家庭照明联合阿托品滴眼防治青少年近视  

Home Lighting and Atropine Eye Drops Prevent and Treat Juvenile Myopia

作　　者：黄艳 李雪瑶 HUANG Yan;LI Xueyao(Department of Ophthalmology,Chongqing Yubei District People's Hospital,Chongqing 401120,China)

机构地区：[1]重庆市渝北区人民医院眼科

出　　处：《中国继续医学教育》2019年第31期104-107,共4页China Continuing Medical Education

摘　　要：目的探讨不同光源的家庭夜间照明联合小浓度阿托品滴眼防治青少年近视有效性分析。方法收集400例学龄期儿童,随机分为观察组和对照组,观察组:三基色荧光灯(A组100例)和LEDT8(B组100例)家庭夜间照明分别联合0.01%阿托品滴眼;对照组:仅0.01%阿托品滴眼(C组200例),记录3组干预前、干预3个月和干预半年后眼轴、裸眼视力、屈光状态、眼轴长。结果 344例完成半年的观察,其中A组完成随访85例,B组完成随访89例,C组完成随访170例,失访率为14.0%。与治疗前相比,治疗3个月和治疗6个月的A组和B组视力、屈光度、调节幅度均得到一定程度改善,眼轴长度未明显增加,而对照C组的眼轴长度明显变长,差异具有统计学意义(P <0.05);且与对照C组相比,A组和B组的视力、屈光度、调节幅度在治疗3个月及治疗6个月后改善更加明显,差异均具有统计学意义(P <0.05),而眼轴长度无明显变化,且差异无统计学意义(P> 0.05)。结论不同光源家庭夜间照明联合0.01%阿托品滴眼液对于预防儿童和青少年近视疗效更佳,因此选择三基色荧光灯或LEDT8照明并联合阿托品滴眼液可合理控制近视进展。Objective To investigate the effectiveness of family night illumination combined with small concentration of atropine eye drops for prevention and treatment of juvenile myopia. Methods A total of 400 school-age children were randomly divided into observation group and control group. The observation group: three primary color fluorescent lamps(100 cases in group A) and LEDT8(100 cases in group B) were combined with 0.01% atropine eye drops respectively in the night illumination;Only 0.01% atropine eye drops(200 cases in group C), the observation index recorded three groups of pre-intervention, 3 months of intervention and half an intervention after the eye axis, naked eye vision, refractive status, axial length. Results A total of 344 patients were observed for half a year. Among them, 85 patients were followed up in group A, 89 patients in group B, and 170 patients in group C. The rate of loss of follow-up was 14.0%. Compared with before treatment, the visual acuity, diopter and adjustment amplitude of group A and group B were improved to A certain extent after 3 and 6 months of treatment, and the axial length of the eye was not significantly increased, while the axial length of the eye in control group C was significantly longer, with statistically significant differences(P < 0.05). Compared with the control group C, the visual acuity, diopter and adjustment amplitude of group A and group B improved more significantly after 3 and 6 months of treatment, with statistically significant differences(P < 0.05), while the axial length of the eyes did not change significantly, and the difference was not statistically significant(P > 0.05). Conclusion Different light source family night illumination combined with 0.01% atropine eye drops is more effective in preventing myopia in children and adolescents. Therefore, choosing three primary color fluorescent lamps or LEDT8 illumination combined with atropine eye drops can reasonably control the progression of myopia.

关 键 词：阿托品 家庭夜间照明 近视 治疗 眼轴长 裸眼视力 

分 类 号：R778[医药卫生—眼科]