宝山区青少年不同近视程度对睡眠质量的影响

Impact of different myopia degree on sleep quality among adolescents in Baoshan District

目的了解上海市宝山区青少年近视患病率和睡眠质量的现状,进一步分析不同近视程度对睡眠质量的影响。方法通过分层整群随机的方法抽取上海市宝山区777名9~16岁青少年,对其进行眼科检查和匹兹堡睡眠质量指数中文版量表(Pittsburgh Sleep Quality Index,PSQI)、相关因素问卷调查。结果上海市宝山区青少年人群近视及睡眠障碍患病率分别为68.08%,13.77%,随着年龄、年级的增高,近视及睡眠障碍患病率越高(χ^(2)值分别为139.58,144.17;58.00,56.41,P值均<0.01);不同近视程度组的睡眠障碍差异有统计学意义(χ^(2)=24.57,P<0.01);进一步比较各睡眠质量维度,其中睡眠时间、日间功能及PSQI总分间的差异均有统计学意义(F值分别为9.65,7.22,4.38,P值均<0.01)。Logistic回归分析显示,中、高度近视是影响青少年睡眠质量的危险因素(β值分别为0.87,0.95,OR值分别为2.38,2.59,P值均<0.05)。结论上海市宝山区青少年近视和睡眠障碍患病率较高,且近视可在一定程度上影响青少年的睡眠质量。近视程度高的青少年,其发生睡眠障碍的风险较高。

Objective To investigate the prevalence of myopia and sleep quality among adolescents in Baoshan District of Shanghai, and to further analyze the association between different degree of myopia on sleep quality. Methods A total of 777 adolescents aged 9-16 years were selected by stratified cluster random method, and ophthalmology examination and Pittsburgh Sleep Quality Index(PSQI) Chinese version scale and related factors questionnaire were conducted. Results The prevalence rates of myopia and sleep disorders were 68.08% and 13.77% respectively in Baoshan District of Shanghai. With the increase of age and grade, the prevalence of myopia and sleep disorder increased(χ^(2)=139.58, 114.17;58.00, 56.41, P<0.01).There were significant differences in sleep disorders among different degree of myopia groups(χ^(2)=24.57,P<0.01), including sleep time, progressive function and PSQI total score were statistically significant(F=9.65, 7.22, 4.38, P<0.01). Logistic regression analysis showed that moderate to high and high myopia were risk factors for sleep quality of adolescents(β=0.87, 0.95, OR=2.38, 2.59, P<0.05). Conclusion The prevalence of myopia and sleep disorder among adolescents in Baoshan District of Shanghai is high, myopia shows impacts on sleep quality of adolescents at a certain level. Adolescents with high myopia have a higher risk of sleep disorders.