上海市浦东新区婴儿视力筛查社区模式的可行性研究

中国儿童保健杂志 ›› 2014, Vol. 22 ›› Issue (10): 1089-1091.

上海市浦东新区婴儿视力筛查社区模式的可行性研究

张丽珊^1，2，金星明^1*，段娅莉^2*，张锦明³，王弘⁴

1 上海交通大学医学院附属上海儿童医学中心发育行为儿科，上海市环境与儿童健康重点实验室，上海 200127；
2 上海市浦东新区妇幼保健所儿童保健科，上海 201399；
3 上海市浦东新区妇幼保健院儿童保健科，上海 201206；
4 上海交通大学医学院附属上海儿童医学中心眼科，上海 200127

收稿日期:2014-01-24 发布日期:2014-10-10 出版日期:2014-10-10
通讯作者: 金星明,E-mail:zhujing7@msn.cn;段娅莉,E-mail:dyl18@126.com
作者简介:张丽珊(1983-)，女，江苏人，主治医师，硕士学位，主要研究方向为儿童生长发育。
基金资助:
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)

Study on feasibility of community-based infant eye screening method in Pudong district in Shanghai

ZHANG Li-shan^1,2,JIN Xing-ming¹,DUAN Ya-li²,ZHANG Jin-ming³,WANG Hong⁴

1 Department of Developmental and Behavioral Pediatrics,Shanghai Children's Medical Center Affiliated to Shanghai Jiaotong University School of Medicine,MOE-Shanghai Key Laboratory of Children's Environmental Health,Shanghai 200127,China;
2 Department of Child Health Care,Pudong New Area Maternal and Child Health Care Institution,Shanghai 201399,China;
3 Department of Child Health Care,Shanghai Pudong New Area Maternal and Child Health Care Hospital,Shanghai 201206,China;
4 Department of Ophthalmology,Shanghai Children's Medical Center Affiliated to Shanghai Jiaotong University School of Medicine,Shanghai 200127,China

Received:2014-01-24 Online:2014-10-10 Published:2014-10-10
Contact: JIN Xing-ming,E-mail:zhujing7@msn.cn; DUAN Ya-li,E-mail:dyl18@126.com

摘要/Abstract

摘要： 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。

关键词: 视力筛查, 婴儿, 社区

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.

Key words: eye screening, infant, community

中图分类号:

R779.7

张丽珊，金星明，段娅莉，张锦明，王弘. 上海市浦东新区婴儿视力筛查社区模式的可行性研究[J]. 中国儿童保健杂志, 2014, 22(10): 1089-1091.

ZHANG Li-shan,JIN Xing-ming,DUAN Ya-li,ZHANG Jin-ming,WANG Hong. Study on feasibility of community-based infant eye screening method in Pudong district in Shanghai[J]. journal1, 2014, 22(10): 1089-1091.

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