角膜塑形镜联合眼健康指导矫正青少年近视的临床疗效观察  

Clinical Observation of Orthokeratology Combined with Eye Health Guidance to Correct Myopia in Adolescents

作　　者：钱丽平 艾琴 宋思庆 QIAN Liping;AI Qin;SONG Siqing(Department of Ophthalmology,Xinyu Hospital of Traditional Chinese Medicine,Xinyu 338000,China;不详)

机构地区：[1]新余市中医院眼科,江西新余338000

出　　处：《中国医学创新》2025年第8期19-24,共6页Medical Innovation of China

基　　金：新余市社会发展指导性科技计划项目(20213090906)。

摘　　要：目的:探讨角膜塑形镜联合眼健康指导矫正青少年近视的临床疗效。方法:选取2021年7月—2023年8月在新余市中医院治疗的100例青少年中低度近视患者作为研究对象。按照随机数字表法分为对照组(n=50)和观察组(n=50)。对照组予佩戴框架镜治疗,观察组予佩戴角膜塑形镜联合眼健康指导治疗。比较两组戴镜前、戴镜第1天、戴镜3个月、戴镜6个月、戴镜12个月的裸眼视力、屈光度、角膜曲率、眼轴长度和中央角膜厚度。结果:戴镜3、6、12个月,观察组裸眼视力均较对照组低,且两组均较戴镜前明显降低,差异均有统计学意义(P<0.05)。戴镜3、6、12个月,观察组屈光度均优于对照组,且两组均较戴镜前明显优化,差异均有统计学意义(P<0.05)。戴镜3、6、12个月,观察组角膜曲率均较对照组低,且两组均较戴镜前明显降低,差异均有统计学意义(P<0.05)。戴镜6、12个月,观察组眼轴长度均较戴镜前明显延长,但观察组均较对照组短,戴镜3、6、12个月,对照组均较戴镜前明显延长,差异均有统计学意义(P<0.05)。戴镜6、12个月,观察组中央角膜厚度均较对照组低,且两组均较戴镜前明显降低,差异均有统计学意义(P<0.05)。两组不良事件总发生率比较,差异无统计学意义(P>0.05)。结论:角膜塑形镜联合眼健康指导矫正青少年近视能够调节患者的眼部指标,且安全性较高。Objective:To investigate the clinical effect of orthokeratology combined with eye health guidance on myopia correction in adolescents.Method:A total of 100 adolescent patients with moderate and low myopia treated in Xinyu Hospital of Traditional Chinese Medicine from July 2021 to August 2023 were selected as the study objects.They were divided into control group(n=50)and observation group(n=50)according to random number table method.The control group was treated with spectacles,while the observation group was treated with orthokeratology combined with eye health guidance.The naked eye visual acuity,diopter,corneal curvature,axial length and central corneal thickness before glasses wear,on the 1st day after glasses wear,3 months after glasses wear,6 months after glasses wear,and 12 months after glasses wear of the two groups were compared.Result:After wearing glasses for 3,6 and 12 months,the naked eye visual acuity of the observation group were lower than those of the control group,and both groups were significantly lower than those before wearing glasses,with statistical significance(P<0.05).After 3,6 and 12 months of wearing glasses,the diopter of the observation group were better than those of the control group,and both groups were significantly optimized compared with those before wearing glasses,with statistical significance(P<0.05).After 3,6 and 12 months of wearing glasses,the corneal curvature of the observation group were lower than those of the control group,and the two groups were significantly lower than those before wearing glasses,the differences were statistically significant(P<0.05).After 6 and 12 months of wearing glasses,the axial length of eyes in the observation group were significantly longer than those before wearing glasses,but the observation group were shorter than those before wearing glasses,and the control group was significantly longer than that before wearing glasses at 3,6 and 12 months,with statistical significance(P<0.05).After 6 and 12 months of wearing glasses,the central cornea

关 键 词：角膜塑形镜 眼健康指导 框架镜 青少年近视 

分 类 号：R47[医药卫生—护理学]