重视近视眼流行病学调查中睫状肌麻痹剂的使用

摘要

我国近视眼的患病率居高不下,近视眼相关的流行病学调查受到临床关注.流行病学调查可获知近视眼的发病和患病情况、流行病学特征及相关危险因素等.目前,我国近视眼流行病学调查中睫状肌麻痹剂的使用标准不统一,年龄界限不明确,部分调查甚至不使用睫状肌麻痹剂.缺乏或不充分睫状肌麻痹下验光,会高估近视眼和低估远视眼的患病率,同时导致相关危险因素评估不准确.本文通过回顾近视眼流行病学调查中常用睫状肌麻痹剂的种类、对不同年龄人群的效果,提出在我国近视眼流行病学调查中睫状肌麻痹剂的使用标准,以期获得准确的发病和患病情况,促进研究数据互联互通,增加可比性,提高相关危险因素评估的准确性,为近视眼的防控提供科学、可靠的依据.%The prevalence of myopia in China is extraordinarily high,and much attention has been paid to the epidemiological studies related to myopia.Epidemiological investigations can be used to understand the incidence and prevalence of myopia,its epidemiological characteristics and the related risk factors.At present,there are many articlespublished in China on epidemiological surveys of myopia.However,the criteria for cycloplegic regimes are not uniform,the age limit is not definite,and cycloplegics are even not used in some researches.Lack of or insufficient cycloplegia is associated with overestimation of the prevalence of myopia and underestimation of hyperopia and leads to inaccurate assessment of risk factors.In this article,we propose standardized methods for cycloplegia in the epidemiological investigations of myopia in China by reviewing different types of cycloplegic regimes commonly used and the effects on different age groups.This will help to obtain the accurate incidence and prevalence of myopia,promote the interconnection and increase comparabilityof research data,improve the accuracy of assessing related risk factors and provide scientific evidence for the prevention and control of myopia.