近视儿童屈光度与体质分析
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摘要
目的:分析4775例6～12岁近视儿童屈光度与体质的分布情况,探讨近视屈光度进展与中医体质类型变化关系。方法:对4 755例6～12岁近视儿童进行散瞳验光检查;问卷调查患者体质情况,并进行统计分析。结果:6岁儿童已有近视眼发生;近视儿童年龄、屈光度、年份单因素方差分析:6岁:F=1.771,P>0.05;7岁:F=1.837,P>0.05;8岁:F=3.324,P<0.05;9岁:F=12.944,P<0.05;10岁:F=16.517,P<0.05;11岁:F=16.517,P<0.05;12岁:F=10.516,P<0.05。近视儿童屈光度随着年龄增长而增长;中医体质的阴虚质、气虚质、阳虚质、气郁质、血瘀质随年龄增长而增长。结论:近视儿童屈光度进展可能与阴虚质、气虚质、阳虚质、气郁质以及血瘀质密切相关。
Objective: Analysis of the distribution of diopter and constitution in 4 775 patients with myopia between 6 and 12 years old, to explore the relationship between myopic diopter and the change of TCM constitution type. Methods: The pupil was examined by dilated pupil in 4 755 cases with 6～12 years old children; The whole body of the children was investigated, and statistical analysis was conducted. Results: The 6-year-old children had myopia; Age, diopter, years single factor variance analysis of myopic children, the 6-year-old childre: F=1.771, P<0.05; the 7-year-old children: F=1.837, P<0.05; the 8-year-old children: F=3.324, P<0.05; the 9-year-old children: F=12.944, P<0.05; the 10-year-old children: F=16.517, P<0.05; the 11-yearold children: F=16.517, P<0.05; the 12-year-old children: F=10.516, P<0.05; The myopia of myopic children increases with age.The yin deficiency, qi deficiency, yang deficiency, qi stagnation and blood stasis of TCM are increasing with age. Conclusion: The progression of myopia in children may be closely related to yin deficiency, qi deficiency, yang deficiency, qi depression and blood stasis.
Objective: Analysis of the distribution of diopter and constitution in 4 775 patients with myopia between 6 and 12 years old, to explore the relationship between myopic diopter and the change of TCM constitution type. Methods: The pupil was examined by dilated pupil in 4 755 cases with 6～12 years old children; The whole body of the children was investigated, and statistical analysis was conducted. Results: The 6-year-old children had myopia; Age, diopter, years single factor variance analysis of myopic children, the 6-year-old childre: F=1.771, P<0.05; the 7-year-old children: F=1.837, P<0.05; the 8-year-old children: F=3.324, P<0.05; the 9-year-old children: F=12.944, P<0.05; the 10-year-old children: F=16.517, P<0.05; the 11-yearold children: F=16.517, P<0.05; the 12-year-old children: F=10.516, P<0.05; The myopia of myopic children increases with age.The yin deficiency, qi deficiency, yang deficiency, qi stagnation and blood stasis of TCM are increasing with age. Conclusion: The progression of myopia in children may be closely related to yin deficiency, qi deficiency, yang deficiency, qi depression and blood stasis.
引文
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[17]张军峰,潘敏,费晓军,等.在校大学生舌象和中医体质关系调查分析.中华中医药杂志,2014,29(2):358-361
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[2]闫瑾,王莉,杨杨.近视的危险因素及流行病学研究进展.眼科新进展,2015,35(9):896-900
[3]王超,吴立娟,宋玉珍,等.北京市中小学生2008~2009年近视进展状况及危险因素分析.中国学校卫生,2016,37(1):81-83
[4]韦琬,王育良.青少年不同体质与近视发生以及心理倾向的相关性研究.成都中医药大学学报,2014,37(1):60-70
[5]中华医学会眼科学会眼屈光学组全国第一届眼屈光学术交流会议.真、假性近视定义与分类标准(草案).中华眼科杂志,1986,22(3):184
[6]瞿佳.眼视光学理论和方法.2版.北京:人民卫生出版社,2011:74
[7]王琦.中医体质学研究与应用.北京:中国中医药出版社,2012
[8]Oner V,Bulut A,Oruc Y,et al.Influence of indoor and outdoor activities on progression of myopia during puberty.Int Ophthalmol,2016,36(1):121-125
[9]Bao J,Drobe B,Wang Y,et al.Influence of near tasks on posture inmyopic Chinese school children.Optom Vis Sci,2015,92(8):908-915
[10]Czepita M,Safranow K,Czepita D.The influence of reading andwriting on the prevalence of myopia.Ann Acad Med Stetin,2014,60(2):34-36
[11]张晴晴,范真,王振全,等.视力低常中小学生1 354例屈光状态分析.中国公共卫生杂志,2011,27(6):697
[12]蓝卫忠,林丽霞,李文涛,等.注视距离、照度以及视标对早期近视儿童调节反应的影响.中华眼视光学与视觉科学杂志,2014,16(5):297-300
[13]黄馨慧,王明进,何鲜桂,等.184名8~12岁儿童不同阅读距离及阅读时间调节滞后和调节反应的观察.川北医学院学报,2017,32(1):33-37
[14]彭清华.全国中医药行业高等教育“十三五”规划教材中医眼科学.北京:中国中医药出版社,2016:207-208
[15]杨寅,陈迪,梁远波,等.299例北京市中小学生中医体质类型与近视关系的Logistic回归分析.云南中医学院学报,2013,36(6):63-66
[16]徐志伟,吴皓萌,刘小斌,等.岭南医学特色述要.中国中医基础医学杂志,2015,21(9):1080-1105
[17]张军峰,潘敏,费晓军,等.在校大学生舌象和中医体质关系调查分析.中华中医药杂志,2014,29(2):358-361
[18]王济,王琦.从研究方法的运用看中医体质学科发展.中华中医药杂志,2017,32(6):2380-2382