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吕帆. 教育环境是学生近视发生发展的最强因素[J]. 四川大学学报(医学版), 2021, 52(6): 895-900. DOI: 10.12182/20211160301
引用本文: 吕帆. 教育环境是学生近视发生发展的最强因素[J]. 四川大学学报(医学版), 2021, 52(6): 895-900. DOI: 10.12182/20211160301
LYU Fan. Educational Environment: The Most Powerful Factor for the Onset and Development of Myopia among Students[J]. Journal of Sichuan University (Medical Sciences), 2021, 52(6): 895-900. DOI: 10.12182/20211160301
Citation: LYU Fan. Educational Environment: The Most Powerful Factor for the Onset and Development of Myopia among Students[J]. Journal of Sichuan University (Medical Sciences), 2021, 52(6): 895-900. DOI: 10.12182/20211160301

教育环境是学生近视发生发展的最强因素

Educational Environment: The Most Powerful Factor for the Onset and Development of Myopia among Students

  • 摘要: 综合近视流行病学、基础实验和临床研究文献,有关近视问题呈现出几大特征:中小学生是高发人群并日趋严重;病因学探索中环境作用非常强势;临床矫正方法成熟但减缓近视进展存在诸多不确定性。学生近视已经成为国家近视防控的重中之重,如何从教育环境着手,探索学生近视发生和发展的具体防控措施,需要明确社会高度发展而致的教育需求增加,及其科技进步所营造的教育环境快速变化,对学生近视发生发展的多重影响效应。本文将从中小学生人群在发育和成长阶段、眼睛和视觉的特征入手,以及各个阶段所承受的学业负担,回溯近九十年来的历史文献和新冠肺炎疫情前后的队列研究数据,明确教育环境是学生近视发生发展的第一因素,充分认定近视防控中“教医协同”的科学性,以及如何在学生近视防控发挥具体的作用。

     

    Abstract: Based on the literature on myopia epidemiology, experiments of basic science, and clinical research, we have identified a number of major characteristics of the myopia problem. It was concluded that the student population of grades 1-12 showed high incidence of myopia and the problem was becoming increasingly more serious. Etiological investigations revealed the aggressive role played by environmental factors. Mature clinical correction methods were available, but there were still a multitude of uncertainties hampering the effort to slow the progression of myopia. Student myopia has become an issue of top concern in China's effort to prevent and control myopia. In order to approach the issue by dealing with problems in the educational environment and to explore for specific measures to prevent and control the onset and development of student myopia, it is important that we gain better understanding of the multiple effects on the onset and development of student myopia caused by the growing demand for education induced by high social development and the rapid changes in the educational environment caused by technological advancement. Approaching the problem from the perspective of the features of the eye and vision in the developmental stages of students of grades 1-12, and the study workload at each stage, this paper retrospectively reviewed the historical literature from the last 90 years and the data from cohort studies done before and after the outbreak of COVID-19. Identifying the education environment as the primary factor causing the onset and progression of student myopia, the paper fully recognizes the scientific rationality of and the specific role served byeducation-medicine synergy in student myopia prevention and control.

     

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