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1、2018-03-2910:29:58中國(guó)現(xiàn)代醫(yī)生2018年6期陳林秀高建波馬雅娟[摘要]戸的分析和膜塑形鏡正常驗(yàn)配與過矯驗(yàn)配防治近視的臨床效果,為臨床近視保守治療方案的選擇提供參考。方法選擇2014年1月?2015年1月在我院100例200眼的行近視治療的近視患者作為研究對(duì)象,采用隨機(jī)數(shù)字表法分為對(duì)照組(采用常規(guī)參數(shù)角膜須形鏡止常驗(yàn)配)和觀察組(采用常規(guī)角膜塑形鏡正常驗(yàn)配的基礎(chǔ)上過矯-0.5D),每組50例(100眼)。對(duì)照組患者進(jìn)行相關(guān)檢查后,根據(jù)檢查結(jié)果確定參數(shù),根據(jù)常規(guī)檢查的數(shù)據(jù)定制鏡片,指導(dǎo)患者及家長(zhǎng)具體佩戴方法,每晚佩戴8?10h
2、;觀察組患者根據(jù)常規(guī)檢查的數(shù)據(jù)的基礎(chǔ)上過矯-0.5D,定制鏡片,其他參數(shù)一樣。兩組患者均于佩戴后1d.1周、1個(gè)月、以后每2個(gè)月復(fù)查--次,了解患者配戴過程中的情況,并及時(shí)指導(dǎo)患者規(guī)范佩戴及護(hù)理。觀察兩組患者配戴24個(gè)月過程中,視力、屈光度、眼壓、角膜等情況。分別在佩戴12個(gè)月時(shí)兩組的屈光度行組間、治療前后比較;24個(gè)月后兩組患者均脫鏡1個(gè)月,再散瞳電腦驗(yàn)光(KR8800)檢查屈光度、Zeiss(lOIMAster)測(cè)量眼軸長(zhǎng)度,并行組間、治療前后比較。結(jié)果兩組配戴12個(gè)月時(shí)屈光度的差異有統(tǒng)計(jì)學(xué)意義(PvO.01);配戴24個(gè)月后,觀察組與
3、對(duì)照組屈光度比較差異有統(tǒng)計(jì)學(xué)意義(P<0.05);觀察組與對(duì)照組的眼軸長(zhǎng)度比較差異有統(tǒng)計(jì)學(xué)意義(PvO.01)。結(jié)論長(zhǎng)期佩戴角膜須形鏡可有效控制和延緩青少年近視的發(fā)展,是矯治近視的女全有效的臨床方法,在本組觀察中過矯驗(yàn)配角膜塑形鏡在控制青少年近視的屈光度及眼軸長(zhǎng)度方面更為明顯。[關(guān)鍵詞]角膜塑形鏡;正常驗(yàn)配與過矯驗(yàn)配;近視;對(duì)比分析[中圖分類號(hào)]R778.1+1[文獻(xiàn)標(biāo)識(shí)碼]B[文章編號(hào)]1673-9701(2018)06-0070-04[Abstract]ObjectiveToanalyzetheclinicaleffectofortho
4、keratologylensnormalfittingandovercorrectionfittinginpreventionandtreatmentofmyopia,soastoprovidereferencesfortheselectionofconservativetreatmentregimensforclinicalmyopia.Methods100casesand200eyesofpatientswithmyopiawhoweregivenmyopiatreatmentinourhospitalfromJanuary2014to
5、January2015wereselectedastheresearchsubjects.Therandomnumbertablemethodwasusedtodividethepatientsintocontrolgroup(orthokeratologylensnormalfittingwithconventionalparameters)andobservationgroup(overcorrectionof-0.5Donthebasisofregularorthokeratologylensnormalfitting),with50
6、cases(100eyes)ineachgroup.Patientsinthecontrolgroupweregivenrelevanttests,andtheparametersweredeterminedbasedonthetestresults.Thelenswerecustomizedaccordingtothedataofregulartests.Thepatientsandtheirparentswereguidedfordetailedwearingmethods,andthepatientswereaskedtowearth
7、elensesfor8-10heveryevening:patientsintheobservationgroupwereovercorrectedfor-0.5Donthebasisofthedataofregulartests,thelenseswerecustomized,withtheotherparametersremainingthesame.Thetwogroupsofpatientswerere-examinedonce1day,1week,1month,andevery2monthsafterwards,sothatthe
8、situationsduringwearingwereunderstood,andthestandardizedwearingandnursingcouldbetimelygui