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在中国儿童中,从1年级到4年级的球体等效折射轨迹
Yanzhi Li1, Lan Guo1, Jiayu Zhang1
1Department of Medical Statistics and Epidemiology, School of Public Health, Sun Yat-Sen University, 74 Zhongshan Rd 2, Guangzhou, 510080, China.
BMC public health
|December 13, 2023
概括
了解儿童视力发展至关重要. 这项研究跟踪了中国儿童的球体等效折射 (SER),揭示了明显的近视进展轨迹,并确定了早期干预窗口.
科学领域:
- 眼科医生 眼科 眼科
- 儿科光学测量 儿科光学测量
- 公共卫生 公共卫生
背景情况:
- 儿童球体等效折射 (SER) 的发展轨迹尚不清楚.
- 这项研究解决了关于幼儿SER进展的缺乏知识的问题.
研究的目的:
- 描述1年级至4年级的中国儿童的球体等效折射 (SER) 轨迹.
- 识别与不同SER进展模式相关的因素.
- 建立基于基线特征的近视发展预测模型.
主要方法:
- 一项前性队列研究,涉及中国广州1226名一年级非近视儿童.
- 从2018年11月到2022年3月,进行了四轮眼科检查和问卷调查.
- 使用基于组的轨迹建模来分析SER轨迹.
主要成果:
- 确定了五个不同的SER轨迹,所有这些都显示出上升趋势,在2级之后的进展加速.
- 尖,高和快速发展近视小组的儿童分别在2年级,3年级和4年级之前发展近视,持续高的SER发展速度.
- 中度和低发育的非近视小组在4级时没有发展近视. 基线因素如性别,轴长,父母近视,居住地,学业成绩和户外活动持续时间与SER轨迹有关.
结论:
- 近视干预最有效的是在第一年级或学龄前开始的.
- 最新的干预窗口是1年级,2年级和3年级的儿童有发展近视的高风险 (分别是利,高和快速发育的组).
- 使用基线特征的预测模型可以帮助识别需要及时进行近视干预的儿童,强调不要忽视近视儿童的干预的重要性.
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