儿童眼保健专科建设专家共识

Expert consensus on thespecialties construction of pediatric eye care

摘要

儿童青少年近视问题严重,且呈“低龄化”趋势,屈光不正、弱视、斜视及先天性眼病等损害儿童视觉功能,对儿童的学习能力、认知发育、心理健康及远期生活质量造成深远的负面影响。因此,加强儿童眼保健服务,实现眼病及视力问题的早筛查、早诊断与早干预,对保护和促进儿童视觉健康至关重要。为贯彻落实《中国儿童发展纲要(2021—2030年)》及《儿童青少年“五健”促进行动计划(2026—2030年)》的相关目标与要求,中华预防医学会儿童保健分会成立专家组,参考国际指南并结合我国儿童保健服务现状,制定本专家共识。本共识旨在为各级医疗卫生机构系统开展儿童眼保健服务、加强儿童眼保健专科能力建设提供规范指引与实践依据,为群体儿童眼及视力相关疾病的预防与管理提供指导。

Abstract

Myopia in children and adolescents has become a serious public health concern, with a noticeable trend toward earlier onset. Visual impairments caused by refractive errors, amblyopia, strabismus, and congenital eye diseases have a profound negative impacts on children's learning abilities, cognitive development, psychological well-being, and long-term quality of life. Therefore, strengthening child eye care services to ensure early screening, diagnosis, and intervention for vision problems is essential to safeguard and promote visual health in children.To implement the relevant goals and requirements outlined in the National Program for Child Development(2021—2030) and the Five Health Promotion Action Plan for Children and Adolescents (2026—2030), the Child Health Care Branch of the Chinese Preventive Medicine Association convened an expert panel. This panel developed the present expert consensus by referencing international guidelines and integrating them with the current state of child healthcare services in China. This consensus was formulated by drawing upon international guidelines and contextualizing them within the current landscape of pediatric healthcare services in China. This consensus aims to provide standardized guidance and a practical basis for healthcare institutions at all levels to systematically deliver child eye care services and enhance the capacity building of child eye care specialties, thereby offering direction for the prevention and management of vision-related diseases in the child population.

关键词

儿童眼保健 / 视力问题 / 卫生保健 / 专科建设 / 医疗服务 / 专家共识

Key words

pediatric eye care / vision impairment / health care / specialty construction / medical services / expert consensus

[1] World Health Organization. World report on vision[R/OL]. Geneva: World Health Organization, 2019.https://www.who.int/publications/i/item/world-report-on-vision.
[2] Bourne RRA, Flaxman SR, Braithwaite T, et al. Magnitude, temporal trends, and projections of the global prevalence of blindness and distance and near vision impairment: A systematic review and meta-analysis[J]. Lancet Glob Health, 2017,5(9): e888-e897.
[3] 赵家良. “视觉2020”行动与我国防盲治盲工作[J]. 中华眼科杂志, 2002, 38(10): 577-579.
[4] Initiative WHO SPECS 2030: Expanding services for vision loss in the Western Pacific Region[EB/OL].(2025-10-21)[2026-04-12]. https://www.who.int/australia/news/feature-stories/detail/initiative-who-specs-2030.
[5] Arnold RW, Donahue SP, Silbert DI, et al. AAPOS uniform guidelines for instrument-based pediatric vision screen validation 2021[J]. J Am Assoc Pediatr Ophthalmol Strabismus, 2022, 26(1): 1.e1-1.e6.
[6] 国家卫生健康委. 教育部、国家卫生健康委等八部门联合印发《综合防控儿童青少年近视实施方案》的通知(教体艺〔2018〕3号)[EB/OL]. (2018-08-30)[2026-04-12].https://www.nhc.gov.cn/jkj/c100063/201808/0449e83bf5d040a7b257387db8cf24a7.shtml
[7] 国家卫生健康委办公厅. 关于印发0～6岁儿童眼保健核心知识问答的通知(国卫办妇幼函[2021]296号)[EB/OL]. (2021-05-28)[2026-04-12].https://www.nhc.gov.cn/fys/c100077/202105/66d32210d570456ab69e9a1810310c40.shtml
[8] 徐岚, 薛丽丽. 上海市闵行区12 972名学龄前儿童视力现状及影响因素分析[J]. 中国初级卫生保健, 2021, 35(4): 74-76.
Xu L, Xue LL. Analysis of the status and influencing factors of poor eyesight in 12 972 preschool children of Minhang district, Shanghai[J]. Chinese Primary Health Care, 2021, 35(4): 74-76. (in Chinese)
[9] 全国儿童医院(妇幼保健院)眼科专家协作组.我国儿童眼科的现状与发展策略专家共识[J]. 中国斜视与小儿眼科杂志,2019,27(1):1-4,14.
[10] 健康报. “十四五”时期我国眼健康工作成效显著[EB/OL]. (2026-06-08)[2026-06-19]. https://jiankang.cctv.cn/2026/06/08/ARTIMmu8H2QreQyrv5QwsayO260608.shtml.
[11] 国家卫生健康委. 儿童青少年总体近视率为53.6%我国将更有针对性地开展近视干预[EB/OL].(2019-04-30)[2026-04-12].https://www.nhc.gov.cn/xcs/c100122/201905/c09761d150bc4d84b7230a074de9cc11.shtml
[12] Anley DT, Anteneh RM, Tegegne YS, et al. Prevalence of visual impairment and associated factors among children in Ethiopia: Systematic review and meta-analysis[J]. PLoS One, 2022,17(7): e0271433.
[13] 崔明明, 张浩, 陈巍, 等. 0～6岁儿童眼保健和视力检查服务现状及对策研究[J]. 中国妇幼卫生杂志, 2024,15(1):21-26.
Cui MM, Zhang H, Chen W, et al. Research on the current situation and countermeasures of eye health care and vision examination services for children aged 0 - 6 years[J]. Chinese Journal of Women and Children Health, 2024, 15(1): 21-26. (in Chinese)
[14] 中华人民共和国中央人民政府.国务院关于印发中国妇女发展纲要和中 国 儿 童 发 展 纲 要 的 通 知[EB/OL]. (2021-09-08)[2026-04-12]. https://www.gov.cn/gongbao/content/2021/content_5643262.htm.
[15] 国家卫生健康委.关于印发儿童青少年“五健”促进行动计划(2026—2030年)的通知(国卫妇幼发[2025]21号) [EB/OL]. (2025-12-25)[2026-04-12]. https://www.nhc.gov.cn/fys/c100078/202512/9c3da4badfb34026b5fabbf5853105ee.shtml.
[16] 国家卫生健康委办公厅. 关于印发0～6岁儿童眼保健及视力检查服务规范(试行)的通知(国卫办妇幼发〔2021〕11号)[EB/OL]. (2021-06-17)[2026-04-12]. https://www.nhc.gov.cn/fys/c100078/202106/eab0d16758a545bb88c2dc84734ae6ee.shtml
[17] 中国医药教育协会儿童眼科专委会,国家儿童医学中心专科联盟. 婴幼儿视力检测方法专家共识(2026)[J]. 中华眼视光学与视觉科学杂志, 2026, 28(2):81-87.
Pediatric Ophthalmology Committee of Chinese Medical Education Association,National Children's Medical Center Specialty Alliance.Experts consensus on infant visual acuity screening methods (2026)[J]. Chin J Optom Ophthalmol Vis Sci, 2026, 28(2):81-87. (in Chinese)
[18] 国家卫生健康委办公厅. 关于印发近视防治指南(2024年版)的通知(国卫办医政函〔2024〕168号)[EB/OL]. (2024-05-17)[2026-04-12].https://www.nhc.gov.cn/yzygj/c100068/202405/8536cb2bb0f5480ab345be7ebf7502ea.shtml
[19] 中华人民共和国教育部. 教育部办公厅、国家卫生健康委办公厅、国家疾控局综合司《关于切实抓牢幼儿园和小学近视防控关键阶段防控工作的通知》(教体艺厅函〔2024〕34号)[EB/OL]. (2024-10-21)[2026-04-12]. http://www.moe.gov.cn/srcsite/A17/moe_943/s3285/202411/t20241111_1162337.html
[20] 国家卫生计生委办公厅. 关于印发各级妇幼健康服务机构业务部门设置指南的通知(国卫办妇幼发〔2015〕59号)[EB/OL]. (2024-10-21) [2026-04-12]. https://www.nhc.gov.cn/fys/c100078/201512/d2f26dc99d6b466e9394e73c721eb0d6.shtml
[21] 国家卫生计生委.关于妇幼健康服务机构标准化建设与规范化管理的指导意见(国卫妇幼发〔2015〕54号) [EB/OL]. (2015-12-04) [2026-04-12]. https://www.nhc.gov.cn/fys/c100078/201512/dd9f9bd5af084dbc9abf5bb9cadbab7d.shtml
[22] 国家卫生健康委. 关于印发医疗消毒供应中心等三类医疗机构基本标准和管理规范(试行)的通知(国卫医发〔2018〕11号)[EB/OL]. (2018-05-17)[2026-04-12].https://www.nhc.gov.cn/yzygj/c100068/201806/9fa6d8a2e01343b694eed7b354e9a5c2.shtml
[23] 国家卫生健康委. 国家卫生计生委关于印发《国家基本公共卫生服务规范(第三版)》的通知(国卫基层发〔2017〕13号)[EB/OL]. (2017-02-28)[2026-04-12].https://www.nhc.gov.cn/jws/s3578/201703/d20c37e23e1f4c7db7b8e25f34473e1b.shtml
[24] Quach A, Tosif S, Nababan H, et al. Assessing the quality of care for children attending health facilities: A systematic review of assessment tools[J]. BMJ Glob Health, 2021, 6(10): e006804.
[25] 国家疾病预防控制局. 儿童青少年裸眼视力和屈光状态评价规范: WS/T 10039—2025[S/OL](2025-10-31)[2026-04-12]. https://www.ndcpa.gov.cn/jbkzzx/c100202/common/content/content_2021049548577083392.html
[26] 国家卫生健康委. 《儿童青少年近视防控适宜技术指南(更新版)》及解读[EB/OL].(2021-10-11)[2026-04-12].https://www.nhc.gov.cn/jkj/c100062/202110/a05ccaf5773a436486d2d79b59c0a5e9.shtml

基金资助

国家卫生健康委“基层医疗卫生机构重点专病科室建设标准研究”;北京市卫生健康委“高层次公共卫生人才技术人才建设项目(学科带头人02-19)”;北京高层次创新创业人才支持计划青年拔尖人才(G202523145)