{ "Key": "PediatricMyopiaPrescription", "Name": "儿童青少年近视患者健康教育处方", "Content": [ { "label": "姓名", "defaultValue": null, "span": 12, "key": "PatientName", "type": "input", "border": null, "disabledValue": null, "options": [], "children": null, "append": "", "placeholder": "", "required": null, "show-limit": false, "parentKey": null, "buttonName": null, "childrenKey": null }, { "label": "性别", "defaultValue": null, "span": 24, "key": "PatientGender", "type": "radio", "border": null, "disabledValue": null, "options": [ { "label": "男", "value": "1" }, { "label": "女", "value": "2" } ], "children": null, "append": null, "placeholder": null, "required": null, "show-limit": null, "parentKey": null, "buttonName": null, "childrenKey": null }, { "label": "年龄", "defaultValue": null, "span": 12, "key": "PatientAge", "type": "numberInput", "border": null, "disabledValue": null, "options": [], "children": null, "append": "", "placeholder": "", "required": null, "show-limit": false, "parentKey": null, "buttonName": null, "childrenKey": null }, { "label": "诊断", "defaultValue": null, "span": 12, "key": "DiseaseName", "type": "input", "border": null, "disabledValue": null, "options": [], "children": null, "append": "", "placeholder": "", "required": null, "show-limit": false, "parentKey": null, "buttonName": null, "childrenKey": null }, { "label": " 近视是指人眼在调节放松状态下、平行光线经眼球屈光系统后聚焦在视网膜之前的一种屈光不正现象。近视的主要症状为:看远时视物模糊,可伴有咪眼、揉眼、歪头,看近物清楚。近视度数较高者可有眼前飞蚊,漂浮物等症状。高度近视容易发生视网膜脱离、黄斑出血、青光眼等,可导致视力损害甚至失明。\r\n 近视的发生发展受环境和遗传因素共同影响。主要危险因素包括户外活动时间和睡眠时间少,近距离持续用眼时间过多,读写姿势不正确。儿童过早、过长时间使用电子产品也是近视发生的重要环境因素。对于高度近视,尤其是病理性近视,遗传因素的作用更为明显。因此近视的父母更应该注意让孩子远离容易发生近视的环境。\r\n 近视一旦发生,无法治愈,因此重在预防。科学用眼,增加户外活动时间,定期复查,采取标准规范的防控措施,有助于预防近视发生、减缓近视发展、避免视力损害。", "defaultValue": null, "span": 12, "key": "Hint_Label", "type": "label", "border": null, "disabledValue": null, "options": [], "children": null, "append": "", "placeholder": "", "required": null, "show-limit": false, "parentKey": null, "buttonName": null, "childrenKey": null }, { "label": "健康生活方式", "defaultValue": null, "span": 12, "key": "PatientInspectionItems", "type": "checkbox", "border": null, "disabledValue": null, "options": [ { "label": "确保每天2小时以上的户外活动时间,寄宿制幼儿园不应少于3小时。", "value": "1" }, { "label": "提供良好的家庭室内照明和采光环境。", "value": "2" }, { "label": "谨慎使用电子产品。6岁以下儿童避免使用手机、平板电脑等电子产品,学龄儿童非学习目的使用时,每次不超过15分钟。", "value": "3" }, { "label": "保证正确读写姿势,不要歪头写字,做到“一拳一尺一寸”。", "value": "4" }, { "label": "避免连续长时间的读写等近距离用眼活动,每隔40~45分钟远眺10分钟。", "value": "5" }, { "label": "保持足够距离,阅读距离大于33厘米,握笔时指尖距笔尖大于2厘米,看电视距离大于3米。", "value": "6" }, { "label": "认真规范做眼保健操,正确地按揉穴位,以感觉到酸胀为度。", "value": "7" }, { "label": "食物多样,谷类为主,每天进食的食物应包括谷薯类、蔬菜水果类、畜禽鱼蛋奶类、大豆坚果类等。", "value": "8" }, { "label": "养成早睡早起、不熬夜的好习惯,保证睡眠时间充足(小学生每天睡眠10小时,初中生9小时、高中生8小时)。", "value": "9" }, { "label": "正确配戴框架眼镜,确保镜面清洁无损、瞳距正确、戴姿端正。", "value": "10" }, { "label": "配戴隐形眼镜需在眼科医师指导下进行,注意个人卫生,按照要求清洁镜片。", "value": "11" }, { "label": "高度近视者应避免剧烈的对抗性运动,以及跳水、跳伞、蹦极、潜水等运动。", "value": "12" }, { "label": "不吸烟(吸烟者戒烟)。", "value": "13" }, { "label": "避免接触二手烟。", "value": "14" }, { "label": "不饮酒。", "value": "15" } ], "children": null, "append": "", "placeholder": "", "required": null, "show-limit": false, "parentKey": null, "buttonName": null, "childrenKey": null }, { "label": "治疗与康复", "defaultValue": null, "span": 12, "key": "History", "type": "checkbox", "border": null, "disabledValue": null, "options": [ { "label": "初发近视的处理:刚出现视力下降时,要到正规医疗机构就诊,要采用睫状肌麻痹(散瞳)验光确诊有无近视和近视程度。", "value": "1" }, { "label": "近视的矫正:如果近视度数不超过100度、看远时不受影响,可以暂缓配戴眼镜,定期复查;近视导致远视力明显下降、学习生活受影响时,应当配戴框架眼镜,度数可稍低一些,满足看远视力需求即可,主要在看远时佩戴。", "value": "2" }, { "label": "定期复查。每半年至少检查一次视力、近视度数、眼轴长度和眼底等。如有度数变化,遵医嘱及时调整眼镜。近视进展较快时(每年进展超过50度),应在医生指导下采取进一步的防治措施。高度近视者如果度数仍然增长较快或出现相关并发症时,要及时就诊和治疗。", "value": "3" } ], "children": null, "append": "", "placeholder": "", "required": null, "show-limit": false, "parentKey": null, "buttonName": null, "childrenKey": null }, { "label": "急症处理", "defaultValue": null, "span": 12, "key": "Conclusion", "type": "checkbox", "border": null, "disabledValue": "", "options": [ { "label": "如果突然出现视力急剧下降、视物遮挡、变形或有频繁的闪光感,应当避免剧烈活动,及时就医。", "value": "1" }, { "label": "佩戴角膜接触镜(隐形眼镜)者如出现眼红、流泪、分泌物增多现象,应停止佩戴,并到医院就诊。", "value": "2" } ], "children": null, "append": "", "placeholder": "", "required": null, "show-limit": false, "parentKey": null, "buttonName": null, "childrenKey": null }, { "label": "其他指导建议", "defaultValue": null, "span": 12, "key": "ReportDescription", "type": "textareaInput", "border": null, "disabledValue": null, "options": [], "children": null, "append": "", "placeholder": "", "required": null, "show-limit": false, "parentKey": null, "buttonName": null, "childrenKey": null }, { "label": "医生/指导人员签名:", "defaultValue": null, "span": 12, "key": "DigitalSignature", "type": "signature", "border": null, "disabledValue": null, "options": [], "children": null, "append": "", "placeholder": "", "required": null, "show-limit": false, "parentKey": null, "buttonName": null, "childrenKey": null }, { "label": "咨询电话:", "defaultValue": null, "span": 12, "key": "PatientPhoneNumber", "type": "numberInput", "border": null, "disabledValue": null, "options": [], "children": null, "append": "", "placeholder": "", "required": null, "show-limit": false, "parentKey": null, "buttonName": null, "childrenKey": null }, { "label": "日期", "defaultValue": null, "span": 12, "key": "ReportTime", "type": "dateTime", "border": null, "disabledValue": null, "options": [], "children": null, "append": "", "placeholder": "", "required": null, "show-limit": false, "parentKey": null, "buttonName": null, "childrenKey": null }, { "label": "儿童青少年近视患者健康教育处方使用说明 \r\n ★使用对象:儿童青少年近视患者和父母或看护人。 \r\n ★使用方法 \r\n 1.本处方不能替代医务人员开具的医疗处方,主要用于患者健康生活方式指导。 \r\n 2.医务人员应结合患者的病情、健康危险因素等,提供有针对性的健康指导。", "defaultValue": null, "span": 12, "key": "DescriptionLabel", "type": "label", "border": null, "disabledValue": null, "options": [], "children": null, "append": "", "placeholder": "", "required": null, "show-limit": false, "parentKey": null, "buttonName": null, "childrenKey": null } ] }