新版明目功运动处方对大学生视疲劳的干预疗效研究OA
Efficacy Assessment of Exercise Prescription Intervention Based on the New Version of Eyesight Improving Qigong for Visual Fatigue in College Students
背景 随着各类移动视频信息的空前丰富,各类视频久视人群的视疲劳较为常见,其中学习负担较重的青少年与大学生人群更为高发.有研究显示我国大学生视疲劳的患病率为 53.3%,且逐年提升,需要探索主动健康的方法促进视疲劳人群的康复与"治未病".目的 探索新版明目功运动处方对视频久视大学生视疲劳症状的康复作用,为大学生视疲劳症状康复提供中医传统运动疗法的实证参考.方法 2021 年 9 月—2024 年 1 月,收集 3 所高校的视疲劳大学生共计 101 人(其中南京中医药大学眼视光学专业 30 人、北京体育大学运动医学专业 18 人、南京体育学院康复治疗学等专业 53 人),随机分成试验组(新版明目功运动处方)和对照组(室外步行),30 d后评估 2 组的左右眼屈光度、左右眼裸眼视力、注意力水平、集合不足症状调查(CISS)量表总分、平均心率、睡眠总时长、快动眼睡眠时长、浅睡眠时长、深度睡眠时长.结果 试验组治疗后左右眼裸眼视力水平与治疗前比较,差异均有统计学意义(P<0.05),试验组治疗后右眼屈光度与治疗前比较,差异有统计学意义(P<0.05).治疗后,试验组的注意力读数用时(6×6,7×7方格)均低于对照组(P<0.05);试验组治疗后7×7方格注意力读数用时低于治疗前(P<0.05).治疗后,试验组的CISS量表总分低于对照组(P<0.05);试验组治疗后CISS量表总分低于治疗前(P<0.05).治疗后,试验组的睡眠总时长、深度睡眠时长高于对照组(P<0.05);试验组治疗后睡眠总时长、深度睡眠时长高于治疗前(P<0.05).治疗后,试验组 5 项视觉障碍症状评分均低于对照组(P<0.05).治疗后,试验组 3 项眼周不适症状评分均低于对照组(P<0.05).治疗后,试验组 2 项身心不适症状评分均低于对照组(P<0.05).结论 新版明目功运动处方可以减轻锻炼者的视觉障碍、眼周不适及身心不适 3 个维度的视疲劳症状群,同时明显优化锻炼者的睡眠结构组成及睡眠时长,并提高了锻炼者的注意力水平,也能初步轻微改善锻炼者的左右眼的裸眼视力水平,促进了其视疲劳症状的康复,安全有效.
Background In the current digital era,the unprecedented abundance of mobile video content has led to a high prevalence of visual fatigue among individuals who engage in prolonged screen exposure.This issue is particularly prominent among adolescents and university students,who often face heavy academic demands.Existing studies have confirmed that the prevalence of visual fatigue among Chinese university students is 53.3%,and this figure continues to rise.Therefore,there is a need to explore proactive health management approaches to promote recovery and implement preventive strategies.Objective This study investigates the rehabilitative effects of a new eyesight improving Qigong exercise prescription on visual fatigue symptoms among university students with prolonged screen exposure.It aims to provide empirical evidence supporting the use of traditional Chinese exercise therapy as an innovative approach for alleviating visual fatigue in this population.Methods From September 2021 to January 2024,a total of 101 university students with visual fatigue were recruited from 3 universities(including 30 students majoring in Optometry from Nanjing University of Chinese Medicine,18 students majoring in Sports Medicine from Beijing Sport University,and 53 students from majors including Rehabilitation Therapy from Nanjing Sport Institute).Participants were randomly divided into an experimental group(new edition eyesight improving Qigong exercise prescription)and a control group(outdoor walking).After 30 days,the following parameters were assessed in both groups:refractive diopters of the left and right eyes,uncorrected visual acuity of the left and right eyes,attention level,total score on the Convergence Insufficiency Symptom Survey(CISS)scale,average heart rate,total sleep duration,rapid eye movement(REM)sleep duration,light sleep duration,and deep sleep duration.Results After treatment,compared with before treatment,the uncorrected visual acuity of both eyes in the experimental group showed statistically significant differences(P<0.05),and the refractive diopter of the right eye in the experimental group showed a statistically significant difference compared with before treatment(P<0.05).After treatment,the time spent on attention reading tests(6×6 and 7×7 grids)in the experimental group was lower than in the control group(P<0.05);the time spent on the 7×7 grid attention reading test in the experimental group after treatment was lower than before treatment(P<0.05).After treatment,the total CISS scale score in the experimental group was lower than in the control group(P<0.05),and the total CISS scale score in the experimental group after treatment was lower than before treatment(P<0.05).After treatment,the total sleep duration and deep sleep duration in the experimental group were higher than in the control group(P<0.05);the total sleep duration and deep sleep duration in the experimental group after treatment were higher than before treatment(P<0.05).After treatment,all five items of visual dysfunction symptom scores in the experimental group were lower than in the control group(P<0.05).After treatment,all three items of periocular discomfort symptom scores in the experimental group were lower than in the control group(P<0.05).After treatment,both items of psychological and physical discomfort symptom scores in the experimental group were lower than in the control group(P<0.05).Conclusion The new version of eyesight improving Qigong exercise prescription effectively alleviates visual fatigue symptoms across three dimensions,visual disturbances,periocular discomfort,and physical and mental discomfort,while significantly improving sleep quality and duration,as well as enhancing attention levels.It also leads to mild improvements in uncorrected visual acuity in both eyes,thereby promoting recovery from visual fatigue in a safe and effective manner.
景涛;季烨林凡;柏玉洁;邱晓荣;李申森;刘嘉炜;祝敬优;王雪倩;孙新园;王侃;曹彦俊
210014 江苏省南京市,南京体育学院运动健康学院康复治疗学系100084 北京市,北京体育大学运动医学与康复学院210004 江苏省南京市,江苏省中医院眼科210004 江苏省南京市,江苏省中医院眼科210014 江苏省南京市,南京体育学院运动健康学院康复治疗学系210014 江苏省南京市,南京体育学院运动健康学院康复治疗学系210023 江苏省南京市,南京中医药大学第一临床医学院眼视光学教研室210023 江苏省南京市,南京中医药大学第一临床医学院眼视光学教研室210014 江苏省南京市,南京体育学院运动健康学院康复治疗学系210014 江苏省南京市,南京体育学院运动健康学院康复治疗学系200082 上海市,上海市中西医结合医院中医科
医药卫生
视疲劳大学生明目功运动处方注意力睡眠生理随机对照
AsthenopiaUndergraduateEyesight improving QigongExercise prescriptionAttention spanSleep physiologyRandomized controlled
《中国全科医学》 2026 (6)
752-759,8
2025年度江苏高校哲学社会科学研究一般项目(2025SJYB0287)国家社会科学基金"十三五"规划2019年度教育学课题(BLA190212)
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