三种视力矫正方式对青少年近视受试者屈光状态的影响临床对比分析  

Clinical comparative analysis of the effects of three visual correction methods on the refractive status of adolescent myopia patients

作　　者：张鹏举 赵洁[2] 刘多[3] 陈艳[4] 杨贺 吴迪[2] ZHANG Pengju;ZHAO Jie;LIU Duo;CHEN Yan;YANG He;WU Di(Clinical Medicine College,Changchun University of Chinese Medicine,Jilin,Changchun 130000,China;Department of Ophthalmology,Jilin Province People’s Hospital,Jilin,Changchun 130000,China;Department of Science and Education,Jilin Province People’s Hospital,Jilin,Changchun 130000,China;Department of Ophthalmology,Affiliated Hospital of Changchun University of Chinese Medicine,Jilin,Changchun 130021,China)

机构地区：[1]长春中医药大学临床医学院,吉林长春130000 [2]吉林省人民医院眼科,吉林长春130000 [3]吉林省人民医院科教科,吉林长春130000 [4]长春中医药大学附属医院眼科,吉林长春130021

出　　处：《中国医药科学》2023年第17期5-8,25,共5页China Medicine And Pharmacy

基　　金：吉林省科技发展计划重点研发项目(20210203073SF)。

摘　　要：目的 比较三种视力矫正方式对青少年近视受试者屈光状态的影响。方法 回顾性分析2020年1月至2021年12月吉林省人民医院收治的120例轻、中度近视青少年的临床资料,根据矫正方式,将接受普通单光框架眼镜矫正的48例患者纳入普通单光框架眼镜组(n=48,96只眼),将接受多点近视离焦控制眼镜矫正的47例患者纳入多点近视离焦控制眼镜组(n=47,94只眼),将接受角膜塑形镜矫正的25例患者纳入角膜塑形镜组(n=25,50只眼)。比较三组患者矫正前与矫正1年后眼轴、屈光度、角膜曲率变化水平,记录矫正期间并发症发生情况。结果 矫正1年后,三组患者眼轴长度、屈光度变化水平比较,角膜塑形镜组<多点近视离焦控制眼镜组<普通单光框架眼镜组,差异有统计学意义(P <0.05);三组患者角膜曲率变化水平比较差异无统计学意义(P> 0.05);三组患者矫正1年期间并发症总发生率比较,差异有统计学意义(P <0.05)。结论 与单光框架眼镜相比,多点近视离焦控制眼镜与角膜塑形镜对轻、中度近视青少年的视力矫正效果较好,可减缓眼轴的增长和屈光度的增加,且使用多点近视离焦控制眼镜矫正期间并发症少,多点近视离焦控制眼镜可作为控制青少年轻、中度近视的有效矫正方式。Objective To compare the effects of three visual correction methods on the refractive status of adolescent myopia patients.Methods A retrospective analysis was conducted on the clinical data of 120 adolescents with mild to moderate myopia admitted to Jilin Province People’s Hospital from January 2020 to December 2021.According to the correction methods,48 patients who received ordinary single-visionlens correction were included in the ordinary single-visionlens group(n=48,96 eyes),and 47 patients who received multi-focal myopia defocus control lens correction were included in multi-focal myopia defocus control lens group(n=47,94 eyes),25 patients who received orthokeratology lens correction were included in the orthokeratology lens group(n=25,50 eyes).The changes in eye axis,diopter,and corneal curvature between three groups of patients before correction and after 1 year of correction were compared.The occurrence of complications during the correction period was recorded.Results After one year of correction,the changes in axial length and diopter among the three groups of patients were compared.Orthokeratology lens group<multi-focal myopia defocus control lens group<ordinary single-visionlens group,with statistically significant differences(P<0.05).There was no statistically significant difference in the changes in corneal curvature among the three groups of patients(P>0.05).There were statistically significant differences in total incidence of complications among the three groups of patients during the 1-year correction period(P<0.05).Conclusion Compared with single-visionlenses,multi-focal myopia defocus control lens and orthokeratology lenses have better visual correction effects on adolescents with mild to moderate myopia,which can slow down the growth of the eye axis and the increase of diopter.Moreover,the use of multi-focal myopia defocus control lens has fewer complications during the correction.Multi-focal myopia defocus control lens can be used as an effective correction method for controlling adolesc

关 键 词：角膜塑形镜 多点近视离焦控制眼镜 普通单光框架眼镜 青少年近视 

分 类 号：R778.11[医药卫生—眼科]