我国眼科医生对于近视与间歇性外斜视交互影响认知度的调查分析OACSTPCD
Survey of awareness on the relationship between myopia and intermittent exotropia among ophthalmologists in China
目的 调查我国眼科医生对于近视与IXT交互影响的认知度.方法 参加第二十七次全国眼科大会期间,对参会的眼科医师随机发放问卷调查基本情况、对于近视与IXT交互作用的认知情况.分析受访者各指标间的差异.结果 发放问卷210份,收到有效问卷184份.其中男性51人,女性133人.工作年限为8个月至40年,平均为10.44±7.20年.114名受访者(61.96%)可明确区分IXT及外隐斜.工作年限越长,职称越高、专业涉及斜视与小儿眼科或眼视光的眼科医生,认知度较高,差异具有统计学意义(x2=14.962,P=0.005;x2=19.595,P=0.000;x2=15.789,P=0.000).在判定IXT与近视的关系时,涉及斜视与小儿眼科或眼视光专业的眼科医生准确率更高,差异具有统计学意义(x2=12.263,P=0.000).对IXT患者行近视防控时,半数以上眼科医生选择低浓度阿托品(59.24%).但对此类患者后续随访诊疗处理,高达58.15%的眼科医生不做视功能检查.27.72%的受访者在为近视患者选择防控手段时,不检查眼位.在普及IXT和近视的关系时,指南和专家共识仍然是首选(90.76%).结论 眼科医生对于近视与IXT交互作用认知度不足,需进一步加强对于工作年限短、初中级职称、非斜视与小儿眼科或眼视光专业的眼科医生的培训.亟待权威指南和专家共识对于近视及IXT的关系加以普及.
Objective This study aims to examine and analyze the cognitive understanding of Chinese ophthalmolo-gists regarding the interplay between myopia and intermittent exotropia(IXT).Methods Two hundreds and ten ophthal-mologists were enrolled in the 27th Congress of Chinese Ophthalmological Society(CCOS).Self-designed questionnaires were used.The questionnaire comprises fundamental details and the cognitive understanding of the correlation between myo-pia and IXT.This section aims to examine the variations among ophthalmologists.Results A total of 210 questionnaires were disseminated,out of which 184 questionnaires were deemed valid upon receipt.There are 51 males and 133 females.Work-ing years ranged from 8 months to 40 years,with an average of 10.44±7.20 years.114 interviewees(61.96%)can dis-tinguish IXT from exotropia,while 70 interviewees(38.04%)could not distinguish or could not clearly distinguish.The longer the working years,the higher the professional title,ophthalmologists specializing in strabismus and pediatric oph-thalmology or optometry,the higher the recognition,the difference was statistically significant(x2=14.962,P=0.005;x2=19.595,P=0.000;x2=15.789,P=0.000).When judging the relationship between IXT and myopia,the accuracy of ophthalmologists involved in strabismus and pediatric ophthalmology or optometry is higher,and the difference is statistically significant(x2=12.263,P=0.000).More than half of ophthalmologists choose low concentration atropine(59.24%)in preventing and treating myopia in patients with IXT.However,during the follow-up of these patients,as many as 58.15%of ophthalmologists did not have any visual function examination at all.27.72%doctors never check the eye position when choosing preventive measures for myopia patients.When popularizing the relationship between IXT and myopia,authoritative guide and expert consensus are still the first choice for ophthalmologists(90.76%).Conclusions At present,ophthalmologists do not know enough about the relationship between myopia and IXT,so it is necessary to further strengthen the training of ophthalmologists with short working years and low professional titles,whose majors do not involve strabismus and pediatric ophthalmology or optometry.Guidance and expert consensus are needed to popularize the relationship between myopia and and IXT.
刘佩佩;付晶;李蕾;张琼月
100730 首都医科大学附属北京同仁医院 北京同仁眼科中心 北京市眼科学与视觉科学重点实验室100730 首都医科大学附属北京同仁医院 北京同仁眼科中心 北京市眼科学与视觉科学重点实验室100730 首都医科大学附属北京同仁医院 北京同仁眼科中心 北京市眼科学与视觉科学重点实验室100730 首都医科大学附属北京同仁医院 北京同仁眼科中心 北京市眼科学与视觉科学重点实验室
近视间歇性外斜视交互作用问卷调查
MyopiaIntermittent exotropiaInteractionQuestionnaire
《中国斜视与小儿眼科杂志》 2024 (3)
35-38,后插11-后插14,8
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