三种不同干预方法对近视儿童调节参数及屈光度的影响  

Effects of different intervention methods on regulatory parameters and diopter of myopic children

作　　者：刘莎[1] 王彬[1] 王广江 董竟[1] Sha Liu;Bin Wang;Guang-Jiang Wang;Jing Dong(Department of Ophthalmology,the First Affiliated Hospital of Baotou Medical College,Inner Mongolia University of Science and Technology,Baotou 014010,Inner Mongolia Autonomous Region,China;Baotou Medical College,Inner Mongolia University of Science and Technology,Baotou 014040,Inner Mongolia Autonomous Region,China)

机构地区：[1]内蒙古科技大学包头医学院第一附属医院眼科,中国内蒙古自治区包头市014010 [2]内蒙古科技大学包头医学院,中国内蒙古自治区包头市014040

出　　处：《国际眼科杂志》2021年第11期1870-1874,共5页International Eye Science

摘　　要：目的:通过观察低浓度阿托品、角膜塑形镜、框架眼镜对包头市近视儿童的控制效果,分析其近视相关调节参数的变化规律,为近视防控提供依据。方法:选取2018-06/12在包头医学院第一附属医院眼科门诊就诊的8~14岁近视儿童120例240眼,分为低浓度阿托品组、角膜塑形镜组和框架眼镜组,并在1、3、6、12mo分别对调节滞后量、正相对调节、负相对调节及屈光度进行随访。结果:随访3、6、12mo,低浓度阿托品组与角膜塑形镜调节滞后量有差异(P<0.05);随访6、12mo时,角膜塑形镜组与框架眼镜组调节滞后量有差异(P<0.05)。随访3、6、12mo时,低浓度阿托品组与角膜塑形镜组、框架眼镜组负相对调节均有差异(P<0.05)。在各随访时间点角膜塑形镜组与低浓度阿托品组、框架眼镜组正相对调节均有差异(P<0.05)。随访6、12mo,低浓度阿托品组与框架眼镜组屈光度有差异(P<0.05);随访12mo,角膜塑形镜组与框架眼镜组屈光度有差异(P<0.05)。结论:角膜塑形镜可以通过降低调节滞后量,解决远视离焦的问题,同时还可以提高正相对调节,但需要长期坚持配戴。低浓度阿托品可以提高负相对调节,但可能有其他途径来控制近视的发展。相较其它组而言,框架眼镜对于各调节指标影响较小,对近视的控制效果并不显著。AIM:To observe the control effects of low concentration atropines,orthokeratology,and spectacles on children with myopia in Baotou,and to analyze change rules of myopia-related regulatory parameters for providing bases for myopia preventions and controls.METHODS:We selected 120 children with myopia aged 8-14 years old(240 eyes),treated in Ophthalmology Clinic of the First Affiliated Hospital of Baotou Medical College from June 2018 to December 2018.They were divided into three groups as follows:low concentration atropine group,orthokeratology group,and spectacles group.The accommodative lag,positive relative accommodation,negative relative accommodation,and diopter were followed up at 1,3,6,12mo.RESULTS:During the follow ups of 3,6,and 12mo.We observed a statistically significant difference in the accommodative lag between the orthokeratology group and low concentration atropine group spectacles group(P<0.05).At the 6,12mo follow up,there was a statistical difference in the accommodative lag between the orthokeratology group and the spectacles group(P<0.05).During the follow ups of 3,6,and 12mo,there was a statistically significant difference in negative relative accommodations among the low concentration atropine group,orthokeratology group,and spectacles group(P<0.05).The difference in positive relative accommodations was statistically significant among the orthokeratology group,low concentration atropine group,and spectacles group at each time point during the follow ups(P<0.05).During the follow ups of 6,12mo,the difference of equivalent spherical lens was statistically significant among the low concentration atropine group and spectacles group(P<0.05).At the follow up 12mo,the difference between the equivalent spherical lens of the orthokeratology group and the spectacles group was statistically significant(P<0.05).CONCLUSION:The effects of three commonly used methods of controlling myopia on the accommodation parameters of myopic children are as follows:orthokeratology can not only solve the problem of hype

关 键 词：近视控制 角膜塑形镜 低浓度阿托品 框架眼镜 调节参数 

分 类 号：R778.11[医药卫生—眼科]