CAJ | 학술논문

目的探讨硬性透气性角膜接触镜(RGPCL)配戴者的性别、年龄、屈光状态等相关因素的特征,为临床验配提供参考依据.方法叫顾分析本中心1999年8月至2009年10月成功验配RGPCL的882例患者资料,分析所有患者的性驯分布情况,并对其中资料完整的820例(1469眼)验配者的年龄分布和屈光状态进行分析.年龄分组:40岁以下每10岁分为一组,41岁及以上为一组;屈光状态分组:球镜屈光度按低度、中度、高度、超高度近视及远视分组,散光以-0.50～-2.00 D、-2.25～-5.00 D、>-5.00 D分组.采用SPSS17.0统计软件对相关数据进行X~2检验,结果882例RGPCL配戴者中,男性304例(占34.5%),女性578例(占65.5%).男女性别差异有统计学意义(X=170.24,P=0.00).资料完整的820位配戴者中,屈光参差者312例(占38.1%),屈光参差范围2.50～25.0 D,主要集中在11～20岁组.年龄范围为3～66岁,平均19.4岁.各年龄阶段配戴者眼数差异有统计学意义(X~2=1115.1,P=0.00).对1469眼的球镜屈光度进行分组分析:低度近视组195眼(占13.3%),中度近视组374眼(占25.5%),高度近视组364眼(占24.8%),超高度近视组446眼(占30.4%),远视等混合组90眼(占6.1%),各组眼数差异有统计学意义(X~2=365.1,P=0.00),配戴者主要集中在中、高及超高度近视组.本组散光有1058眼(占72.0%),范围-0.50～11.50 D,主要集中在11～20岁组,各组散光眼数差异有统计学意义(X~2=597.6,P=0.00).结论屈光不正患者的性别、年龄及屈光状态在很大程度上影响了患者对RGPCL的选择.
목적 탐토경성투기성각막접촉경(RGPCL)배대자적성별、년령、굴광상태등상관인소적특정,위림상험배제공삼고의거.방법 규고분석본중심1999년8월지2009년10월성공험배RGPCL적882례환자자료,분석소유환자적성순분포정황,병대기중자료완정적820례(1469안)험배자적년령분포화굴광상태진행분석.년령분조:40세이하매10세분위일조,41세급이상위일조;굴광상태분조:구경굴광도안저도、중도、고도、초고도근시급원시분조,산광이-0.50～-2.00 D、-2.25～-5.00 D、>-5.00 D분조.채용SPSS17.0통계연건대상관수거진행X~2검험,결과882례RGPCL배대자중,남성304례(점34.5%),녀성578례(점65.5%).남녀성별차이유통계학의의(X=170.24,P=0.00).자료완정적820위배대자중,굴광삼차자312례(점38.1%),굴광삼차범위2.50～25.0 D,주요집중재11～20세조.년령범위위3～66세,평균19.4세.각년령계단배대자안수차이유통계학의의(X~2=1115.1,P=0.00).대1469안적구경굴광도진행분조분석:저도근시조195안(점13.3%),중도근시조374안(점25.5%),고도근시조364안(점24.8%),초고도근시조446안(점30.4%),원시등혼합조90안(점6.1%),각조안수차이유통계학의의(X~2=365.1,P=0.00),배대자주요집중재중、고급초고도근시조.본조산광유1058안(점72.0%),범위-0.50～11.50 D,주요집중재11～20세조,각조산광안수차이유통계학의의(X~2=597.6,P=0.00).결론 굴광불정환자적성별、년령급굴광상태재흔대정도상영향료환자대RGPCL적선택.
Objective To investigate gender, age, refractive status and other factors that influ-ence the decision to wear rigid gas permeable contact lenses (RGPCL);to provide information for clin-ical reference. Methods Retrospective analysis was done using medical records of patients who were successfully tested and fitted with RGPCL at the Center from August 1999 to October 2009. Gender distribution was analyzed from all medical records. Data integrity was assured. The refractive status of 820 cases (1469 eyes) with integrity data was analyzed. Results Of the 882 cases of RGPCL wear-ers, 304 were males (34.5%) and 578 were females (65.5%). The gender difference between men and women was significant (X~2=170.24, P<0.01);312 persons were anisometropie among 820 persons wearing RGPCL (38.1%). Age groups: before the age of 40, patients were divided into groups for ev- ery 10-year age span, and another group equal to or older than 41 years. Wearers of all ages were statistically different in the number of eyes (X~2=1115.1, P<0.01). Spherical refractions for low, medi-um, high and ultra-high myopia and hyperopia were used to separate groups for analysis: low my- opia 195 eyes (13.3%), moderate myopia 374 eyes (25.5%), high myopia 364 eyes (24.8%) and ul-tra-high myopia 446 eyes (30.4%), and hyperopia 90 eyes (6.1%). The differences were statisticallysignificant (X~2=363.5, P<0.01). Astigmatism from -0.50 to -2.00 D, from -2.25 to -5.00 D and greater than -5.00 D were grouped for analysis. The differences were statistically significant (X~2=597.6, P<0.01). Conclusion Gender, age and refractive status significantly affect the decision to wear RGPCL.