0～6岁儿童眼病筛查分析

Eye disease screening analysis of 0～6 years old children

目的对0～6岁儿童进行眼病的筛查,了解各个阶段儿童眼病筛查的方法及眼部疾病的发病情况。方法对2012年6月-2013年6月在本院出生以及来本院门诊进行体检的17 255名0～6岁儿童进行外眼检查、光刺激瞬目反应检查、红光反射检查、眼底检查、视力评估、眼位检查、眼球运动评估以及屈光检查等,按照年龄分为4组,分别对4组的筛查结果进行分析。结果第1组(1～28d)检查新生儿7 395例,其中球结膜下出血430例,结膜炎380例,泪道阻塞21例;第2组(29d～6个月)检查婴儿5 704例,其中结膜炎229例,泪道阻塞134例,泪囊炎70例,早产儿视网膜病变(retinopathy of prematurity,ROP)34例;第3组(6个月～3岁)检查婴幼儿3 811例,其中散光1 245例,结膜炎86例,倒睫81例;第4组(4～6岁)检查学龄前儿童345例,其中散光24例,球镜异常21例,外斜视19例。结论针对不同年龄的儿童采取适当的筛查方法进行眼病筛查,及早发现各种影响儿童视觉发育的眼病,使其得到早期治疗。

Objective To investigate eye disease screening of 0 to 6 years old children,explore the screening method to the stages of children and the incidence of eye disease. Methods 17 255 children aged 0-6 years who were born in Hunan Provincal Maternal and Child Health Care Hosptial were examined in the hosptial outpatient service from June 2012 to June 2013. The methods were external examination, light stimulates reaction, red light reflex, fundus examination, visual assess- ment,ocular inspection,eye movement assessment and refractive inspection, etc. According to the age the children were di- vided into four groups and analysed the screening results respectively. Results Group 1 （1-28） included 7 395 cases of neonatal,snbconjunctival hemorrhage in 430 cases, conjunctivitis in 380 cases and obstruction of lacrimal duct in 21 cases; Group 2 （29-6 months） included 5 704 cases of infant,conjunctivitis in 229 cases,obstruction of lacrimal duct in 134 cases, dacryocystitis in 70 cases and retinopathy of prematurity （ROP） in 34 cases;Group 3 （above 6 months -~ 3 years old） in- cluded 3 811 cases of infant,astigmatism in 1 245 cases,conjunctivitis in 86 cases and trichiasis in 81 cases;Group 4 （above 3- 6 years old） included 345 cases of preschooler,astigmatism in 24 cases, concave-sphere abnormal in 21 cases and exotro- pia in 19 cases. Conclusion Appropriate screening methods accroding to different age of children for eye diseases screen- ing,early detection of various eye diseases would affect children＇s visual develpoment and early treatment.