复方托吡卡胺滴眼液对小学生屈光度变化的影响分析  

Analysis of compound tropicamide eye drops on the change of refraction in primary school students

作　　者：张浩[1] 宫月秋[1] 杨素红[1] 陈婷[1] 王丹[1] 刘丹彦[1] 康媚霞[1] 郝静[1] 王渺[1] 

机构地区：[1]首都儿科研究所附属儿童医院眼科,100020

出　　处：《中国斜视与小儿眼科杂志》2016年第1期21-24,共4页Chinese Journal of Strabismus & Pediatric Ophthalmology

摘　　要：目的了解复方托吡卡胺滴眼液对小学生屈光度变化的影响。方法采用随机整群抽样方法对4所小学的学生进行调查,共1145名学生2290只眼完成了快速散瞳验光检查。SPSS11.0软件进行统计分析。结果随年龄增大散瞳前后球镜度数的变化呈下降趋势,8岁以后这种变化的差别并不大,但6、7岁的小学生变化较大且与其他年龄组有显著差异。远视度数越高散瞳后的变化就越大,且不同程度的远视组间差别也很大;不同程度的近视组间差别并不大。外隐斜或外斜视的儿童球镜度数较正位眼的儿童变化小。柱镜度数的变化尽管受某些因素的影响,但相差数值很小,临床意义并不大。结论不同年龄、不同屈光度的小学生应选择不同的散瞳药物。Objective To analyze effect of the compound tropicamide eye drops on the refraction in primary school students. Methods A school-based study was conducted in Chaoyang district of Beijing from September 2011 to October 2011. Results The change of spherical diopter after mydiasis decreased with the age increase of students.There was a statistical difference of spherical diopter change between the groups of age 6 to 7 years old and other age groups but none between the groups elder than 8 years. The change of spherical diopter after mydriasis increased with the increase of hyperopia degree. There was a statistical difference of spherical diopter change between groups of different hyperopia degree, but none between groups of different myopia degree. In addition, there was a smaller change of spherical diopter in children with exophoria and exotropia than in children with orthophoria. There is no clinical significance although the small change of cylinder diopter after mydiasis was related to some factors. Conclusion Cycloplegic agents should be used according to the age and refraction of students.

关 键 词：复方托吡卡胺 屈光度 

分 类 号：R778[医药卫生—眼科]