儿童近视戴镜后复诊依从性对近视度数增加影响  

The influence of further consultation adherence on myopia progression after children wear glasses

作　　者：郭长锋施维 郭长锋[1] 施维[2] 

机构地区：[1]徐州复兴眼科医院徐州医学院附属第三医院眼科,江苏省221000 [2]首都医科大学附属北京儿童医院眼科,100045

出　　处：《中国实用眼科杂志》2017年第5期468-471,共4页Chinese Journal of Practical Ophthalmology

摘　　要：目的探讨近视儿童配戴框架眼镜后复诊依从性对近视度数增加的影响。方法回顾性临床病例系列研究。收集2013年6月至2015年6月在徐州复兴眼科医院就诊并配戴框架眼镜的近视儿童170例（340只眼），按定期复诊周期为3个月、6个月及1年时间分为三组，其中定期复诊周期3个月组的53例、6个月组的60例，1年组的57例。分析三组患者戴镜后6个月及1年的屈光状态变化情况。结果三组患者在初诊时年龄之间无统计学意义（F=0.194，P=0.842），初诊时球镜度数、散光度数及等效球镜度数三组之间均无统计学意义（P〉0.05），具有临床可比性。复诊周期为3个月组和6个月组在6个月复诊时等效球镜增加度数两组之间无明显统计学意义（P〉0.05）。三组1年后等效球镜度数（D）分别增加为-0.79±0.37、-0.81±0.36、-0.92±0.40，三组之间比较有统计学意义（F=4.066，P=0.018），组间比较定期复诊周期为3个月组和6个月组之间无统计学意义（P〉0.05），复诊周期1年组与3个月组、6个月组之间均有统计学意义（P=0.009，P=0.022）。三组患者1年后散光度数和初诊时比较变化均无统计学意义（P〉0.05）。结论近视戴镜后定期复查并及时更换镜片或许能在一定程度上减缓学龄儿童近视进展。ObjectiveTo explore the influence of further consultation adherence on the increase of degree of myopia after myopia children wear glasses.MethodsA total of 170 cases of myopia children were collected （spectacle lens power： 340） who had received treatment in our hospital and worn glasses during June 2013 to June 2015; and were divided into three groups according to regular further consultation period, among which there were 53 children in the group with three-month regular further consultation period, 60 children in the group with six-month regular further consultation period, 57 children in the group with one-year regular further consultation period; finally analyzed the changes of refractive status for patients after wearing glasses in 6 months and one year.ResultsSince there was no significant statistic difference （F=0.194, P=0.842） in ages when the patients in three groups were original diagnosed, and there was also no statistic difference （P 〉0.05） in diopter of spherical power, astigmatism degree, and spherical equivalent degree, the data collected had clinical comparability. In addition, there was no clear statistic difference in the increase of spherical equivalent degree for patients, with 3-month further consultation period and 6-month further consultation period, visiting the doctor in the sixth month. As for the three groups, the spherical equivalent degree increased respectively -0.79±0.37, -0.81±0.36 and -0.92±0.40 one year later. There were statistic differences in the comparison among three groups （F=4.066, P=0.018）; for the comparison between 3-month group and 6-month group, there was no statistic differences （P 〉0.05）; however there were statistic differences （P=0.009, P=0.022） between one-year group and 3-month group, one-year group and 6-month group. When the astigmatic degree was compared with the degree initially diagnosed one year ago, there was no statistic difference （P 〉0.05） for all three groups.ConclusionsRegular further consultation and timely re

关 键 词：近视 等效球镜 复诊依从性 

分 类 号：R473.5[医药卫生—护理学]