永州市青少年近视发生发展的相关因素分析及“互联网+”青少年视力健康动态跟踪监测平台的构建与应用

Analysis of factors related to the occurrence and development of myopia in adolescents in Yongzhou city and the construction and application of“Internet+”adolescent visual health dynamic tracking and monitoring platform

目的调查分析永州市青少年近视发生发展的影响因素,并构建“互联网+”青少年视力健康动态跟踪监测平台。方法随机抽取永州市小学、初中、高中共三所学校的3254例学生作为研究对象,对其进行视力检查分为正常组(n=1886)和近视组(n=1368)。并采用问卷调查收集其一般信息(性别、年龄),是否坚持做眼保健操,父母近视情况、文化程度,学习环境采光条件,用眼习惯(每日使用电脑时间、每日使用手机时间、每日看电视时间、每日课余学习时间、户外活动时间、睡眠时间、看书距离),饮食习惯(是否挑食、每日是否饮用牛奶)等资料。采用单因素分析和多元Logistic回归模型分析青少年近视发生发展的影响因素。结果单因素分析显示,年龄、是否坚持做眼保健操、父母近视情况、学习环境采光条件、每日使用电脑时间、每日使用手机时间、每日课余学习时间、户外活动时间、看书距离、是否挑食、每日是否饮用牛奶均与青少年近视发生发展有关(P<0.05)。多因素Logistic分析表明,年龄、父母近视情况、学习环境采光条件、每日使用电脑时间、每日使用手机时间、每日课余学习时间、户外活动时间、看书距离、每日是否饮用牛奶是青少年近视发生发展的独立影响因素(P<0.05)。并构建“互联网+”青少年视力健康动态跟踪监测平台。结论青少年近视发生发展与其年龄、父母近视情况、学习环境采光条件、每日使用电脑时间、每日使用手机时间、每日课余学习时间、户外活动时间、看书距离、每日是否饮用牛奶有关。通过构建“互联网+”青少年视力健康动态跟踪监测平台,建立科学的近视防控体系,在家庭、学校、医院、政府及社会的综合防控下,使青少年近视问题得到有效防治。

Objective To investigate and analyze the influencing factors of the occurrence and development of myopia in adolescents in Yongzhou city,and to build"Internet+"adolescent visual health dynamic tracking and monitoring platform.Methods 3,254 students from 3 schools in Yongzhou primary school,junior middle school and senior middle school were selected randomly as research objects,and according to the visual inspection was divided into the normal group(n=1,886)and the myopia group(n=1,368).A questionnaire was used to collect general information(gender,age),whether to insist on eye exercises,parental myopia,education,lighting conditions of learning environment,and eye habits(daily computer time,daily mobile phone time,daily TV time,after-school study time,outdoor activities,sleep time,reading distance),eating habits(whether picky eaters,whether to drink milk every day)and other information.Single factor analysis and multiple logistic regression model were used to analyze the factors affecting the occurrence and development of adolescent myopia.Results Univariate analysis showed that age,whether to insist on eye exercises,parental myopia,lighting conditions of learning environment,daily computer time,daily mobile phone time,daily after-school learning time,outdoor activity time,reading distance,whether picky eaters,whether to drink milk every day is related to the development of adolescent myopia(P<0.05).Multi-factor Logistic analysis shows that age,parental myopia,lighting conditions of learning environment,daily computer time,daily mobile phone time,daily after-school learning time,outdoor activity time,reading distance,and whether to drink milk every day are independent effects of the development of myopia factors(P<0.05)."Internet+"youth visual health dynamic tracking and monitoring platform were builded.Conclusion The occurrence and development of adolescent myopia are related to their age,parental myopia,lighting conditions of learning environment,daily computer time,daily mobile phone time,daily after-school study time,outdoor activity time,reading distance,and whether to drink milk every day.By constructing the"Internet+"youth visual health dynamic tracking and monitoring platform,and establishing a scientific myopia prevention and control system,under the comprehensive prevention and control of family,school,hospital,government and society,the myopia problem of adolescents are effectively prevented and controlled.