综合疗法预防少年儿童近视的临床研究  

Clinical Observation of Comprehensive Therapy for Treatment of Myopia in Teenagers and Children

作　　者：钟瑞英[1] 于蓝[1] 关国华[1] 

机构地区：[1]广州中医药大学第一附属医院眼科,广东广州510405

出　　处：《广州中医药大学学报》2015年第6期1004-1007,共4页Journal of Guangzhou University of Traditional Chinese Medicine

摘　　要：【目的】观察阿托品散瞳,配戴远、近用眼镜并配合推拿控制少年儿童近视进展的效果。【方法】将近视患者198例(393眼)随机分为2组,对照组用阿托品眼用凝胶散瞳验光,配戴合适的远用眼镜。治疗组在对照组基础上配戴合适的近用眼镜,并配合推拿治疗。患者每2个月复查1次,连续观察1年。比较2组患者的屈光度变化。【结果】(1)治疗组194眼中,有效96眼,稳定68眼,有效率及稳定率分别为49.5%和35.1%;对照组199眼中,有效仅3眼,稳定9眼,有效率及稳定率分别为1.5%和4.5%。2组有效+稳定率比较,差异有统计学意义(P<0.01)。(2)治疗后,对照组患者的近视屈光度显著增加(P<0.01),而治疗组患者的近视屈光度无显著增加(P>0.05);组间比较,差异有统计学意义(P<0.01)。(3)治疗后,2组患者的散光度均无明显改变(P>0.05);组间比较,差异无统计学意义(P>0.05)。【结论】阿托品眼用凝胶散瞳,配戴远、近用眼镜,加上局部推拿的综合疗法具有良好的预防控制少年儿童近视屈光度加深的作用。Objective To observe the effect of atropine mydriasis, wearing myopia glasses for short or long distance, and massage on preventing and controlling myopia in teenagers and children. Methods A total of 198 myopia cases（involving 393 eyes） were randomized into control group and treatment group. The control group was given eyesight examination after mydriasis with atropine sulfate eye gel and wearing myopia glasses for long distance. The treatment group was given eyesight examination after mydriasis with atropine sulfate eye gel,wearing myopia glasses for short distance, and massage therapy. Eyesight examination was carried out once every2 months and lasted for one continuous year. The changes of diopter were compared between the two groups.Results（1） Of 194 affected eyes from the treatment group, 96 eyes were effective, 68 were stabilized, and the effective rate was 45.5% and stabilizing rate was 35.1%. Of 199 affected eyes from the control group, 3 eyes were effective, 9 were stabilized, and the effective rate was 1.5% and stabilizing rate was 4.5%. The differences of effective and stabilizing rates were significant between the two groups（ P〈0.01）.（ 2） After treatment, the myopia diopter was increased in the control group（ P〈0.01 compared with that before treatment）, and the myopia diopter in the treatment group maintained stable（ P〉0.05）. The difference of diopter was significant between the two groups（P〈0.01）.（3） The difference of astigmatism was insignificant in both groups before and after treatment and between the two groups after treatment（P〉0.05）. Conclusion Mydriasis with atropine sulfate eye gel, wearing myopia glasses for short or long distance, and focal massage therapy show certain preventive effect on myopia in teenagers and children by controlling the development of myopia diopter.

关 键 词：近视 少年儿童 综合疗法 

分 类 号：R778.11[医药卫生—眼科]