渐进多焦点眼镜控制青少年近视发展的效果研究  

Effect of Progressive Multi-focal Glasse on the Myopic Progression in School Children

作　　者：冯彬[1] 白璐[1] 肖信[1] 王英[1] 

机构地区：[1]广西壮族自治区人民医院视光科,南宁市530021

出　　处：《广西医学》2010年第12期1467-1469,共3页Guangxi Medical Journal

基　　金：广西科学研究与技术开发计划项目(桂科回9920018)

摘　　要：目的观察渐进多焦点眼镜控制青少年近视发展的效果。方法随机抽取年龄8～18岁的近视患者30例(渐进镜组)(60眼),戴用渐进多焦点眼镜1年后测量其屈光度,与年龄相匹配的30例(单焦点镜组)(60眼)戴用单焦点眼镜的近视患者相对照,分析其变化。结果 1年后渐进镜组的球镜变化为(0.925±0.537)D,柱镜变化为(0.121±0.304)D,等效球镜变化为(0.985±0.603)D;单焦点镜组的球镜变化为(0.933±0.504)D,柱镜变化为(0.133±0.307)D,等效球镜变化为(1.000±0.518)D;两组的球镜变化、柱镜变化和等效球镜变化比较差异均无统计学意义(P>0.05)。不同年龄患者的球镜变化和柱镜变化比较差异无统计学意义(P>0.05),等效球镜变化比较差异有统计学意义(P<0.05)。结论渐进多焦点控制眼镜比普通近视眼镜好,但由于年龄因素的存在,渐进多焦点镜控制青少年近视的效果应扩大例数进一步研究。Objective To investigate the effect of progressive multifocal glass for control the development of myopiain schoolchildren.Methods 30 patients（60 eyes）were selected randomly from the myopic patients wearing progressive multifocal glass aged 8-18 years（observation group）,the aged-matched 30 myopic patients（60 eyes）wearing single-focal glass were selected into control group,the myopic development of all case were analyzed.Results One year follow-up found that the changes of spherical,cylinder and spherical equivalent in observation group were（0.925±0.537）D,（0.121±0.304）D and（0.985±0.603）D,respectively.In contrast,the changes of spherical,cylinder and spherical equivalent in control group were（0.933±0.504）D,（0.133±0.307） D and（1.000±0.518）D,respectively,there were no significant difference between the two group of spherical,cylinder and spherical equivalent（P〉0.05）.The changes of spherical and cylinder in patients of different age were no significant difference（P〉0.05）,however,the change of spherical equivalent was significant difference（P〈0.05）.Conclusion Compared with single-focal glass,the progressive multifocal glass give the better performance in control of myopic development,but because of the existence of the age factor,the effect of the progressive multifocal glass for control myopic development should be expanded the sample for further study.

关 键 词：近视 渐进多焦点眼镜 青少年 屈光度 

分 类 号：R778.1[医药卫生—眼科]