中国眼耳鼻喉科杂志2023年5月第23卷第3期191·专题述评学龄期儿童青少年电子屏幕用眼健康管理专家指导意见周行涛24王晓瑛12,34翟小妹2，a4许烨2陈志124周佳奇12赵婧2沈阳123黄洋轶24张哲1244刘芳24王季芳2,34肖向春5(1.复旦大学附属眼耳鼻喉科医院眼科上海200031；2.国家卫健委近视眼重点实验室上海200031；3.上海市眼视光学研究中心上海200031；4.上海激光与裸眼3D视觉健康工程技术研究中心上海200031；5.京东方艺云视觉健康智能研究院长沙410221)【摘要】我国未成年人使用各类电子产品、数字化设备呈普遍化、低龄化发展趋势。长时间使用智能手机、笔记本电脑、平板电脑等进行在线学习、网络社交、网上娱乐，会显著增加学龄期儿童青少年近距离用眼负荷，挤占正常的社会交往、体育活动与户外自然光暴露时间。家长及监护人对儿童青少年使用电子屏幕的管理缺位，儿童青少年易养成不健康的屏幕用眼习惯与行为，对学龄期儿童青少年的生理、心理以及屈光发育可能带来不良影响。为促进学龄期儿童青少年养成屏幕用眼的良好习惯，使他们健康科学地使用各类电子显示屏幕，减缓儿童青少年近视的发病与进展，基于循证医学证据、行业标准规范及临床经验制订《学龄期儿童青少年电子屏幕用眼健康管理专家指导意见》至关重要。【关键词】近视：视疲劳：电子屏幕：学龄期：眼健康管理【中图分类号】R778.1【文献标志码】AD0:10.14166M.isn.1671-2420.2023.03.001Expert guidance on eye health management in electronic screen time for school-age children and adolescentsZHOU Xngtao34 WANG Xiaoying24,QU Xiaome XU Ye CHEN Zhi ZHOU Jiagi4 ZHAOJing234 SHEN Yang'3 HUANG Yangyi ZHANG Zhe LIU Fang4 WANG Jifang XIAOXiangchun'.1.Department of Ophthalmology,Eye ENT Hospital,Fudan University:Shanghai 200031,China;2.NHC Key Laboratory of Myopia.Shanghai 200031.China:3.Shanghai Research Center of Ophthalmology andOptometry.Shanghai 200031,China:4.Shanghai Engineering Research Center of Laser and Autostereoscopic 3Dfor Vision Care,Shanghai 200031,China:5.BOE Yiyun Visual Health Intelligence Research Institute,Changsha410221,ChinaCorresponding authors:ZHOU Xingtao,Email:doctzhouxingtao@163.com;WANG Xiaoying,Email:doctxiaoyingwang@163.com[Abstract The use of various electronic products and digital equipment is becoming lower in ageamong Chinese children and adolescents.Prolonged use of smartphones,laptops,tablet computers,etc.foronline learning,social networking,and entertainment significantly increases the duration of close-up work andoccupies the time for normal social interactions,outdoor activities,and natural light exposure.Lacking parents'or guardians'supervision,children and adolescents can easily develop unhealthy habits and behaviors in screentime,which may negatively affect their physical,psychological,and refractive developments.In order to helpschool-age children and adolescents form healthy habits and behaviors in screen time,it is urgent and essentialto develop a white paper on eye health management in screen time for school-age children and adolescents.Thismanuscript puts forward expert opinions on the key points of the white paper[Key words]Myopia;Asthenopia;Electronic screen;School-age;Eye health management学龄期儿童青少年正处于眼球与屈光发育敏感一全球重要公共卫生问题的危险因素之一川。近年来期，环境与用眼行为是影响其视力与屈光发育的重全球电子产业迅猛发展，推动人类社会快速步入信要因素。不良的近距离用眼习惯已被证实是近视这息数字化时代，各类智能电子产品、数字化穿戴设通信作者：周行涛(Email:doctzhouxingtao@163.com),王晓瑛(Emal:doctxiaoyingwang@163.com)
