Article(id=1325536221417726211, tenantId=1146029695717560320, journalId=1256213402557890569, issueId=1325535161890398372, articleNumber=null, orderNo=null, doi=10.16835/j.cnki.1000-9817.2025368, pmid=null, cstr=null, oa=null, hot=null, price=null, onlineType=0, articleFormat=0, articleType=null, articleTypeStr=null, receivedDate=1744560000000, receivedDateStr=2025-04-14, revisedDate=1757606400000, revisedDateStr=2025-09-12, acceptedDate=null, acceptedDateStr=null, onlineDate=1793962062457, onlineDateStr=2026-11-06, pubDate=1766592000000, pubDateStr=2025-12-25, doiRegisterDate=null, doiRegisterDateStr=null, onlineIssueDate=1793962062457, onlineIssueDateStr=2026-11-06, onlineJustAcceptDate=null, onlineJustAcceptDateStr=null, onlineFirstDate=null, onlineFirstDateStr=null, sourceXml=null, magXml=null, createTime=1793962062457, creator=13701087609, updateTime=1793962062457, updator=13701087609, issue=Issue{id=1325535161890398372, tenantId=1146029695717560320, journalId=1256213402557890569, year='2025', volume='46', issue='12', pageStart='1673', pageEnd='1824', issueExtLink='null', onlineDate='null', pubDate='1766592000000', pubDateStr='2025-12-25', beforeIssueId=null, nextIssueId=null, price=null, status=1, issueComplete=1, articleOrder=1, issueType=-1, specialIssue=null, createTime=1793961809846, creator='13701087609', updateTime=1793961809846, updator='13701087609', preIssue=null, nextIssue=null, articleTotal=null, ext=null, issueFiles=null, downloadFileDto=null}, startPage=1787, endPage=1791, ext={EN=ArticleExt(id=1325536226832572676, articleId=1325536221417726211, tenantId=1146029695717560320, journalId=1256213402557890569, language=EN, title=Analysis of the status and related factors of hyperopic reserve among non-myopia children aged 5-12 years in Guangdong Province, columnId=1259565862181286284, journalTitle=Chinese Journal of School Health, columnName=Growth, Development and Surveillance, runingTitle=null, highlight=null, articleAbstract=
Objective

To explore the current status of hyperopic reserve and its related factors among non-myopia preschool and primary school students aged 5 to 12 years in Guangdong Province, so as to provide a basis for formulating intervention strategies for the pre-myopia stage of children.

Methods

From October to December 2023, by using stratified cluster random sampling method, a survey on hyperopic reserve among preschool children and primary school students in Guangdong were conducted. And a total of 10 567 children from the senior class of kindergarten to the sixth grade of primary school who completed autorefraction measurements with and without cycloplegia and the questionnaire survey were included in the study. The prevalence characteristics of low hyperopic reserve among non-myopia children were analyzed, and multivariable Logistic regression was used to analyze the related factors.

Results

The prevalence rate of low hyperopic reserve among 8 790 non-myopia children was 62.4%. The average spherical equivalent (SE) for children aged 5 to 12 years was 0.88 (0.25, 1.25)D, decreasing from 1.13 (0.75, 1.50)D in senior kindergarten to -1.00 (-2.50, 0.38)D in sixth grade, with the difference was statistically significant (H=2 475.3, P < 0.01). Multivariable Logistic regression analysis, after adjusting for confounders including gender, urban and rural, and grade, revealed that parental myopia was a risk factor for low hyperopic reserve in the preschool stage (one parent with myopia: OR=1.62, 95%CI=1.35-1.93; both parents with myopia: OR=2.05, 95%CI=1.66-2.55); in the lower primary school stage, parental myopia (one parent with myopia: OR=1.46, 95%CI=1.27-1.68; both parents with myopia: OR=1.58, 95%CI=1.33-1.89), frequently or always reading or using electronic screens while lying down or on one's stomach (OR=1.43, 95%CI=1.13-1.81), and never or occasionally maintaining a viewing distance of over 3 meters when watching TV/playing video games (OR=1.34, 95%CI=1.04-1.72) were risk factors; in the higher primary school stage, failing to take a break every hour during near work (OR=1.79, 95%CI=1.16-2.75) was a risk factor (all P < 0.05).

Conclusions

The emmetropization of children aged 5-12 years in Guangdong Province is accelerated, and non-myopia children generally exhibit insufficient hyperopic reserve. The contributing factors for insufficient hyperopia reserve in non-myopia children vary across different educational stages, necessitating targeted precision interventions.

, authors=Jing JIANG1, Meng LI1, Yi SUN2, Rong LIN2, Zhenhui HUANG3, Rong LIU1, Ran QIN4, Xin GUO5, Yabin QU*, 1, authorsList=Jing JIANG, Meng LI, Yi SUN, Rong LIN, Zhenhui HUANG, Rong LIU, Ran QIN, Xin GUO, Yabin QU, authorCompany=null, correspAuthors=Yabin QU, authorNote=null, correspAuthorsNote=null, copyrightStatement=Copyright ©2025 Chinese Journal of School Health. All rights reserved., copyrightOwner=null, extLink=null, articleAbsUrl=null, sourceXml=null, magXml=null, pdfUrl=null, pdf=null, pdfFileSize=null, pdfExtLink=null, richHtmlUrl=null, mobilePdfUrl=null, reviewReport=null, pdfFirstPage=null, abstractGraph=null, abstractGraphContent=null, abstractVideo=null, citation=null, cebUrl=null, magXmlContent=null, mapNumber=null, fund=null), CN=ArticleExt(id=1325536230653583621, articleId=1325536221417726211, tenantId=1146029695717560320, journalId=1256213402557890569, language=CN, title=广东省非近视5~12岁儿童远视储备现状及相关因素分析, columnId=1259565866786632093, journalTitle=中国学校卫生, columnName=生长发育与健康监测, runingTitle=null, highlight=null, articleAbstract=
目的

探讨广东省5~12岁非近视幼儿和小学生远视储备现状及其相关因素,为制定儿童近视前期干预策略提供依据。

方法

于2023年10—12月,采用分层整群随机抽样方法开展广东省学龄前儿童与小学生远视储备调查,将10 567名完成睫状肌麻痹前后验光检查和问卷调查的幼儿园大班至小学六年级儿童纳入研究,分析非近视儿童远视储备不足流行特征,并采用多因素Logistic回归分析相关因素。

结果

8 790名非近视儿童远视储备不足检出率为62.4%。5~12岁儿童等效球镜度数(SE)平均水平为0.88(0.25, 1.25)D,幼儿园大班至小学六年级儿童SE从1.13(0.75, 1.50)D下降至-1.00(-2.50,0.38)D,差异有统计学意义(H=2 475.3,P < 0.01)。多因素Logistic回归分析显示,调整性别、城乡、年级等混杂因素后,在幼儿园学段,父母近视是非近视儿童远视储备不足的相关因素(一方近视:OR=1.62,95%CI=1.35~1.93;双方近视:OR=2.05,95%CI=1.66~2.55);小学低年级学段,父母近视(一方近视:OR=1.46,95%CI=1.27~1.68;双方近视:OR=1.58,95%CI=1.33~1.89)、经常/总是躺着或趴着看书或电子屏幕(OR=1.43,95%CI=1.13~1.81)、看电视/玩电视游戏眼睛距离显示屏从不/偶尔超过3 m(OR=1.34,95%CI=1.04~1.72)是非近视儿童远视储备不足的相关因素;小学高年级学段,近距离用眼≥1 h休息一次(OR=1.79,95%CI=1.16~2.75)是非近视儿童远视储备不足的相关因素(P值均 < 0.05)。

结论

广东省5~12岁儿童眼球正视化提前,非近视儿童远视储备普遍不足;不同学段非近视儿童远视储备不足相关因素有所差别,需针对性开展精准干预。

, authors=蒋静1, 李梦1, 孙艺2, 林蓉2, 黄震辉3, 刘荣1, 秦冉4, 郭欣5, 曲亚斌*, 1, authorsList=蒋静, 李梦, 孙艺, 林蓉, 黄震辉, 刘荣, 秦冉, 郭欣, 曲亚斌, authorCompany=null, correspAuthors=曲亚斌, authorNote=

蒋静(1992-),女,湖北随州人,硕士,主管医师,主要从事学校卫生工作

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曲亚斌,E-mail:
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蒋静(1992-),女,湖北随州人,硕士,主管医师,主要从事学校卫生工作

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蒋静(1992-),女,湖北随州人,硕士,主管医师,主要从事学校卫生工作

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Shenyang: China Medical University, 2022. 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Comparison of detection rates of insufficient hyperopic reserve in non-myopia children across different groups

, figureFileSmall=null, figureFileBig=null, tableContent=
组别选项非近视人数远视储备不足χ2值P值
性别男4 7153 007(63.8)8.6< 0.01
女4 0752 474(60.7)
城乡城区6 2674 055(64.7)51.0< 0.01
郊县2 5231 426(56.5)
年级幼儿园大班3 1091 954(62.8)181.7< 0.01
小学一年级2 6981 453(53.9)
小学二年级1 5331 004(65.5)
小学三年级712525(73.7)
小学四年级375296(78.9)
小学五年级233167(71.7)
小学六年级13082(63.1)
), ArticleFig(id=1325536288497230155, tenantId=1146029695717560320, journalId=1256213402557890569, articleId=1325536221417726211, language=CN, label=表1, caption=

不同组别非近视儿童远视储备不足检出率比较

, figureFileSmall=null, figureFileBig=null, tableContent=
组别选项非近视人数远视储备不足χ2值P值
性别男4 7153 007(63.8)8.6< 0.01
女4 0752 474(60.7)
城乡城区6 2674 055(64.7)51.0< 0.01
郊县2 5231 426(56.5)
年级幼儿园大班3 1091 954(62.8)181.7< 0.01
小学一年级2 6981 453(53.9)
小学二年级1 5331 004(65.5)
小学三年级712525(73.7)
小学四年级375296(78.9)
小学五年级233167(71.7)
小学六年级13082(63.1)
), ArticleFig(id=1325536289755521356, tenantId=1146029695717560320, journalId=1256213402557890569, articleId=1325536221417726211, language=EN, label=Tab.2, caption=

Univariate analysis of low hyperopia reserve among non-myopia preschool and primary school children in Guangdong Province

, figureFileSmall=null, figureFileBig=null, tableContent=
因素选项幼儿园(大班)小学低年级(一至三)小学高年级(四至六)
非近视人数远视储备不足人数χ2值P值非近视人数远视储备不足人数χ2值P值非近视人数远视储备不足人数χ2值P值
性别男1 6861 100(65.2)9.0< 0.012 5641 562(60.9)0.80.38465345(74.2)0.10.78
女1 423854(60.0)2 3791 420(59.7)273200(73.3)
城乡城区2 2801 452(63.7)2.60.123 5542 264(63.7)60.2< 0.01433339(78.3)10.7< 0.01
郊县829502(60.6)1 389718(51.7)305206(67.5)
父亲受教育程度*初中及以下574340(59.2)8.30.021 283762(59.4)3.60.16255178(69.8)3.90.15
高中或中专766463(60.4)1 417886(62.5)229169(73.9)
大专/大学及以上1 7341 126(64.9)2 1811 303(59.7)249193(77.5)
母亲受教育程度*初中及以下538318(59.1)7.60.021 214709(58.4)3.00.23262189(72.1)0.70.70
高中或中专743450(60.6)1 321803(60.8)208155(74.5)
大专/大学及以上1 7931 161(64.8)2 3461 439(61.3)263198(75.3)
父母近视*均不近视1 062576(54.2)59.1< 0.011 9861 103(55.5)32.8< 0.01389276(71.0)4.90.09
一方近视1 135748(65.9)1 8891 195(63.3)210159(75.7)
双方近视722513(71.1)862558(64.7)9275(81.5)
每天放学后读写时间/h*< 1525341(65.0)3.40.191 7671 031(58.3)24.6< 0.01183137(74.9)0.20.90
1~< 21 371836(61.0)1 8081 052(58.2)292216(74.0)
≥21 073684(63.7)1 212804(66.3)229167(72.9)
每周参加课外学习班时间/h*< 11 6441 021(62.1)1.90.383 1621 856(58.7)14.6< 0.01449326(72.6)1.90.39
1~< 2698435(62.3)908554(61.0)142106(74.6)
≥2676440(65.1)659439(66.6)12296(78.7)
每天白天户外活动时间/h*< 21 487945(63.6)0.10.782 4521 460(59.5)1.00.33379277(73.1)0.00.92
≥21 386873(63.0)1 8141 108(61.1)290210(72.4)
每天睡眠时间/h*< 102 1601 360(63.0)0.00.874 0812 448(60.0)1.90.19616453(73.5)0.00.99
≥10844528(62.6)796498(62.6)11283(74.1)
家长限制电子屏幕使用时间*是2 2751 412(62.1)2.00.153 7862 231(58.9)13.3< 0.01525383(73.0)0.80.44
否831539(64.9)1 157751(64.9)213162(76.1)
每天使用移动电子设备时间/h*没有用过1 105681(61.6)1.10.591 9791 235(62.4)16.7< 0.01284215(75.7)1.10.57
< 11 552984(63.4)2 2801 307(57.3)321231(72.0)
≥1450287(63.8)684440(64.3)13399(74.4)
阳光直射下看书或电子屏幕从不/偶尔2 8501788(62.7)0.20.724 4642 658(59.5)11.9< 0.01674494(73.3)1.20.34
经常/总是259166(64.1)479324(67.6)6451(79.7)
天黑后看电子屏幕时关灯从不/偶尔2 8541 798(63.0)0.30.614 4182 626(59.4)13.7< 0.01675497(73.6)0.20.77
经常/总是255156(61.2)525356(67.8)6348(76.2)
躺着或趴着看书或电子屏幕从不/偶尔2 7531 720(62.5)1.40.264 2972 547(59.3)20.9< 0.01640473(73.9)0.01.00
经常/总是356234(65.7)646435(67.3)9872(73.5)
看电视/玩电视游戏,眼睛距离显示屏超过3 m没用过223144(64.6)0.40.80352192(54.5)7.60.023225(78.1)0.30.85
从不/偶尔1 504948(63.0)2 2891 416(61.9)308227(73.7)
经常/总是1 382862(62.4)2 3021 374(59.7)398293(73.6)
近距离用眼多久休息一次眼睛/h< 0.51 338824(61.6)1.70.432 0071 193(59.4)2.50.29266185(69.5)8.70.01
0.5~< 11 139724(63.6)1 7791 069(60.1)247178(72.1)
≥1632406(64.2)1 157720(62.2)225182(80.9)
), ArticleFig(id=1325536291038978381, tenantId=1146029695717560320, journalId=1256213402557890569, articleId=1325536221417726211, language=CN, label=表2, caption=

广东省幼儿园和小学非近视儿童远视储备不足单因素分析

, figureFileSmall=null, figureFileBig=null, tableContent=
因素选项幼儿园(大班)小学低年级(一至三)小学高年级(四至六)
非近视人数远视储备不足人数χ2值P值非近视人数远视储备不足人数χ2值P值非近视人数远视储备不足人数χ2值P值
性别男1 6861 100(65.2)9.0< 0.012 5641 562(60.9)0.80.38465345(74.2)0.10.78
女1 423854(60.0)2 3791 420(59.7)273200(73.3)
城乡城区2 2801 452(63.7)2.60.123 5542 264(63.7)60.2< 0.01433339(78.3)10.7< 0.01
郊县829502(60.6)1 389718(51.7)305206(67.5)
父亲受教育程度*初中及以下574340(59.2)8.30.021 283762(59.4)3.60.16255178(69.8)3.90.15
高中或中专766463(60.4)1 417886(62.5)229169(73.9)
大专/大学及以上1 7341 126(64.9)2 1811 303(59.7)249193(77.5)
母亲受教育程度*初中及以下538318(59.1)7.60.021 214709(58.4)3.00.23262189(72.1)0.70.70
高中或中专743450(60.6)1 321803(60.8)208155(74.5)
大专/大学及以上1 7931 161(64.8)2 3461 439(61.3)263198(75.3)
父母近视*均不近视1 062576(54.2)59.1< 0.011 9861 103(55.5)32.8< 0.01389276(71.0)4.90.09
一方近视1 135748(65.9)1 8891 195(63.3)210159(75.7)
双方近视722513(71.1)862558(64.7)9275(81.5)
每天放学后读写时间/h*< 1525341(65.0)3.40.191 7671 031(58.3)24.6< 0.01183137(74.9)0.20.90
1~< 21 371836(61.0)1 8081 052(58.2)292216(74.0)
≥21 073684(63.7)1 212804(66.3)229167(72.9)
每周参加课外学习班时间/h*< 11 6441 021(62.1)1.90.383 1621 856(58.7)14.6< 0.01449326(72.6)1.90.39
1~< 2698435(62.3)908554(61.0)142106(74.6)
≥2676440(65.1)659439(66.6)12296(78.7)
每天白天户外活动时间/h*< 21 487945(63.6)0.10.782 4521 460(59.5)1.00.33379277(73.1)0.00.92
≥21 386873(63.0)1 8141 108(61.1)290210(72.4)
每天睡眠时间/h*< 102 1601 360(63.0)0.00.874 0812 448(60.0)1.90.19616453(73.5)0.00.99
≥10844528(62.6)796498(62.6)11283(74.1)
家长限制电子屏幕使用时间*是2 2751 412(62.1)2.00.153 7862 231(58.9)13.3< 0.01525383(73.0)0.80.44
否831539(64.9)1 157751(64.9)213162(76.1)
每天使用移动电子设备时间/h*没有用过1 105681(61.6)1.10.591 9791 235(62.4)16.7< 0.01284215(75.7)1.10.57
< 11 552984(63.4)2 2801 307(57.3)321231(72.0)
≥1450287(63.8)684440(64.3)13399(74.4)
阳光直射下看书或电子屏幕从不/偶尔2 8501788(62.7)0.20.724 4642 658(59.5)11.9< 0.01674494(73.3)1.20.34
经常/总是259166(64.1)479324(67.6)6451(79.7)
天黑后看电子屏幕时关灯从不/偶尔2 8541 798(63.0)0.30.614 4182 626(59.4)13.7< 0.01675497(73.6)0.20.77
经常/总是255156(61.2)525356(67.8)6348(76.2)
躺着或趴着看书或电子屏幕从不/偶尔2 7531 720(62.5)1.40.264 2972 547(59.3)20.9< 0.01640473(73.9)0.01.00
经常/总是356234(65.7)646435(67.3)9872(73.5)
看电视/玩电视游戏,眼睛距离显示屏超过3 m没用过223144(64.6)0.40.80352192(54.5)7.60.023225(78.1)0.30.85
从不/偶尔1 504948(63.0)2 2891 416(61.9)308227(73.7)
经常/总是1 382862(62.4)2 3021 374(59.7)398293(73.6)
近距离用眼多久休息一次眼睛/h< 0.51 338824(61.6)1.70.432 0071 193(59.4)2.50.29266185(69.5)8.70.01
0.5~< 11 139724(63.6)1 7791 069(60.1)247178(72.1)
≥1632406(64.2)1 157720(62.2)225182(80.9)
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广东省非近视5~12岁儿童远视储备现状及相关因素分析
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蒋静 1 , 李梦 1 , 孙艺 2 , 林蓉 2 , 黄震辉 3 , 刘荣 1 , 秦冉 4 , 郭欣 5 , 曲亚斌 *, 1
中国学校卫生 | 生长发育与健康监测 2025,46(12): 1787-1791
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中国学校卫生 |生长发育与健康监测 2025 , 46 (12) : 1787 -1791
广东省非近视5~12岁儿童远视储备现状及相关因素分析
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蒋静1, 李梦1, 孙艺2, 林蓉2, 黄震辉3, 刘荣1, 秦冉4, 郭欣5, 曲亚斌*, 1
作者信息
  • 1广东省疾病预防控制中心环境与学校卫生所,广州 511430
  • 2广州市疾病预防控制中心学校卫生部
  • 3阳江市疾病预防控制中心公共卫生部
  • 4北京市疾病预防控制中心学校卫生所
  • 5中国疾病预防控制中心学校卫生筹备办公室
通讯作者:
曲亚斌,E-mail:
作者简介:

蒋静(1992-),女,湖北随州人,硕士,主管医师,主要从事学校卫生工作

Analysis of the status and related factors of hyperopic reserve among non-myopia children aged 5-12 years in Guangdong Province
Jing JIANG1, Meng LI1, Yi SUN2, Rong LIN2, Zhenhui HUANG3, Rong LIU1, Ran QIN4, Xin GUO5, Yabin QU*, 1
Affiliations
  • 1Department of Environmental and School Health, Guangdong Provincial Center for Disease Control and Prevention, Guangzhou 511430, Guangdong Province, China
出版时间: 2025-12-25 doi: 10.16835/j.cnki.1000-9817.2025368
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目的

探讨广东省5~12岁非近视幼儿和小学生远视储备现状及其相关因素,为制定儿童近视前期干预策略提供依据。

方法

于2023年10—12月,采用分层整群随机抽样方法开展广东省学龄前儿童与小学生远视储备调查,将10 567名完成睫状肌麻痹前后验光检查和问卷调查的幼儿园大班至小学六年级儿童纳入研究,分析非近视儿童远视储备不足流行特征,并采用多因素Logistic回归分析相关因素。

结果

8 790名非近视儿童远视储备不足检出率为62.4%。5~12岁儿童等效球镜度数(SE)平均水平为0.88(0.25, 1.25)D,幼儿园大班至小学六年级儿童SE从1.13(0.75, 1.50)D下降至-1.00(-2.50,0.38)D,差异有统计学意义(H=2 475.3,P < 0.01)。多因素Logistic回归分析显示,调整性别、城乡、年级等混杂因素后,在幼儿园学段,父母近视是非近视儿童远视储备不足的相关因素(一方近视:OR=1.62,95%CI=1.35~1.93;双方近视:OR=2.05,95%CI=1.66~2.55);小学低年级学段,父母近视(一方近视:OR=1.46,95%CI=1.27~1.68;双方近视:OR=1.58,95%CI=1.33~1.89)、经常/总是躺着或趴着看书或电子屏幕(OR=1.43,95%CI=1.13~1.81)、看电视/玩电视游戏眼睛距离显示屏从不/偶尔超过3 m(OR=1.34,95%CI=1.04~1.72)是非近视儿童远视储备不足的相关因素;小学高年级学段,近距离用眼≥1 h休息一次(OR=1.79,95%CI=1.16~2.75)是非近视儿童远视储备不足的相关因素(P值均 < 0.05)。

结论

广东省5~12岁儿童眼球正视化提前,非近视儿童远视储备普遍不足;不同学段非近视儿童远视储备不足相关因素有所差别,需针对性开展精准干预。

近视  /  远视储备  /  回归分析  /  儿童
Objective

To explore the current status of hyperopic reserve and its related factors among non-myopia preschool and primary school students aged 5 to 12 years in Guangdong Province, so as to provide a basis for formulating intervention strategies for the pre-myopia stage of children.

Methods

From October to December 2023, by using stratified cluster random sampling method, a survey on hyperopic reserve among preschool children and primary school students in Guangdong were conducted. And a total of 10 567 children from the senior class of kindergarten to the sixth grade of primary school who completed autorefraction measurements with and without cycloplegia and the questionnaire survey were included in the study. The prevalence characteristics of low hyperopic reserve among non-myopia children were analyzed, and multivariable Logistic regression was used to analyze the related factors.

Results

The prevalence rate of low hyperopic reserve among 8 790 non-myopia children was 62.4%. The average spherical equivalent (SE) for children aged 5 to 12 years was 0.88 (0.25, 1.25)D, decreasing from 1.13 (0.75, 1.50)D in senior kindergarten to -1.00 (-2.50, 0.38)D in sixth grade, with the difference was statistically significant (H=2 475.3, P < 0.01). Multivariable Logistic regression analysis, after adjusting for confounders including gender, urban and rural, and grade, revealed that parental myopia was a risk factor for low hyperopic reserve in the preschool stage (one parent with myopia: OR=1.62, 95%CI=1.35-1.93; both parents with myopia: OR=2.05, 95%CI=1.66-2.55); in the lower primary school stage, parental myopia (one parent with myopia: OR=1.46, 95%CI=1.27-1.68; both parents with myopia: OR=1.58, 95%CI=1.33-1.89), frequently or always reading or using electronic screens while lying down or on one's stomach (OR=1.43, 95%CI=1.13-1.81), and never or occasionally maintaining a viewing distance of over 3 meters when watching TV/playing video games (OR=1.34, 95%CI=1.04-1.72) were risk factors; in the higher primary school stage, failing to take a break every hour during near work (OR=1.79, 95%CI=1.16-2.75) was a risk factor (all P < 0.05).

Conclusions

The emmetropization of children aged 5-12 years in Guangdong Province is accelerated, and non-myopia children generally exhibit insufficient hyperopic reserve. The contributing factors for insufficient hyperopia reserve in non-myopia children vary across different educational stages, necessitating targeted precision interventions.

Myopia  /  Hyperopic reserve  /  Regression analysis  /  Child
蒋静, 李梦, 孙艺, 林蓉, 黄震辉, 刘荣, 秦冉, 郭欣, 曲亚斌. 广东省非近视5~12岁儿童远视储备现状及相关因素分析. 中国学校卫生, 2025 , 46 (12) : 1787 -1791 . DOI: 10.16835/j.cnki.1000-9817.2025368
Jing JIANG, Meng LI, Yi SUN, Rong LIN, Zhenhui HUANG, Rong LIU, Ran QIN, Xin GUO, Yabin QU. Analysis of the status and related factors of hyperopic reserve among non-myopia children aged 5-12 years in Guangdong Province[J]. Chinese Journal of School Health, 2025 , 46 (12) : 1787 -1791 . DOI: 10.16835/j.cnki.1000-9817.2025368
中国儿童青少年近视患病率位居世界前列,呈普遍化、低龄化、高度化趋势,是影响儿童青少年眼健康的公共卫生问题[1-2]。新生儿眼球处于远视状态,随着生长发育,理想状态在12岁后发展为正视[3]。远视储备不足指裸眼视力正常,睫状肌麻痹(散瞳)验光后屈光状态虽未达到近视标准、但远视度数低于相应年龄段生理值范围[3]。远视储备是“对抗”发展为近视的缓冲区,过早过快的消耗会导致低龄化近视发生,且增加成年后患高度近视及相关视力障碍的风险[3-4]。父母近视、户外活动、视近作业和睡眠等遗传和环境因素影响近视发生发展已被诸多研究报道[5-8],但绝大多数研究是基于非睫状肌麻痹(非散瞳)验光方法,且结局指标为近视。低龄儿童眼调节能力较强,非散瞳验光方法通常不能反映其真实屈光状态[9],散瞳验光是测量屈光度数的金标准[2],然而受成本较高、操作复杂等条件限制。本研究对广东省学龄前儿童和小学生开展远视储备调查,并分析可能的影响因素,对揭示儿童视力正视化过程中远视储备现状及制定近视前期干预策略具有重要的实践价值。
本研究数据来源于全国10省(市)远视储备调查项目广东省监测数据。2023年10—12月,采用分层整群随机抽样方法,第一阶段按广东2022年城市人均GDP水平高、低分层,每层随机抽取1座城市;第二阶段每座城市随机抽取15所幼儿园和5所小学;第三阶段采用与规模大小成比例的概率抽样法(probability proportional to size sampling, PPS),根据项目各年级(幼儿园大班和小学一至六年级)样本量要求抽取学校班级,将抽取班级的全体学生作为研究对象,以上随机抽取均采用随机数字表法。纳入标准:研究对象无全身严重器质性疾病,被检者及家长知情同意;排除有严重眼科疾病或过去有眼部手术史者。共抽取10 737名儿童,剔除135名未完成睫状肌麻痹验光检查和35名未完成问卷调查者,共10 567名儿童纳入研究,有效应答率98.4%。其中男生5 683名,女生4 884名;城区7 793名,郊县2 774名;幼儿园大班、小学一至六年级分别为3 213,2 908,1 830,1 045,667,524,380名,年龄5~12岁,平均年龄(7.0±1.7)岁。本研究通过北京市疾病预防控制中心伦理委员会批准[批号:2022年第(24)]。
眼科检查由医疗机构依据《儿童青少年近视筛查规范》[10]进行,睫状肌麻痹验光检查使用0.5%的复方托吡卡胺滴眼液,每5 min使用1次,共使用4次,最后一次滴眼30 min后使用台式全自动电脑验光仪进行验光。
采用北京市疾病预防控制中心研制的《学生近视发生发展相关因素调查表》,对调查对象个人基本情况及校内外用眼、读写姿势、户外活动和睡眠等近视发展主要遗传和环境因素进行调查。幼儿园及小学一至三年级学生信息填写由家长和学生共同完成,其他年级由学生单独完成。问卷的Cronbach α系数为0.81。
等效球镜度数(spherical equivalent,SE)=球镜度数+1/2柱镜度数。睫状肌麻痹状态下两眼中有一眼符合SE≤-0.50 D即为近视。经查阅文献[2, 11-12]及咨询专家,结合本次研究目的,采用国家卫生健康委员会《小学生近视防控手册》[12]中远视储备量的标准,非近视者两眼中任一只眼SE低于参考值的下限判断为远视储备不足。文中仅描述右眼SE,因为右眼和左眼SE高度相关(Spearman相关系数=0.92,P < 0.01),且符合国内外研究惯例[13-15]。
每天在正式检测前采用标准眼对仪器设备进行校正,对眼科检查项目按照受检人数的5%进行复测及核查,及时查明不符合项原因并督促整改。同时加强对问卷调查过程中逻辑核查、数据核查、缺失项核查等质量控制工作。
使用R 4.2.1软件进行统计分析。由于SE不符合正态分布,采用M(P25,P75)描述,两组间比较采用Wilcoxon秩和检验,多组间比较采用Kruskal-Wallis H秩和检验。分类资料采用频数和构成比/率表示,组间比较采用χ2检验。在调整性别、城乡、年级等混杂因素后,采用二分类Logistic回归进行多因素分析。双侧检验水准α=0.05。
10 567名儿童SE平均水平为0.88(0.25, 1.25)D,女生[0.88(0.25, 1.25)D]高于男生[0.75(0.13, 1.25)D],郊县[1.00(0.50, 1.25)D]高于城区[0.75(0.13, 1.25)D](Z值分别为107.4,202.5,P值均 < 0.01)。幼儿园大班至小学六年级儿童SE分别为1.13(0.75, 1.50)、1.00(0.50, 1.38)、0.75(0.13, 1.13)、0.38(-0.63, 0.88)、0.00(-1.25, 0.63)、-0.50(-1.88, 0.38)、-1.00(-2.50, 0.38)D,差异有统计学意义(H=2 475.3,P < 0.01)
10 567名儿童中非近视8 790名(83.2%);非近视儿童远视储备不足检出率为62.4%(5 481名),不同性别、城乡、年级非近视儿童远视储备不足检出率差异均有统计学意义(P值均 < 0.01)。见表1。
按学段分层,幼儿园中,男童、父母受教育程度大专/大学及以上、父母近视的非近视儿童远视储备不足检出率较高(P值均 < 0.05)。小学低年级学段中,城区、父母近视、每日放学后读写时间≥2 h、家长不限制电子屏幕使用时间、每天使用移动电子设备≥1 h、每周参加课外学习班时间≥2 h,以及经常/总是在阳光直射下看书或电子屏幕、天黑后看电子屏幕时关灯,躺着或趴着看书或电子屏幕、看电视/玩电视游戏眼睛距离显示屏从不/偶尔超过3 m的非近视儿童远视储备不足检出率较高(P值均 < 0.05)。小学高年级学段中,城区、近距离用眼≥1 h休息一次眼睛的非近视儿童远视储备不足检出率较高(P值均 < 0.05)。见表2。
按学段分层,以是否远视储备不足为因变量(0=否,1=是),单因素分析中有统计学意义的因素[父母受教育程度(初中及以下=1、高中或中专=2、大专/大学及以上=3),父母近视(均不近视=1、一方近视=2、双方近视=3),每天放学后读写时间、每周参加课外学习班时间(均为<1 h=1,1~<2 h=2,≥2 h=3),家长限制电子屏幕使用时间(是=1,否=2),每天使用移动电子设备时间(没有用过=1, < 1 h=2,≥1 h=3),阳光直射下看书或电子屏幕、天黑后看电子屏幕时关灯、躺着或趴着看书或电子屏幕(均为从不/偶尔=1,经常/总是=2),看电视/玩电视游戏,眼睛距离显示屏超过3 m(没用过=1,从不/偶尔=2,经常/总是=3),近距离用眼多久休息一次眼睛(< 0.5 h=1,0.5~< 1 h=2,≥1 h=3)]纳入自变量进行二分类Logistic回归,模型调整性别、城乡、年级等混杂因素。结果显示,幼儿园学段中,父母近视是非近视儿童远视储备不足的相关因素(一方近视:OR=1.62,95%CI=1.35~1.93;双方近视:OR=2.05,95%CI=1.66~2.55);小学低年级学段中,父母近视(一方近视:OR=1.46,95%CI=1.27~1.68;双方近视:OR=1.58,95%CI=1.33~1.89)、经常/总是躺着或趴着看书或电子屏幕(OR=1.43,95%CI=1.13~1.81)、看电视/玩电视游戏眼睛距离显示屏从不/偶尔超过3 m(OR=1.34,95%CI=1.04~1.72)均是非近视儿童远视储备不足的相关因素;小学高年级学段中,近距离用眼≥1 h休息一次眼睛(OR=1.79,95%CI=1.16~2.75)是非近视儿童远视储备不足的相关因素(P值均 < 0.05)。
广东省幼儿园大班至小学六年级儿童远视储备不足检出率介于53.9%~78.9%,提示广东省儿童远视储备普遍不足,与其他省市结果相似[16-18]。远视储备是预测近视发生的简便有效指标[19-20],对于近视防控意义重大。安阳市一项研究显示小学一年级学生远视储备完全消耗时,5年后近视发生率高达92.7%;而远视储备为1.50~2.00 D时,5年后近视发生率仅为11.8%[20]。本研究中,一年级小学生SE为1.00 D,低于该年级屈光度理想状态(SE>1.50 D)[21];三年级(9~10岁)已有超50%的小学生远视储备消耗完,较《儿童青少年近视防控适宜技术指南(更新版)][3]提出的眼球到12岁后发育为正视眼提前。上海市一项长达16年的研究发现,儿童眼球SE≤-0.50 D的平均年龄从2005年的10.6岁降低到2021年的7.6岁[22]。因此亟需高度重视幼儿和小学生眼球正视化提前及非近视儿童远视储备普遍不足现象,前移近视防控关口,对非近视远视储备不足儿童实施早期预警和干预[23]。
近视的发生发展受到遗传和环境因素的共同作用[8],针对不同学龄段特点,采取科学有效的精准干预措施十分必要。父母近视是非近视幼儿园幼儿远视储备不足的正向因素,与多项研究结论一致[24-25]。本研究未发现视屏时间、用眼习惯等与幼儿园非近视儿童远视储备不足的关联,可能在低龄儿童近视的发生发展中,遗传因素发挥了更为重要的作用。提示幼儿园阶段可根据父母近视信息,早期识别远视储备不足儿童,予以高危预警和重点干预。
小学低年级学段,随着学业负担、视屏活动等视力危险因素开始增多,除家庭遗传因素外,多项环境因素显现出与非近视儿童远视储备不足的关联,如阅读、电子屏幕使用等近距离用眼习惯等,躺着或趴着状态下读书写字注意力更容易分散,需要更高强度的用眼,近视发展更快[6];电视电脑显示屏频闪较强,且长时间视近眼部睫状肌一直处于紧张状态,容易诱发近视[26]。提示此阶段除重点关注有近视遗传因素的高危儿童外,还需加强近视防控科普宣传,促使所有儿童掌握科学用眼知识和技能,培养良好用眼习惯。小学高年级阶段,随着近距离用眼强度增加到较高水平,近距离用眼1 h及以上休息一次是非近视儿童远视储备不足的正向相关因素,提示小学高年级学段应重视高强度近距离用眼情况下科学用眼行为的指导。
本研究也存在一定局限性:为便于实施调查和取得较高的配合度,此次城区调查对象较多,对结果的普适性具有一定影响。此外,研究为横断面研究,因果论证能力弱,无法动态观察眼球正视化过程中的变化规律和趋势。
  • 2025广东省医学科研基金立项项目(A2025251);国家重点研发计划项目(2021YFC2702102);2023年省科技创新战略项目(2023A1111120013);2024年广东省医学科研基金立项项目(A2024214)
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2025年第46卷第12期
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doi: 10.16835/j.cnki.1000-9817.2025368
  • 接收时间:2025-04-14
  • 首发时间:2026-11-06
  • 出版时间:2025-12-25
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  • 收稿日期:2025-04-14
  • 修回日期:2025-09-12
基金
2025广东省医学科研基金立项项目(A2025251);国家重点研发计划项目(2021YFC2702102);2023年省科技创新战略项目(2023A1111120013);2024年广东省医学科研基金立项项目(A2024214)
作者信息
    1广东省疾病预防控制中心环境与学校卫生所,广州 511430
    2广州市疾病预防控制中心学校卫生部
    3阳江市疾病预防控制中心公共卫生部
    4北京市疾病预防控制中心学校卫生所
    5中国疾病预防控制中心学校卫生筹备办公室

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2种不同金属材料的力学参数
科
Family
属数
Number of
genus
种数
Number of
species
占总种数比例
Percentage of
total species (%)
属
Genus
种数
Number of
species
占总种数比例
Percentage of total
species (%)
鹅膏菌科Amanitaceae 2 11 5.26 鹅膏菌属 Amanita 10 4.78
小菇科 Mycenaceae 2 12 5.74 丝盖伞属 Inocybe 5 2.39
多孔菌科 Polyporaceae 8 14 6.70 蜡蘑属 Laccaria 5 2.39
红菇科 Russulaceae 3 23 11.00 小皮伞属 Marasmius 6 2.87
小菇属 Mycena 11 5.26
光柄菇属 Pluteus 5 2.39
红菇属 Russula 17 8.13
栓菌属 Trametes 5 2.39
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