COVID-19相关行为变化对儿童近视进展的长期影响:为期四年的队列研究
Young Min Park1,2, Hye Young Kim1, Kwanghyun Lee1
1Department of Ophthalmology, National Health Insurance Service Ilsan Hospital, Goyang, Korea.
Korean journal of ophthalmology : KJO
|March 11, 2026
概括
随着COVID-19大流行,包括增加屏幕时间和远程教育在内的行为变化,加速了儿童近视的进展. 这些因素超过了低剂量氨酸治疗的好处,突出了管理视觉习惯的必要性.
科学领域:
- 眼科医生 眼科 眼科
- 儿科医学 儿科医学
- 公共卫生 公共卫生
背景情况:
- 由于COVID-19的流行,导致了显著的行为转变,包括增加屏幕时间和减少户外活动.
- 这些变化被怀疑会影响儿童近视的进展.
- 了解这些影响对于有效的儿科近视治疗至关重要.
研究的目的:
- 评估与流行病相关的行为变化对儿童近视进展的影响.
- 为了确定这些行为变化是否影响低度氨酸 (LAMP) 治疗的疗效.
- 为了确定影响近视进展的关键行为因素,在疫情期间和之后.
主要方法:
- 7-15岁儿童 (2019-2023) 的回顾性纵向研究.
- 分析年度球体等效 (SE) 测量结果.
- 通过问卷收集的行为数据 (移动设备使用,户外活动,远程教育持续时间).
- 线性混合效应模型和重复测量ANOVA用于分析.
主要成果:
- 与大流行前时期相比,COVID-19大流行期间近视的进展加速.
- 增加移动设备的使用和更长的远程教育时间显著与更快的近视进展有关.
- 户外活动的变化与折射结果没有明显的关联.
- 在这个队列中,低剂量氨酸没有显著的治疗效果.
结论:
- 流行病引起的行为变化,特别是增加屏幕时间和远程学习,显著加快了儿科近视的进展.
- 这些行为因素对近视的进展的影响比低剂量氨酸治疗更大.
- 解决视觉习惯对于儿童近视的有效管理至关重要.
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