低浓度阿托品与角膜塑形镜控制近视疗效对比

目的:对比分析低浓度阿托品与角膜塑形镜对青少年近视发展控制的疗效.方法:选取我院门诊青少年近视患者150例,随机分为3组,A组50例为应用低浓度阿托品组,B组50例为验配角膜塑形镜组,C组50例为验配框架眼镜组.三组患者治疗前屈光度及眼轴长度差异无统计学意义.随访1a后通过统计学分析三组屈光度、眼轴长度变化.结果:随访1a后各组屈光度治疗前后均有统计学意义(P〈0.01).各组间屈光度比较结果如下:低浓度阿托品组与角膜塑形镜组比较,差异无统计学意义(P〉0.05);低浓度阿托品组与框架眼镜组比较,差异有统计学意义(P〈0.05);角膜塑形镜组与框架眼镜组比较,差异有统计学意义(P〈0.05)....

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Published in国际眼科杂志 Vol. 17; no. 4; pp. 794 - 796
Main Author 任秋锦 岳辉 王平 刘仁建 吕鹏
Format Journal Article
LanguageChinese
Published 长沙宏朗眼科医院, 中国湖南省长沙市,410000 2017
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Summary:目的:对比分析低浓度阿托品与角膜塑形镜对青少年近视发展控制的疗效.方法:选取我院门诊青少年近视患者150例,随机分为3组,A组50例为应用低浓度阿托品组,B组50例为验配角膜塑形镜组,C组50例为验配框架眼镜组.三组患者治疗前屈光度及眼轴长度差异无统计学意义.随访1a后通过统计学分析三组屈光度、眼轴长度变化.结果:随访1a后各组屈光度治疗前后均有统计学意义(P〈0.01).各组间屈光度比较结果如下:低浓度阿托品组与角膜塑形镜组比较,差异无统计学意义(P〉0.05);低浓度阿托品组与框架眼镜组比较,差异有统计学意义(P〈0.05);角膜塑形镜组与框架眼镜组比较,差异有统计学意义(P〈0.05).随访1a后各组眼轴变化治疗前后均有统计学意义(P〈0.01).随访1a后各组间眼轴变化比较结果如下:低浓度阿托品组与角膜塑形镜组比较,差异无统计学意义(P〉0.05);低浓度阿托品组与框架眼镜组比较,差异有统计学意义(P〈0.05);角膜塑形镜组与框架眼镜组比较差异有统计学意义(P〈0.05).结论:低浓度阿托品和角膜塑形镜在控制青少年近视度数增长,眼轴增长方面无明显差异,且两者控制青少年近视疗效均优于框架眼镜.
Bibliography:AIM: To study the effects between low concentration atropine and orthokeratology on myopia prevention and control. ·METHODS:Totally 150 cases of juvenile outpatients with myopia were chosen in our hospital. They were divided into 3 groups randomly. Group A (50 cases) were treated with low concentration atropine. Group B (50 cases) were treated with orthokeratology. Group C ( 50 cases ) were treated with spectacles. Refractive degree and ocular axial length had no statistically significant differences between three groups before treatment. After 1a follow - up, refractive degree and ocular axial length of three groups were statistically analyzed. ·RESULTS: After 1a, the refractive degree changes of each group before and after treatment were statistically significant (P〈0. 01). The results of refractive degree changes among the groups were as follows:there was no significant differences between low concentration atropine group and orthokeratology group ( P〉0. 05 ); compared with orthokeratology and low concentr
ISSN:1672-5123
DOI:10.3980/j.issn.1672-5123.2017.4.57