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国民视觉健康高峰论坛李绍伟建言:青少年视力保护应筑好三道墙

9月16日下午,由人民网主办的第三届国民视觉健康高峰论坛在人民日报社新媒体大厦一号演播厅举办。本次论坛以“数说眼健康,守护新视界”为主题,以我国全龄段人群眼健康关键性数据作为切入,教育部原副部长张天保、中国关心下一代工作委员会教育中心主任鲁天龙、国家卫生健康委员会疾控局宋士勋等多位来自政府主管部门、眼科医疗行业、教育界的有关领导、专家学者出席并参与研讨,深度聚焦我国眼健康事业核心问题。

随着我国人口老龄化的加剧,经济社会快速发展,人民生活方式转变,与年龄相关性眼病、代谢相关性眼病、高度近视引发的眼底病变等正日益凸显,已经成为中国当前主要的致盲性眼病。

根据世卫组织2017年的一份研究报告,我国儿童青少年近视率高居世界第一,远远超过欧美发达国家。根据近期发布的2021年监测数据来看,截至2020年,我国儿童青少年总体的近视率是52.7%,从不同年龄段来看,幼儿园6岁孩子的近视率达到14.3%,小学达到35.6%,初中生达到了71.1%,高中生达到了80.5%。从不同近视程度来看,近视的孩子当中有10%是高度近视,超过1/3的是中度近视。与此同时,我国眼疾年轻化等眼健康问题呈高发趋势,近视低龄化问题形势严峻。其中,近视发展的最快的阶段是8-14岁。

面对如此严峻形势,与会专家一致认为,近视防控系统工作的核心要务有两方面,一是要做好近视预防,降低儿童青少年近视率;二是要科学控制近视发展,放缓高度近视增长速度。

爱尔眼科医院集团北京特区CEO、北京爱尔英智眼科医院院长李绍伟教授在“系统构筑青少年视觉健康防火墙”圆桌对话中建言,青少年近视防控体系是一个需要政府、学校、家庭、医疗卫生机构、儿童青少年等群体共同参与的庞大体系,在青少年近视防控过程中,不仅要有降低电子产品使用、减少课业负担等“严防严堵”措施,也要有增加户外活动、丰富课余生活的“疏导”措施。

立足专业领域,李绍伟教授表示一定要做好三件事,助力“青少年视觉健康防护系统”筑好三道墙。

首先,要加强传播专业、科学的眼健康知识,在国民意识中筑起防护墙。尽管近视防控已成为举国关注焦点,但仍有家长对近视形成原因、近视的危害、近视防控措施的认知存在误区,甚至轻信谣言。医疗卫生机构应该与社会媒体一起承担科普重任,多层次、多形式、多渠道深入开展科学用眼护眼健康宣传教育,将近视防控知识融入课堂教学和中小学生日常行为规范。

其次,要加强近视检测和个性化防控,在近视发展过程中筑起防火墙。目前爱尔眼科已搭建起预防、检查、控制“三位一体”的近视防控体系。包括以对青少年的用眼行为进行监测及干预为主的预防手段,以远视储备检查和双眼视功能检查为主的检查技术,以采取视网膜离焦矫正和改善视功能异常为主的控制技术三个方面。而以“云夹”作为关键实验设备,能够实时动态地从阅读距离、阅读时长、阅读角度、阅读光照和户外运动时长5个维度监测孩子用眼情况,并提醒孩子或其家长调整不良用眼,预防或延缓近视。

第三,要加强互联网应用和大数据分析,在临床和科研工作中筑起技术保障墙。李绍伟教授说,目前我国用于近视防控分析的数据和方法中,很多是来自国外的经验分享,但由于种族体质、生活习惯等差异,国外的数据参考意义受限,国内急需大数据、多中心的深入数据采集和研究。爱尔眼科在国内拥有560余家专业眼科医疗机构,遍布全国,在青少年视力发展样本数据采集和防控效果分析上要做出更大的贡献,为近视防控落实执行细则提供参考。

近视防控工作仍任重而道远,需要全社会参与、综合管治,爱尔眼科将与社会各界一起守护孩子们的光明未来。

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