河北省沧州城区6～14岁学龄儿童眼病现况调查

目的：了解沧州地区学龄儿童眼部多发眼病种类及其相关危险因素，为学龄儿童眼部疾病预防及治疗提供可靠的流行病学依据。 方法：我们对河北省沧州市区及所辖县市单纯随机抽取20所学校作为调查点，抽取调查对象3150例6299眼，一到三年级儿童只接受医生眼部健康状况检查，四到六年级儿童接受医生眼部健康状况检查及眼表疾病指数问卷调查。所有结果资料采用SPSS 16.0进行统计学分析。 结果：视力〉0.9者42.42%，共2672眼；干眼858例，患病率27.24%；睑缘及结膜炎症1423眼，患病率22.59%；斜视189例，患病率6.00%。其他：先天性白内障8眼，患病率为0.13%；先天性上睑下垂78眼，患病率1.90%；下睑倒睫89眼，患病率1.41%；陈旧性眼外伤13眼，先天小视乳头4眼，男性儿童中有1眼为义眼。 结论：学龄期儿童视力〈0.9者比例较高，而低视力中近视所占的比例最高，提示广大眼科医师及家长儿童眼病的防治工作必须从保健入手，从小抓起，早发现、早治疗各种眼病以确保儿童较好的视力。

Epidemiologic survey of eye in Cangzhou school children

AIM：To investigate the common ocular diseases in school children age of 6 to 14 years old in Cangzhou, Hebei, China and find the relative risk factors. METHODS：From March 2011 to October 2012, 20 schools including 1 and 6 grade school children were randomly selected as survey venues by Cangzhou Eye Hosipital. Then, 3 150 people as the selected residents were enrolled, which was figured out through the random cluster sampling procedure. Every participant completed questionnaire, and a series of examination. SPSS 16. 0 was used for statistical analysis. RESULTS：Totally 3 150 residents finally took part in this study. （ 1 ） There were 2672 eyes suffered lower vision 〈0.9, and the rate was 42. 42%. The prevalence rate of dry eye was 27. 24%; The prevalence rate of eye lids margin and conjunctivitis was 22. 59%; The prevalence rate of strabismus was 6. 00%. （ 2 ） The prevalence rate of congenital cataract was 0. 13%, The prevalence rate of congenital ptosis was 1. 90%, The prevalence rate of Under the eyelid trichiasis was 1. 41%;The prevalence rate of congenital inspects tit was 0. 0635%. CONCLUSION：The rate of low vision in school children is higher, among these the rate of myopia is the highest. All these result suggested：Family and community should pay sufficient attention to conduct children＇s eye health and prepare a balanced behaviour, to prevent the occurrence of ophthalmopathy.