儿童青少年近视中西医结合诊疗指南  

Clinical practice guideline of integrative Chinese and western medicine for myopia in children

作　　者：中国中西医结合学会 中华中医药学会 中华医学会 毕宏生[2] 谢立科[3] 王宁利[4] 陈小鸟 何明光[6] 胡媛媛 吕帆 彭清华[9] 宋继科[10] 魏文斌[5] 赵明威[11] 周行涛[12] 卓业鸿[6] Chinese Association of Integration Medicine;China Association of Chinese Medicine;Chinese Medical Association;Bi Hongsheng;Xie Like;Wang Ningli(不详;Affiliated Eye Hospital of Shandong University of Traditional Chinese Medicine,Shandong Engineering Technology Research Center of Visual Intelligence,Shandong Provincial Key Laboratory of Integrative Medicine for Prevention and Therapy of Ocular Disease,Jinan 250002,China;Eye Hospital,China Academy of Chinese Medical Sciences,Beijing 100040,China;Beijing Tongren Eye Center,Beijing Tongren Hospital,Capital Medical University,Beijing Institute of Ophthalmology,Beijing Key Laboratory of Ophthalmology&Visual Sciences,Beijing 100730,China)

机构地区：[1]不详 [2]山东中医药大学附属眼科医院、山东省视觉智能工程技术研究中心、山东省中西医结合眼病防治重点实验室,济南250002 [3]中国中医科学院眼科医院,北京100040 [4]首都医科大学附属北京同仁医院、北京同仁眼科中心、北京市眼科研究所、北京市眼科学与视觉科学重点实验室,北京100730 [5]首都医科大学附属北京同仁医院 [6]中山大学中山眼科中心 [7]山东中医药大学附属眼科医院 [8]温州医科大学附属眼视光医院 [9]湖南中医药大学 [10]山东中医药大学 [11]北京大学人民医院 [12]复旦大学附属眼耳鼻喉科医院

出　　处：《中华眼科杂志》2024年第1期13-34,共22页Chinese Journal of Ophthalmology

摘　　要：儿童青少年近视呈现高发、低龄化趋势。为了规范儿童青少年近视中西医结合诊断、分类、预防和控制等方法,提高儿童青少年近视综合防控水平和效果,中国中西医结合学会、中华中医药学会和中华医学会汇集相关专家,严格按照循证医学方法学,调研和构建临床问题,检索、筛选、提取和综合证据,通过专家共识形成推荐意见,最终征求专家意见并通过审查,形成与儿童青少年近视中西医结合防控相关的诊疗指南。本指南从有效延缓健康儿童青少年发生近视、避免假性近视发展为真性近视、延缓低度近视发展为高度近视、预防和治疗高度近视并发症等方面,提出中西医结合预防和控制推荐意见,涵盖用眼行为监测与矫正,针刺或经皮穴位电刺激、光学、药物等预防和控制近视发生和发展技术等内容,以供医疗专业技术人员在临床及科研实践中参考和使用,也可作为近视、假性近视、近视临床前期或健康人群自我预防的健康指导。Myopia in children shows a trend of high incidence and younger age.To standardize the integrated Chinese and western medicine methods of diagnosis,classification,prevention and control of myopia in children,as well as to improve the prevention and control effectiveness,the Chinese Association of Integration Medicine,China Association of Chinese Medicine and Chinese Medical Association have gathered relevant experts to investigate clinical problems,retrieve,screen,extract and synthesize evidence,and form expert consensus opinions in accordance with the requirements of evidence-based medicine methodology.The diagnosis and treatment guideline for integrated Chinese and western medicine for myopia prevention and control in children includes recommendations on how to effectively delay the occurrence of myopia in healthy children,avoid the development of pseudomyopia to myopia,delay the development of low myopia to high myopia,prevent and treat complications of high myopia.Eye health-related behavior monitoring and correction,acupuncture,transcutaneous electrical acupoint stimulation,optics,and medications are introduced.This guideline can provide guidance not only for medical professionals and technical personnel in clinical and scientific research practice,but also for the myopic,pseudomyopic,premyopic and healthy population in preventing and controlling myopia.

关 键 词：近视 中西医结合疗法 诊疗准则(主题) 儿童 青少年 

分 类 号：R778.11[医药卫生—眼科]