:美国预防服务工作组建议声明
, David C Grossman1, Susan J Curry2
1Kaiser Permanente Washington Health Research Institute, Seattle.
JAMA
|September 6, 2017
概括
建议对3至5岁的儿童进行视力查,以检测眼,这对终身视力有适度的益处. 由于证据不足,不建议对3岁以下的儿童进行查.
科学领域:
- 儿童眼科医生
- 预防医学
- 公共卫生
背景情况:
- 眼是儿童视力障碍的主要原因之一,
- 早期发现视力异常对于预防永久视力丧失至关重要.
- 儿童视力异常的查率因种族/种族和社会经济地位而异.
研究的目的:
- 更新美国预防服务工作组 (USPSTF) 关于对儿童进行查的建议.
- 评估儿童视力查和治疗的准确性,益处和危害.
主要方法:
- 对视力查准确性的证据进行系统审查.
- 评估非手术查和治疗眼的益处和危害.
- 考虑查率和差异研究中的数据.
主要成果:
- 3-5岁儿童的视力查具有中等效益,并有可能改善终身视力.
- 这一年龄组的眼盲治疗显示视力度有中等改善.
- 治疗的潜在危害,如错误阳性率,被认为很小.
结论:
- USPSTF建议所有3至5岁的儿童至少进行一次视力查,以确定眼盲或危险因素 (B建议).
- 证据不足以评估3岁以下儿童视力查的益处和危害 (I声明).
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