探讨中国小学生不同数字媒体体验的眼表效应。
采用基于人群的横断面研究。
雨花台区随机抽取14所小学,南京,中国参与者:2694名7至8岁的学生。
不同类型干眼症的患病率和危险因素,以及不同的数字媒体体验与不同的眼部体征。
“症状性DED”的患病率为8.7%(95%CI7.6%至9.8%),“明确DED”的患病率为5.5%(95%CI4.7%至6.4%)。在多变量逻辑回归模型中,过敏性结膜炎(OR=4.33,95%CI(3.01至6.23),p<0.001),每天户外活动超过1小时(OR=0.69,95%CI(0.49至0.99),p=0.043),智能手机(OR=2.73,95%CI(1.51至4.91),p=0.001),片剂(OR=2.09,95%CI(1.07至4.07),p=0.030)和作业(OR=1.86,95%CI(1.22至2.83),p=0.004)与“明确的DED”独立相关,而过敏性结膜炎(OR=5.58,95%CI(4.12至7.55),p<0.001),每天户外活动超过1小时(OR=0.72,95%CI(0.53至0.97),p=0.028),智能手机(OR=2.60,95%CI(1.55至4.35),p<0.001),片剂(OR=1.84,95%CI(1.02至3.34),p=0.044)和作业(OR=2.57,95%CI(1.84至3.60),p<0.001)与“症状性DED”独立相关。
在一年中每天平均使用智能手机或平板电脑超过1小时与儿科DED独立相关。
To investigate the ocular surface effects of different digital media experiences in Chinese elementary school students.
Population-based cross-sectional study was used.
14 randomly selected primary schools in Yuhuatai District, Nanjing,
China PARTICIPANTS: 2,694 students between 7 and 8-year-old.
Prevalence of and risk factors for different types of dry eye disease,and different digital media experience with different ocular signs.
The prevalence of \'symptomatic DED\' was 8.7% (95% CI 7.6% to 9.8%) and \'definite DED\' prevalence rate was 5.5% (95% CI 4.7% to 6.4%). In multivariable logistic regression model, allergic conjunctivitis (OR=4.33, 95% CI (3.01 to 6.23), p<0.001), more than 1 hour per day on outdoor activity (OR=0.69, 95% CI (0.49 to 0.99), p=0.043), smartphone (OR=2.73, 95% CI (1.51 to 4.91), p=0.001), tablet (OR=2.09, 95% CI (1.07 to 4.07), p=0.030) and homework (OR=1.86, 95% CI (1.22 to 2.83), p=0.004) were independently associated with \'definite DED\', while allergic conjunctivitis (OR=5.58, 95% CI (4.12 to 7.55), p<0.001), more than 1 hour per day on outdoor activity (OR=0.72, 95% CI (0.53 to 0.97), p=0.028), smartphone (OR=2.60, 95% CI (1.55 to 4.35), p<0.001), tablet (OR=1.84, 95% CI (1.02 to 3.34), p=0.044) and homework (OR=2.57, 95% CI (1.84 to 3.60), p<0.001) were independently associated with \'symptomatic DED\'.
Using smartphones or tablets for an average of more than 1 hour per day through the course of a year is independently associated with paediatric DED.