闵行区马桥地区青少年屈光发育的影响因素及视功能调节训练对眼调节异常的干预效果<sup>*</sup>

doi:10.3969/j.issn.1671-7171.2024.10.007

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Abstract 【Objective】To analyze the influence factors of refractive development and the effect of visual function adjustment training on eye dysregulation in adolescents in Maqiao area of Minhang District. 【Methods】 A total of 520 primary and secondary school students who participated in school refraction screening in Maqiao area of the Minhang District from January 2018 to January 2022 were selected by cluster sampling method and divided into the normal refraction group (n=273) and the abnormal refraction group (n=247) according to the results of the refraction test. General information such as age, sex, height, family history, time spent outdoors and use of video media were collected by daily eye questionnaire. Logistic regression model was used to analyze the influencing factors of adolescent refractive development. 45 of the participants were treated with different video media (tablet computer, desktop computer, TV screen) for 30 minutes after intervention, the occurrence of abnormal eye regulation in different intervention groups was compared, and visual function adjustment training intervention was applied to those with abnormal eye regulation. The improvement of visual function in different age groups (> 12 years old, ≤12 years old) was analyzed before, 3 months and 6 months after visual function adjustment training.【Results】Logistic regression analysis showed that age > 12 years old, outdoor activity time < 4 h, close eye time > 6 h and tablet use were the influencing factors for refractive development of adolescents in Maqiao area of Minhang District (P<0.05). After the intervention of different video playback media, the rate of eye dysregulation in tablet group was significantly higher than that in desktop group and TV projection group, and the difference was statistically significant (P<0.05). After the intervention of visual function adjustment training, the adjustment lag value of all participants decreased, and the adjustment sensitivity increased. The adjustment lag value of ≤12 years old group was lower than that of > 12 years old group (P<0.05), and the adjustment sensitivity was higher than that of > 12 years old group (P<0.05). 【Conclusion】 Age, outdoor activity time, close eye use time and electronic products use type are the influencing factors of refractive development of adolescents in Maqiao area of the Minhang District. The larger the screen and the less time of video playback media used, the lower the adjustment lag value, and the better the effect of eye adjustment function training on the adjustment lag of adolescents ≤12 years old.

Key words： Accommodation, Ocular Vision Tests Child Root Cause Analysis

Received: 15 May 2024

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R778.1

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http://journal07.magtech.org.cn/yxlcyj/EN/10.3969/j.issn.1671-7171.2024.10.007 OR http://journal07.magtech.org.cn/yxlcyj/EN/Y2024/V41/I10/1479

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