目的 探索上海市浦东新区社区婴儿视力筛查模式，为在上海乃至全国推广提供决策依据。方法 参考美国儿科学会、美国眼科学会等推荐的指南，制定婴儿视力筛查方法，对浦东新区出生的婴儿分别在4、6和9月龄时进行三次视力筛查，内容包括眼外观检查、红光反射等。筛查出异常者进行转诊。结果 共筛查6 729名婴儿，异常者转诊后共确诊17名异常，包括泪道狭窄、先天性白内障、先天性小眼球等。社区儿保医生完成1例视力筛查平均需5.90 min。83.3%儿保医生认为开展视力筛查非常有必要，93.3%认为本套筛查方法比较完善。结论 本研究建立了一套易于操作、实用性强的婴儿视力筛查模式，可筛查出可能影响婴儿视力的疾病，从而早期进行临床干预，具有较大的经济学和社会学意义。本套视力筛查模式适宜在社区卫生服务中心推广。
Abstract
Objective To establish a community-based infant eye screening method in Pudong district in Shanghai,and to discuss the feasibility of the promotion of the infant eye screening method. Methods According to the guidelines recommended by AAP,AAPOS and AAO,"Infant Eye Screening Method" was prepared which consisted of external examination,ocular motility,red reflex examination and so on.All infants born in Pudong district accepted eye screening at 4 months,6 months and 9 months old.The suspected infants were referred. Results A total of 6 729 infants were recruited and after referral,17 infants were diagnosed as stenosis of lacrimal passage,congenital cataract,congenital microphthalmia and so on.The average time of finishing eye screening for one infant was 5.90 minutes.83.3% primary care pediatricians thought eye screening was necessary,and 93.3% thought the screening method was perfect. Conclusions According to this study,community-based "Infant Eye Screening Method" is established which was practical and easy to perform.Through the method proposed here,the ocular conditions which might result in blindness could be identified so that clinical intervention could be carried out in early age.The eye screening method with economic and sociological significance should be prompt in communities.
关键词
视力筛查 /
婴儿 /
社区
Key words
eye screening /
infant /
community
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参考文献
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基金
上海申康医院发展中心项目(SHDC12007227)；浦东新区卫生系统优秀青年医学人才培养计划(PWRq2011-30)
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