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題 名 | Neglect of Childhood Strabismus: Keelung Ann-Lo Community Ocular Survey 1993-1995=被大眾忽略的小兒斜視:1993至95年基隆安樂區眼位及視力調查 |
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作 者 | 史麗珠; 宋湖仙; 古婉珍; 李建興; 梁有松; 謝文斌; | 書刊名 | 長庚醫學 |
卷 期 | 19:3 1996.09[民85.09] |
頁 次 | 頁217-224 |
分類號 | 417.6761 |
關鍵詞 | 小兒斜視; 忽略; 盛行率; 近視; 弱視; Childhood strabismus; Neglect; Prevalence; Myopia; Amblyopia; |
語 文 | 英文(English) |
中文摘要 | 罹患斜視如沒有及早發現及矯正,很可能演變為弱視。本研究的目的,就是對基隆安樂區小學學童作斜視及視力篩檢,並以近視為參考的眼睛疾病,(1)估計兩種眼疾的盛行率,(2)比較自知罹患兩種眼疾,(3)比較家長對兩種眼疾的認知,探討斜視在國內有沒有受到大眾注重的問題。 自1993年至1995年,共篩檢一、三、六、3個年級,得有效樣本862人。顯性斜視之盛行率為1.62% (95%信賴區間在1.19%至2.05%間),不隨著年級之增加而增加。3位(21.4%)顯性斜視的學童知道自己罹患斜視,此自知罹患斜視比例沒有隨年級而改變,顯示大部份患童在小學六年都沒有被發現。又顯性斜視的學童中,弱視的比例為42.9%,當扣除有屈光非常異常者,則弱視的比例下降為21.5%,顯示斜視對視力的不良影響。家長在斜視及近視的認知結果顯示,家長對斜視的認識均顯著低於近視。在六個命題中,斜視部份平均答對2.13題,近視則為4.32題(p<0.0001)。又以斜視的發病年齡答對率最低,顯示家長並沒有警覺斜視在早期發現及治療的重要性。 1995年後政府開辦全民健保,對六歲以下孩童提供健康檢查給付,其中包括眼位的檢查。本研究之研究對象為小學學童,沒有受惠於全民健保對六歲以下孩童健康檢查,因此本研究的結果正反映全民健保以前小兒斜視類似在大眾沒有受到相當的重視,提供有關當局在斜視及早發現及早治療的工作方向。類似本研究的調查如果能在數年後繼續進行,預期將能評估全民健保在及早發現和及早治療小兒斜視的成效。 |
英文摘要 | Strabismus is a major cause of amblyopia. Parents not aware of the adverse out-come of untreated strabismus is thought to be a major reason of their affected child not being discovered earlier. An ocular survey was therefore conducted to examine the relative neglect of strabismus by the public, using myopia as a reference eye disorder. Specific objectives included estimating the prevalence of these ocular diseases, comparing the self-reported rate to the test-based rate, and investigating how much parents knew about these ocular diseases. Between 1993 and 1995, 862 elementary students in the first, third, and sixth grade at Keelung Ann-Lo Community were screened. The prevalence of manifest strabismus was 1.62% (95% CI=1.19%~2.05%). Of those with strabismus, three (21.4%) knew that they had strabismus. Neither the prevalence nor the self-known proportion of strabismus changed substantially with school grade, suggesting that the majority of strabismus afflicted children remain unrecognized during their elementary school years. The amblyopia proportion in those with tropia was 42.9% and reduced to 21.5% after abnormal refractive error was excluded. Of six knowledge statements about each ocular disorder, parents answered 2.13 (SD=1.40) strabismus statements correctly, which was significantly less than their reponse on myopia statements (4.32 with SD=1.24)(p<.0001). Onset age of strabismus was the question answered least correctly, implying that parents are not aware of the timing of treating strabismus. Our findings suggest that childhood strabismus was neglected by the public before the implementation of National Health Insurance (NHI). Should a similar study continued to be conducted in the future, the efficacy of NHI in the early recognition and treatment on childhood strabismus can be evaluated. |
本系統中英文摘要資訊取自各篇刊載內容。