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1、·1410·現(xiàn)代藥物與臨床Drugs&Clinic第29卷第12期2014年12月遞法明片改善兒童高度近視弱視的臨床觀察奉輝,鄧宏偉,周薇薇深圳市眼科醫(yī)院深圳眼科學(xué)重點(diǎn)實(shí)驗(yàn)室,廣東深圳518040摘要:目的觀察遞法明片改善高度近視弱視患兒的臨床療效和安全性。方法選取2012年10月—2013年10月深圳市眼科醫(yī)院收治的高度近視弱視患兒200例,隨機(jī)分為治療組和對(duì)照組,每組各100例。治療組口服遞法明片,1片/次,2次/d。對(duì)照組口服淀粉片1片/次,2次/d。兩組均連續(xù)用藥6個(gè)月。觀察兩組治療后3、6個(gè)月、隨訪6個(gè)月視力、屈光度、眼軸、
2、角膜屈光力、角膜厚度等的變化。結(jié)果治療6個(gè)月、隨訪6個(gè)月后,治療組患兒平均視力得到提高,與治療前比較差異有統(tǒng)計(jì)學(xué)意義(P<0.05),對(duì)照組治療前后視力差異無(wú)統(tǒng)計(jì)學(xué)意義;治療6個(gè)月、隨訪6個(gè)月后,治療組視力優(yōu)于對(duì)照組,兩組比較差異有統(tǒng)計(jì)學(xué)意義(P<0.05)。治療6個(gè)月、隨訪6個(gè)月后,治療組屈光度、眼軸、角膜厚度均較治療前有很多改善,治療前后差異有統(tǒng)計(jì)學(xué)意義(P<0.05);且治療組這些指標(biāo)優(yōu)于對(duì)照組,兩組比較差異有統(tǒng)計(jì)學(xué)意義(P<0.05)。隨訪6個(gè)月后,對(duì)照組屈光度、眼軸、角膜厚度較治療前有所增長(zhǎng),治療前后差異有統(tǒng)計(jì)學(xué)意義(P<0
3、.05)。結(jié)論遞法明片能明顯改善高度近視弱視患兒的視力,降低屈光度、眼軸及角膜厚度,對(duì)高度近視弱視患兒有一定的療效。關(guān)鍵詞:遞法明片;淀粉片;高度近視;弱視;屈光度;眼軸;角膜厚度中圖分類號(hào):R985文獻(xiàn)標(biāo)志碼:A文章編號(hào):1674-5515(2014)12-1410-04DOI:10.7501/j.issn.1674-5515.2014.12.020ClinicalobservationofDifamingTabletsinimprovementofhighmyopiaandamblyopiaofchildrenFENGHui,DE
4、NGHong-wei,ZHOUWei-weiShenzhenKeyLaboratoryofOphthalmology,OphthalmologyHospitalofShenzhenCity,Shenzhen518040,ChinaAbstract:ObjectiveToexploretheefficacyofDifamingTabletsinimprovementofhighmyopiaandamblyopiaofchildren.MethodsPatients(200cases)withhighmyopiaandamblyopiao
5、fchildrenfromOctober2012toOctober2013intheOphthalmologyHospitalofShenzhenCitywererandomlydividedintotreatment(100cases)andcontrol(100cases)groups.ThepatientsinthetreatmentgroupwerepoadministeredwithDifamingTablets,onetablet/time,twicedaily.Thepatientsinthecontrolgroupwe
6、repoadministeredwithStarchTablets,onetablet/time,twicedaily.Thepatientsinthetwogroupsweretreatedforsixmonths.Thechangesofeyesight,diopter,eyeaxis,cornealrefractivepower,andcornealthicknessinthetwogroupsafterthetreatmentof3,6months,andfollowedupfor6monthswereobserved.Res
7、ultsTheaverageeyesightinthetreatmentgroupwasimprovedafterthetreatmentof6months,andfollowedupfor6months,andthedifferenceswerestatisticallysignificantbeforeandafterthetreatmentinthesamegroup(P<0.05).Theeyesightinthecontrolgroupwasnostatisticallysignificantdifferencebefore
8、andafterthetreatment.Theeyesightinthetreatmentgroupwasbetterthanthatincontrolgroupafterthetreatmentof6months,a