目的:通过调查天津市北辰区7~12岁学龄儿童近视的患病率及远视状况,研究近视眼患病率的发生发展变化,予以早期正确近视防控指导和治疗。方法:随机整群抽样的横断面校本研究,收集2020年天津市北辰区38所7~12岁32,408名在校小学生为研究对...目的:通过调查天津市北辰区7~12岁学龄儿童近视的患病率及远视状况,研究近视眼患病率的发生发展变化,予以早期正确近视防控指导和治疗。方法:随机整群抽样的横断面校本研究,收集2020年天津市北辰区38所7~12岁32,408名在校小学生为研究对象,因疫情期间有些校区未能如期进行筛查等各种原因导致7478名学生未能入组,最后入组24,930名,年龄和性别上无统计学差异,入组学生中男生12,362名,女生12,568名,暗室环境自动验光测得屈光度数。受试儿童按年龄分组,男女性别近视患者比较,采用卡方检验。结果:天津市北辰区7~12岁儿童近视患病率为34.94%,高度近视患病率0.44%;不同年龄的近视患病率不同(2 = 3467.8631, P Objective: By investigating the prevalence of myopia and hyperopia among school aged children aged 7~12 years in Beichen District, Tianjin, the occurrence and development of the prevalence of myopia were studied, and early and correct myopia prevention and control guidance and treatment was given. Method: In the cross-sectional school-based study of random cluster sampling, 32,408 schoolchildren aged 7~12 from 38 schools in Beichen District, Tianjin in 2020 were collected as the research objects. 7478 students were not included in the group due to various reasons such as the failure of some school districts to carry out screening as scheduled during the epidemic, and finally 24,930 students were included in the group. There was no statistical difference in age and gender. 12,362 boys and 12,568 girls were included in the group. The diopter was measured automatically in the dark room environment. The children were grouped according to age, and the comparison between male and female myopic patients was conducted by chi square test. Results: The prevalence of myopia and high myopia among children aged 7~12 years in Beichen District of Tianjin was 34.94% and 0.44%, respectively;The prevalence of myopia was different in different ages (2 = 3467.8631, P < 0.001), and the prevalence of myopia in male and female students was statistically different (2 = 14.7406, P = 0.0001). The detection rate of hyperopia in school aged 7~12 years old children was 23.72%. The detection rate of pre myopia was 41.34%, Among them, the detection rate of hyperopia was 35.69%, 22.78% and 12.99% in students aged 7~8, 9~10 and 11~12 years, and the detection rate of pre myopia was 50.51%, 44.19% and 29.36% in students aged 7~8, 9~10 and 11~12 years. The detection rate of hyperopia in different ages was different (2 = 1166.3713, P < 0.001). The detection rate of hyperopia in boys and girls was statistically different (2 = 27.6043, P < 0.001). Conclusion: The prevalence of myopia, high myopia, hyperopia and pre myopia among school aged children aged 7~12 years in Beichen District, Tianjin City was 34.94%, 0.44% and 23.72% and 41.34% respectively. The refractive status drifted towards myopia with age, and the hyperopia reserve gradually declined. Myopia has become a social problem that needs to be solved urgently today.展开更多
目的探究急性缺血性脑卒中(acute ischemic stroke,AIS)病人静脉溶栓治疗后出血转化与脑白质高信号(white matter hyperintensity,WMH)的相关性。方法回顾性分析137例AIS病例资料,均进行静脉溶栓治疗,根据是否发生出血转化分为出血组(53...目的探究急性缺血性脑卒中(acute ischemic stroke,AIS)病人静脉溶栓治疗后出血转化与脑白质高信号(white matter hyperintensity,WMH)的相关性。方法回顾性分析137例AIS病例资料,均进行静脉溶栓治疗,根据是否发生出血转化分为出血组(53例)和未出血组(84例)。采用单因素与Logistic回归分析AIS病人治疗后出血转化的危险因素。结果两组病人年龄、美国国立卫生研究院卒中量表(national institute of health stroke scale,NIHSS)评分、高血压、发病到治疗时间、WMH程度比较,差异有统计学意义(P<0.05)。Logistic回归分析显示中重度WMH(OR=2.796,95%CI:1.450-5.391)是AIS病人治疗后出血转化的危险因素(P<0.05)。结论WMH是影响AIS病人溶栓治疗后出血转化的危险因素,中重度WMH病人发生出血转化的风险更高。展开更多
文摘目的:通过调查天津市北辰区7~12岁学龄儿童近视的患病率及远视状况,研究近视眼患病率的发生发展变化,予以早期正确近视防控指导和治疗。方法:随机整群抽样的横断面校本研究,收集2020年天津市北辰区38所7~12岁32,408名在校小学生为研究对象,因疫情期间有些校区未能如期进行筛查等各种原因导致7478名学生未能入组,最后入组24,930名,年龄和性别上无统计学差异,入组学生中男生12,362名,女生12,568名,暗室环境自动验光测得屈光度数。受试儿童按年龄分组,男女性别近视患者比较,采用卡方检验。结果:天津市北辰区7~12岁儿童近视患病率为34.94%,高度近视患病率0.44%;不同年龄的近视患病率不同(2 = 3467.8631, P Objective: By investigating the prevalence of myopia and hyperopia among school aged children aged 7~12 years in Beichen District, Tianjin, the occurrence and development of the prevalence of myopia were studied, and early and correct myopia prevention and control guidance and treatment was given. Method: In the cross-sectional school-based study of random cluster sampling, 32,408 schoolchildren aged 7~12 from 38 schools in Beichen District, Tianjin in 2020 were collected as the research objects. 7478 students were not included in the group due to various reasons such as the failure of some school districts to carry out screening as scheduled during the epidemic, and finally 24,930 students were included in the group. There was no statistical difference in age and gender. 12,362 boys and 12,568 girls were included in the group. The diopter was measured automatically in the dark room environment. The children were grouped according to age, and the comparison between male and female myopic patients was conducted by chi square test. Results: The prevalence of myopia and high myopia among children aged 7~12 years in Beichen District of Tianjin was 34.94% and 0.44%, respectively;The prevalence of myopia was different in different ages (2 = 3467.8631, P < 0.001), and the prevalence of myopia in male and female students was statistically different (2 = 14.7406, P = 0.0001). The detection rate of hyperopia in school aged 7~12 years old children was 23.72%. The detection rate of pre myopia was 41.34%, Among them, the detection rate of hyperopia was 35.69%, 22.78% and 12.99% in students aged 7~8, 9~10 and 11~12 years, and the detection rate of pre myopia was 50.51%, 44.19% and 29.36% in students aged 7~8, 9~10 and 11~12 years. The detection rate of hyperopia in different ages was different (2 = 1166.3713, P < 0.001). The detection rate of hyperopia in boys and girls was statistically different (2 = 27.6043, P < 0.001). Conclusion: The prevalence of myopia, high myopia, hyperopia and pre myopia among school aged children aged 7~12 years in Beichen District, Tianjin City was 34.94%, 0.44% and 23.72% and 41.34% respectively. The refractive status drifted towards myopia with age, and the hyperopia reserve gradually declined. Myopia has become a social problem that needs to be solved urgently today.
文摘目的探究急性缺血性脑卒中(acute ischemic stroke,AIS)病人静脉溶栓治疗后出血转化与脑白质高信号(white matter hyperintensity,WMH)的相关性。方法回顾性分析137例AIS病例资料,均进行静脉溶栓治疗,根据是否发生出血转化分为出血组(53例)和未出血组(84例)。采用单因素与Logistic回归分析AIS病人治疗后出血转化的危险因素。结果两组病人年龄、美国国立卫生研究院卒中量表(national institute of health stroke scale,NIHSS)评分、高血压、发病到治疗时间、WMH程度比较,差异有统计学意义(P<0.05)。Logistic回归分析显示中重度WMH(OR=2.796,95%CI:1.450-5.391)是AIS病人治疗后出血转化的危险因素(P<0.05)。结论WMH是影响AIS病人溶栓治疗后出血转化的危险因素,中重度WMH病人发生出血转化的风险更高。
