学龄期儿童近视进展的纵向性研究.pdfVIP

浙江医学浙江医年第年第3737 卷第卷第11 期期 学龄期儿童近视进展的纵向性 研究 林舟桥 林丹丹 。 【摘要 】 目的 2 年随访期调查学龄期近视儿童屈光变化，获得近视进展状态和规律，探讨与近视进展相关的因素 方 法 120 例8~13 岁的近视儿童 愿入选本项研究，以睫状肌麻痹后自动 脑验光获得的屈光度数以及眼轴长度作为主要研究 参数，跟踪随访测量，每6 个月 1 次，至24 个月，分析其近视进展的状况及年龄、初始度数、散光等因素在近视进展中所起的作 用。 结果 （1 ）共92 例完成随访，其中男54 例，女38 例，年龄（10 .18 ±1.03 ）岁。初始度数：-（2 .46 ±1.03 ）D ，年平均进展度数 - （0 .69 ±0 .29 ）D。眼轴的年平均变化值为（0 .33 ±0 . 11 ）mm ；（2 ）各个年龄组间的近视进展量有差异统计学意义（F=2 .724 ， P=0 .049 ）。年龄越小，近视进展得越快；（3 ）初始度数＞-2 .00D 的受试者近视进展量大于初始度数＜-2.00D 的受试者（F=8.168 ， （ P=0 .006 ）；（4 ）初始有散光的受试者近视进展量比初始无散光的稍大 F=4.107 ，P=0.046 ）。 结论 学龄期近视儿童年近视进展 、 。 量明显，近视度数年进展量0.50~1.00D,年龄小 初始度数高、存在散光是近视进展的相关因素 【关键词】 髋关节发育不良 成人 全髋置换术 髋臼假体 有限元模拟 Myopia progression among school children: a longitudinal study China 【Abstract 】 Objective To investigate the progression of myopia among school children and its related factors. Methods One hundred and twenty children aged 8~13 years were recruited into this study . Cycloplegic objective refraction was measured over a 24-month period with 6-month intervals. The correlation of myopia progression with age, initial refractive error and astig- matism was analyzed. Results The study was completed in 92 child subjects, including 54 boys and 38 girls. The average my- opic increasing rate was -0.69 ±0.29D per year. The average increase of axial length was 0.33mm. The myopic progression was related to the ages of subjects: the younger children the more myopia progression (F=2.724, P=0.049). The subjects with initial myopia higher than -2.00D had more progression than those under -2.00D (F=8.168, P=0.006). Children with astigmatism at baseline had more myopic progression (F=4.107, P=0.046). Conclusion Myopia pro