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目的：了解水面舰艇和潜艇人员的屈光状态，以便有针对性地开展防治工作。方法检查入伍2年以上水面舰艇218名、潜艇87名初级士官的裸眼远视力、屈光不正及行激光角膜屈光手术情况，海军某训练基地新征入伍海勤人员200名作为对照。结果裸眼远视力合格率，水面舰艇组为84．40％，常规潜艇组为73．56％；屈光不正检出率，水面舰艇组为57．34％，常规潜艇组为70．11％，屈光不正以轻度近视最多见；激光角膜屈光手术检出率，水面舰艇组为11．93％，常规潜艇组为3．45％，新征海勤人员中进行过激光角膜出光手术者有48．15％的人隐瞒手术史。结论为保证水面舰艇、潜艇人员的视觉质量，要按标准严把征兵、分兵关；加强手机等视频终端的使用管理；增强舰艇人员眼部保健和防护能力；提高舰艇军医对屈光不正早发现、早治疗的水平。“,”Objective To investigate the refractive status of the surface ship crews and submarine personnel,so as to carry out prevention and control of eye disorders.Methods Examinations of uncorrected distant vision,ametropia and laser corneal refractive surgery were performed in 218 surface ship personnel and 87 non-Commissioned submarine personnel with more than 2 years of navy service.The 200 newly recruited navy afloat personnel from a certain training base were assigned as the control group.Results The qualified rate of uncorrected distant vision for the surface ship crew was 84.40%,and that for the submarine crew was 73.56%.The detectable rate of ametropia for the surface ship crew was 57.34% and that for the submarine crew was 70.11%.Ametropia was mainly manifested in mild myopia.The detectable rate of laser corneal refractive surgery for the surface ship crew was 11.93% and that for the submarine crew was 3.45%.In the newly recruited navy afloat personnel,48.15% of them concealed the medical history of eye surgery. Conclusions To guarantee the visual acuity of the surface ship and submarine personnel,strict regulations should be implemented on the drafting and distribution standards of new recruiters.Strict management of video display terminals (e.g.mobile phones)should be unforced.Shipboard naval personnel should be aware of the importance of visual protection.On the other hand,ship medical officers should improve their professional capability in early diagnosis and treatment of visual disorders among the ship crew.