角膜塑形镜联合低浓度阿托品在控制青少年近视进展中的应用效果  

Application effect of orthokeratology combined with low concentration Atropine in the control of myopia progression in adolescents

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作  者:陈芳 CHEN Fang(Optometry Clinic,Clear Eye Hospital(Rugao),Jiangsu Province,Nantong 226500,China)

机构地区:[1]莱尔眼科(如皋)医院视光门诊,江苏南通226500

出  处:《妇儿健康导刊》2025年第6期70-73,共4页JOURNAL OF WOMEN AND CHILDREN'S HEALTH GUIDE

摘  要:目的 探讨角膜塑形镜联合低浓度阿托品在控制青少年近视进展中的应用效果。方法 选取2022年1月至2023年1月就诊于莱尔眼科(如皋)医院的120例青少年近视患者,采用随机数字表法分为两组。观察组(60例)使用角膜塑形镜联合0.01%低浓度阿托品,对照组(60例)使用角膜塑形镜。比较两组近视度数、眼轴长度、裸眼视力、治疗总有效率、不良反应。结果 治疗12个月后,观察组近视度数、眼轴长度较对照组低,裸眼视力较对照组更优,差异有统计学意义(P <0.05)。与对照组相比,观察组治疗总有效率较高,差异有统计学意义(P<0.05)。两组均未出现严重不良反应,观察组5例(8.33%)出现轻微眼部刺激症状,经调整滴药时间后症状消失;对照组3例(5.00%)出现佩戴不适感,经调整镜片后症状缓解。结论 角膜塑形镜联合低浓度阿托品控制青少年近视进展的效果较好,能够减缓眼轴的增长和近视度数的升高。Objective To investigate the application effect of orthokeratology combined with low concentration Atropine in the control of myopia progression in adolescents.Methods A total of 120 adolescent patients with myopia who were admitted to Clear Eye Hospital(Rugao) from January 2022 to January 2023 were selected and divided into two groups by random number table method.The observation group(60 cases) received orthokeratography combined with 0.01% low concentration Atropine,and the control group(60 cases) received orthokeratology.The myopia degree,axial length,naked eye visual acuity,total effective rate and adverse reactions were compared between the two groups.Results After 12 months of treatment,the myopia degree and axial length of eye in the observation group were lower than those in the control group,and the naked eye visual acuity was better than that in the control group,the differences were statistically significant(P < 0.05).Compared with the control group,the total effective rate of the observation group was higher,and the difference was statistically significant(P < 0.05).There were no serious adverse reactions in both groups,and 5 cases(8.33%) in the observation group had mild eye irritation symptoms,which disappeared after adjusting the infusion time.In the control group,3 cases(5.00%) had discomfort,and the symptoms were relieved after adjusting the lenses.Conclusion Orthokeratology combined with low concentration Atropine has a good effect on controlling myopia progression in adolescents,and can slow down the growth of ocular axis and the increase of myopia degree.

关 键 词:角膜塑形镜 阿托品 青少年 近视 

分 类 号:R779.7[医药卫生—眼科]

 

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