儿童青少年近视流调研究进展综述
DOI:
https://doi.org/10.70693/cjmsr.v1i1.627Keywords:
儿童青少年,近视,流行病学调查,影响因素Abstract
近视作为最常见的屈光不正类型,其病理进展具有不可逆性特征。近年来我国近视患病率持续攀升,且发病年龄呈显著低龄化趋势。近视形成机制涉及多因素交互作用,主要包括遗传易感性、环境暴露及用眼行为等,但其核心致病机制迄今尚未完全阐明。当前研究亟待通过多中心、多民族的大样本流行病学调查结合基础实验研究,系统构建近视发病机制的科学证据链。基于此,教育机构、专业防控部门及家庭单元需形成协同防控网络,通过循证干预策略的实施,切实降低青少年近视发病率。此举不仅能够有效预防视网膜病变、青光眼等致盲性并发症,更在优化国家医疗资源配置、减轻社会经济负担方面具有重大战略意义。
References
Grzybowski A, Kanclerz P, Tsubota K, et al. A review on the epidemiology of myopia in school children worldwide[J]. BMC ophthalmology, 2020, 20: 1-11. DOI: https://doi.org/10.1186/s12886-019-1220-0
Holden B A, Fricke T R, Wilson D A, et al. Global prevalence of myopia and high myopia and temporal trends from 2000 through 2050[J]. Ophthalmology, 2016, 123(5): 1036-1042. DOI: https://doi.org/10.1016/j.ophtha.2016.01.006
丁琳. 近视的危险因素研究进展[J]. 眼科新进展, 2018, 38(10): 901-904.
You Q S, Wu L J, Duan J L, et al. Prevalence of myopia in school children in greater Beijing: the Beijing Childhood Eye Study[J]. Acta ophthalmologica, 2014, 92(5): e398-e406. DOI: https://doi.org/10.1111/aos.12299
Fernández-Vigo J I, Burgos-Blasco B, Calvo-González C, et al. Assessment of vision-related quality of life and depression and anxiety rates in patients with neovascular age-related macular degeneration[J]. Archivos de la Sociedad Española de Oftalmología (English Edition), 2021, 96(9): 470-475. DOI: https://doi.org/10.1016/j.oftale.2020.11.008
Hopf S, Korb C, Nickels S, et al. Prevalence of myopic maculopathy in the German population: results from the Gutenberg health study[J]. British Journal of Ophthalmology, 2020, 104(9): 1254-1259. DOI: https://doi.org/10.1136/bjophthalmol-2019-315255
张洪波,孟庆军,鲁向阳等.天津市6~18岁青少年近视患病率调查及其影响因素Logistic回归分析[J].现代生物医学进展,2020,20(20):3861-3864.
王美琳,时瑞霞,丁婷婷等.2020年河北省儿童青少年近视现状及其影响因素分析[J].现代预防医学,2023,50(7):1234-1239+1244.
王琴,王春芳.山西省高平市青少年儿童近视现状及影响因素分析[J].国际眼科杂志,2020,20(6):1054-1058.
李国峰,张秀红,魏娜娜等.内蒙古自治区儿童青少年2019—2021年近视流行状况[J].中国学校卫生,2023,44(7):1076-1079,1083.
韩蕾.沈阳地区儿童青少年近视率的现况调查[D],2021.
黄晓燕.吉林省城市中小学生视力不良现况调查及影响因素研究[D],2014.
张振峰,杨超,高飞等.哈尔滨市中小学生近视及相关因素调查[J].中国公共卫生管理,2020,36(1):70-73.
He,,Xiangui, et al. Prevalence of myopia and high myopia, and the association with education: Shanghai Child and Adolescent Large-scale Eye Study (SCALE): a cross-sectional study[J].BMJ OPEN,2021,11(12):e048450. DOI: https://doi.org/10.1136/bmjopen-2020-048450
信义亮,杨婕,王艳等.2019年江苏省中小学生近视现状分析[J].江苏预防医学,2023,34(6):692-695.
Jiang,,Danjie, et al. The trend of myopia rate in 61 350 children and adolescents: a cross-sectional research in Ningbo, Zhejiang[J].ACTA OPHTHALMOLOGICA,2020,98(4):E525-E526. DOI: https://doi.org/10.1111/aos.14343
温跃春, 梁莉, 文磊, 等. 安徽省中小学生视力不良和近视流行现状[J]. 中国学校卫生, 2018, 39(12): 1831-1834.
范娜颖.2019年与2021年福建省大田县城区学生近视筛查结果分析[J].疾病预防控制通报,2023,38(4):84-86.
Zhuang,,Maoqiang, et al. PREVALENCE AND INFLUENCE FACTORS FOR MYOPIA AND HIGH MYOPIA IN SCHOOLCHILDREN IN SHANDONG, CHINA[J].CENTRAL EUROPEAN JOURNAL OF PUBLIC HEALTH,2022,30(3):190-195. DOI: https://doi.org/10.21101/cejph.a7158
徐李莎,黄烨,吴汶灿等.河南省中小学生2019—2020年近视队列研究结果[J].中国学校卫生,2023,44(12):1814-1818,1823.
Tu,,Yuyang, et al. A machine-learning approach to discerning prevalence and causes of myopia among elementary students in Hubei[J].INTERNATIONAL OPHTHALMOLOGY,2022,42(9):2889-2902. DOI: https://doi.org/10.1007/s10792-022-02279-5
刘琳,李定梅,于兰等.湖南省怀化市中小学生近视现况调查及影响因素分析[J].眼科,2016,25(4):241-246.
范奕,陈婷,陈福辉等.江西省儿童青少年近视流行现状及影响因素[J].中国学校卫生,2020,41(9):1413-1416.
Xiang F, He M, Morgan IG. The impact of parental myopia on myopia in Chinese children: population-based evidence[J]. OptomVis Sci, 2012, 89(10):1487-1496. DOI: https://doi.org/10.1097/OPX.0b013e31826912e0
刘洪彬.广西7-12岁学龄儿童视力不良及近视情况调查[D],2014.
谭倩,张亮,郭惠宇等.海南省五指山市青少年屈光不正的流行病学研究[J].中山大学学报(医学科学版),2020,41(3):493-500,F0003.
Wang,,Wujiao, et al. Survey on the Progression of Myopia in Children and Adolescents in Chongqing During COVID-19 Pandemic[J].FRONTIERS IN PUBLIC HEALTH,2021,9:646770. DOI: https://doi.org/10.3389/fpubh.2021.646770
Wang,,Jianglan, et al. Prevalence of myopia in 3-14-year-old Chinese children: a school-based cross-sectional study in Chengdu[J].BMC OPHTHALMOLOGY,2021,21(1):318-318. DOI: https://doi.org/10.1186/s12886-021-02071-6
杜燕,白宁艳,徐浩等.贵州省兴义市农村和城市儿童青少年近视状况及相关因素分析[J].中华眼视光学与视觉科学杂志,2021,23(3):205-210. DOI: https://doi.org/10.26549/yzlcyxzz.v3i3.3942
田向杰,李江,张静等.2019年蒙自市中小学生近视影响因素分析[J].国际眼科杂志,2022,22(4):652-656.
王镇,尤玉慧,李英等.西藏自治区日喀则市白朗县小学儿童近视与斜视调查[J].中华眼视光学与视觉科学杂志,2024,26(7):501-506.
蔡玥,姚娜,陈冬翠等.西藏墨脱县初中学生的近视患病率及影响因素[J].国际医药卫生导报,2019,25(17):2921-2923.
Lam,,Carly, et al.Prevalence of myopia among Hong Kong Chinese schoolchildren: changes over two decades[J].OPHTHALMIC AND PHYSIOLOGICAL OPTICS,2012,32(1):17-24. DOI: https://doi.org/10.1111/j.1475-1313.2011.00886.x
Lai,,Li-Ju等.Prevalence and associated factors of myopia among rural school students in Chia-Yi, Taiwan[J].BMC OPHTHALMOLOGY,2020,20(1):320-320. DOI: https://doi.org/10.1186/s12886-020-01590-y
陈文诗,陈青山,林汉生等.澳门2005年小学生近视现况及影响因素分析[J].中国学校卫生,2009,30(1):48-49.
Schuster A K, Elflein H M, Pokora R, et al. Prevalence and risk factors of myopia in children and adolescents in Germany-results of the KiGGS survey[J]. 2017.
Plainis S, Moschandreas J, Nikolitsa P, et al. Myopia and visual acuity impairment: a comparative study of Greek and Bulgarian school children[J]. Ophthalmic and Physiological Optics, 2009, 29(3): 312-320. DOI: https://doi.org/10.1111/j.1475-1313.2009.00654.x
Williams C, Miller L L, Gazzard G, et al. A comparison of measures of reading and intelligence as risk factors for the development of myopia in a UK cohort of children[J]. British journal of ophthalmology, 2008, 92(8): 1117-1121. DOI: https://doi.org/10.1136/bjo.2007.128256
Rudnicka A R, Owen C G, Nightingale C M, et al. Ethnic differences in the prevalence of myopia and ocular biometry in 10-and 11-year-old children: the Child Heart and Health Study in England (CHASE)[J]. Investigative ophthalmology & visual science, 2010, 51(12): 6270-6276. DOI: https://doi.org/10.1167/iovs.10-5528
Harrington S C, Stack J, Saunders K, et al. Refractive error and visual impairment in Ireland schoolchildren[J]. British Journal of Ophthalmology, 2019, 103(8): 1112-1118. DOI: https://doi.org/10.1136/bjophthalmol-2018-312573
Alvarez-Peregrina C, Sánchez-Tena M Á, Martinez-Perez C, et al. The relationship between screen and outdoor time with rates of myopia in Spanish children[J]. Frontiers in public health, 2020, 8: 560378. DOI: https://doi.org/10.3389/fpubh.2020.560378
Yang M, Luensmann D, Fonn D, et al. Myopia prevalence in Canadian school children: a pilot study[J]. Eye, 2018, 32(6): 1042-1047. DOI: https://doi.org/10.1038/s41433-018-0015-5
O'Donoghue L, Kapetanankis V V, McClelland J F, et al. Risk factors for childhood myopia: findings from the NICER study[J]. Investigative ophthalmology & visual science, 2015, 56(3): 1524-1530. DOI: https://doi.org/10.1167/iovs.14-15549
Kim E C, Morgan I G, Kakizaki H, et al. Prevalence and risk factors for refractive errors: Korean National Health and Nutrition Examination Survey 2008-2011[J]. PloS one, 2013, 8(11): e80361. DOI: https://doi.org/10.1371/journal.pone.0080361
Saw S M, Zhang M Z, Hong R Z, et al. Near-work activity, night-lights, and myopia in the Singapore-China study[J]. Archives of Ophthalmology, 2002, 120(5): 620-627. DOI: https://doi.org/10.1001/archopht.120.5.620
Fotouhi A, Hashemi H, Khabazkhoob M, et al. The prevalence of refractive errors among schoolchildren in Dezful, Iran[J]. British journal of ophthalmology, 2007, 91(3): 287-292. DOI: https://doi.org/10.1136/bjo.2006.099937
Pokharel G P, Negrel A D, Munoz S R, et al. Refractive error study in children: results from Mechi Zone, Nepal[J]. American journal of ophthalmology, 2000, 129(4): 436-444. DOI: https://doi.org/10.1016/S0002-9394(99)00453-5
Yin Y, Li L, Wang T, et al. Establishment of noncycloplegic methods for screening myopia and pre-myopia in preschool children[J]. Frontiers in Medicine, 2023, 10: 1291387.
邓益斌,王晓银,王惠敏等.学龄前儿童近视临床前期相关因素分析[J].中国学校卫生,2023,44(6):893-896.
Yin Y, Li L, Wang T, et al. Establishment of noncycloplegic methods for screening myopia and pre-myopia in preschool children[J]. Frontiers in Medicine, 2023, 10: 1291387. DOI: https://doi.org/10.3389/fmed.2023.1291387
Huang L, Kawasaki H, Liu Y, et al. The prevalence of myopia and the factors associated with it among university students in Nanjing: A cross-sectional study[J]. Medicine, 2019, 98(10): e14777. DOI: https://doi.org/10.1097/MD.0000000000014777
Cumberland P M, Bountziouka V, Rahi J S. Impact of varying the definition of myopia on estimates of prevalence and associations with risk factors: time for an approach that serves research, practice and policy[J]. British Journal of Ophthalmology, 2018, 102(10): 1407-1412. DOI: https://doi.org/10.1136/bjophthalmol-2017-311557
Flitcroft D I, He M, Jonas J B, et al. IMI–defining and classifying myopia: a proposed set of standards for clinical and epidemiologic studies[J]. Investigative ophthalmology & visual science, 2019, 60(3): M20-M30. DOI: https://doi.org/10.1167/iovs.18-25957
Liang Y, Kee C S. Risk factors for myopia in 2 Hong Kong school systems: a pilot study[J]. The Asia-Pacific Journal of Ophthalmology, 2022, 11(1): 19-26. DOI: https://doi.org/10.1097/APO.0000000000000486
Dragomirova M, Antonova A, Stoykova S, et al. Myopia in Bulgarian school children: prevalence, risk factors, and health care coverage[J]. BMC ophthalmology, 2022, 22(1): 248. DOI: https://doi.org/10.1186/s12886-022-02471-2
康峥, 杨晖. 儿童复方托吡卡胺散瞳验光与自然瞳孔验光的比较研究[J]. 中国斜视与小儿眼科杂志, 2018, 2.
王宁利, 魏士飞. 重视近视眼流行病学调查中睫状肌麻痹剂的使用[J]. 中华眼科杂志, 2019, 55(8): 561-564.
吕帆, 瞿佳. 儿童青少年近视普查中检测设备和设置标准化专家共识 (2019)[J]. 中华眼视光学与视觉科学杂志, 2019, 21(1): 5-8.
Chen J, Liu S, Zhu Z, et al. Axial length changes in progressive and non-progressive myopic children in China[J]. Graefe's Archive for Clinical and Experimental Ophthalmology, 2023, 261(5): 1493-1501. DOI: https://doi.org/10.1007/s00417-022-05901-5
Hu J, Chen Z, Zhang Y, et al. Diagnostic Value of Axial to Corneal Curvature Ratio in Children with Low Myopia and Moderate Myopia[J]. 2020. DOI: https://doi.org/10.12677/HJO.2020.91011
王弘, 赵珂珂, 渠继芳, 等. 眼轴与角膜曲率半径比值定性评估青少年儿童近视的准确性[J]. 中华眼视光学与视觉科学杂志, 2016, 18(2): 108-110.
Ojaimi E, Rose K A, Morgan I G, et al. Distribution of ocular biometric parameters and refraction in a population-based study of Australian children[J]. Investigative ophthalmology & visual science, 2005, 46(8): 2748-2754. DOI: https://doi.org/10.1167/iovs.04-1324
《眼轴长度在近视防控管理中的应用专家共识(2023)》专家组,何鲜桂,许迅.眼轴长度在近视防控管理中的应用专家共识(2023)[J].中华实验眼科杂志,2024,42(1):1-11.
Foo L L, Lim G Y S, Lanca C, et al. Deep learning system to predict the 5-year risk of high myopia using fundus imaging in children[J]. NPJ digital medicine, 2023, 6(1): 10. DOI: https://doi.org/10.1038/s41746-023-00752-8
Yu M, Hu Y, Han M, et al. Global risk factor analysis of myopia onset in children: A systematic review and meta-analysis[J]. PloS one, 2023, 18(9): e0291470. DOI: https://doi.org/10.1371/journal.pone.0291470
Zhu Z, Chen Y, Tan Z, et al. Interventions recommended for myopia prevention and control among children and adolescents in China: a systematic review[J]. British Journal of Ophthalmology, 2023, 107(2): 160-166. DOI: https://doi.org/10.1136/bjophthalmol-2021-319306
Lanca C, Saw S M. The association between digital screen time and myopia: A systematic review[J]. Ophthalmic and Physiological Optics, 2020, 40(2): 216-229. DOI: https://doi.org/10.1111/opo.12657
Massoudi S, Azizi-Soleiman F, Yazdi M, et al. The association between macronutrients intake and myopia risk: a systematic review and meta-analysis[J]. BMC ophthalmology, 2024, 24(1): 472. DOI: https://doi.org/10.1186/s12886-024-03738-6
教育部等八部门.教育部等八部门关于印发《综合防控儿童青少年近视实施方案》的通知(教体艺〔2018〕3号)[Z/OL].(2018-08-30). http://www.moe.gov.cn/srcsite/A17/moe_943/s3285/201808/t20180830_346672.html.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2025 谢意, 张萍 (作者)

This work is licensed under a Creative Commons Attribution 4.0 International License.