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减少旁中心离焦软镜治疗儿童近视的疗效及对屈光度、眼轴长度的影响

王莹 吴晓兰 周磊 金霞 忻丹丽 张晓瑾

王莹, 吴晓兰, 周磊, 金霞, 忻丹丽, 张晓瑾. 减少旁中心离焦软镜治疗儿童近视的疗效及对屈光度、眼轴长度的影响[J]. 中华全科医学, 2022, 20(11): 1863-1865. doi: 10.16766/j.cnki.issn.1674-4152.002721
引用本文: 王莹, 吴晓兰, 周磊, 金霞, 忻丹丽, 张晓瑾. 减少旁中心离焦软镜治疗儿童近视的疗效及对屈光度、眼轴长度的影响[J]. 中华全科医学, 2022, 20(11): 1863-1865. doi: 10.16766/j.cnki.issn.1674-4152.002721
WANG Ying, WU Xiao-lan, ZHOU Lei, JIN Xia, XIN Dan-li, ZHANG Xiao-jin. Effect of reducing paracentric defocusing soft lens on myopia in children and its effect on diopter and axial length[J]. Chinese Journal of General Practice, 2022, 20(11): 1863-1865. doi: 10.16766/j.cnki.issn.1674-4152.002721
Citation: WANG Ying, WU Xiao-lan, ZHOU Lei, JIN Xia, XIN Dan-li, ZHANG Xiao-jin. Effect of reducing paracentric defocusing soft lens on myopia in children and its effect on diopter and axial length[J]. Chinese Journal of General Practice, 2022, 20(11): 1863-1865. doi: 10.16766/j.cnki.issn.1674-4152.002721

减少旁中心离焦软镜治疗儿童近视的疗效及对屈光度、眼轴长度的影响

doi: 10.16766/j.cnki.issn.1674-4152.002721
基金项目: 

浙江省医药卫生科技计划项目 2019KY631

详细信息
    通讯作者:

    金霞, E-mail: 1652203900@qq.com

  • 中图分类号: R778.11 R778.3

Effect of reducing paracentric defocusing soft lens on myopia in children and its effect on diopter and axial length

  • 摘要:   目的  探讨减少旁中心离焦软镜治疗儿童近视的临床效果,分析其对患儿屈光度、眼轴长度的影响。  方法  选择2020年1月—2021年6月宁波市眼科医院诊治的100例近视患儿,按照完全随机数字表法分成对照组和观察组,对照组50例采用普通框架眼镜治疗,观察组50例采用减少旁中心离焦软镜治疗。观察2组患儿的屈光度、眼轴长度、裸眼视力、视觉质量、临床疗效及不良反应。  结果  治疗后,观察组患儿的屈光度[(-2.23±0.51)D]低于对照组[(-3.06±0.62)D, P<0.05];观察组患儿的眼轴长度[(24.14±0.38)mm]小于对照组[(26.01±0.55)mm, P<0.05];观察组患儿的裸眼视力(1.03±0.18)高于对照组(0.82±0.13, P<0.05);观察组患儿的客观散射指数(0.67±0.11)小于对照组(0.81±0.14, P<0.05),调制传递函数、斯特列尔比(37.81±5.20、0.49±0.05)大于对照组(32.97±4.88、0.42±0.07,均P<0.05);观察组总有效率为92.0%(46/50),高于对照组的74.0%(37/50, P<0.05);观察组不良反应发生率为6.0%(3/50),与对照组的10.0%(5/50)相近(P>0.05)。  结论  减少旁中心离焦软镜治疗儿童近视效果较好,可改善患儿的屈光度、眼轴长度、裸眼视力、视觉质量,不良反应少,值得应用。

     

  • 表  1  2组近视患儿治疗前后屈光度比较(x±s,D)

    Table  1.   Diopter comparison of two groups of myopia children before and after treatment (x±s, D)

    组别 例数 治疗前 治疗后
    对照组 50 -1.81±0.46 -3.06±0.62
    观察组 50 -1.83±0.43 -2.23±0.51
    t 0.225 7.311
    P 0.823 <0.001
    下载: 导出CSV

    表  2  2组近视患儿治疗前后眼轴长度比较(x±s,mm)

    Table  2.   Comparison of axial length of two groups of myopic children before and after treatment (x±s, mm)

    组别 例数 治疗前 治疗后
    对照组 50 24.25±0.47 26.01±0.55
    观察组 50 24.29±0.50 24.14±0.38
    t 0.412 19.780
    P 0.681 <0.001
    下载: 导出CSV

    表  3  2组近视患儿治疗前后裸眼视力比较(x±s)

    Table  3.   Comparison of naked eye visual acuity of children with myopia in 2 groups before and after treatment (x±s)

    组别 例数 治疗前 治疗后
    对照组 50 0.45±0.16 0.82±0.13
    观察组 50 0.43±0.15 1.03±0.18
    t 0.645 6.688
    P 0.521 <0.001
    下载: 导出CSV

    表  4  2组近视患儿治疗前后视觉质量比较(x±s)

    Table  4.   Comparison of visual quality of two groups of children with myopia before and after treatment (x±s)

    组别 例数 客观散射指数 调制传递函数 斯特列尔比
    治疗前 治疗后 治疗前 治疗后 治疗前 治疗后
    对照组 50 1.12±0.20 0.81±0.14 28.45±3.63 32.97±4.88 0.35±0.04 0.42±0.07
    观察组 50 1.14±0.18 0.67±0.11 28.41±3.66 37.81±5.20 0.34±0.06 0.49±0.05
    t 0.526 5.560 0.055 4.799 0.981 5.754
    P 0.600 <0.001 0.956 <0.001 0.330 <0.001
    下载: 导出CSV
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  • 收稿日期:  2022-07-07
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