中国实用眼科杂志
中國實用眼科雜誌
중국실용안과잡지
CHINESE JOURNAL OF PRACTICAL OPHTHALMOLOGY
2008年
9期
910-912
,共3页
近视眼%眼动参数,AC/A,调节滞后,调节幅度%近距离工作%跟踪随访
近視眼%眼動參數,AC/A,調節滯後,調節幅度%近距離工作%跟蹤隨訪
근시안%안동삼수,AC/A,조절체후,조절폭도%근거리공작%근종수방
myopia%Oculomoter function%response AC/A ratio%accommodative lag%accommodative amplitude%Nearwork%Follow up
目的 探讨近距离眼动参数与青少年近视进展的关系.方法 以28名近视青少年为研究对象跟踪随访8～19个月,每3个月记录近距水平隐斜、AC/A、负相对调节、正相对调节、调节滞后、调节幅度等近距离眼动参数,检测双眼平均等效球镜值,根据首次与末次双眼平均等效球镜值计算年近视进展量作为近视加深速度,分析各近距离眼动参数与年近视进展量之间的相关性.结果 AC/A、调节滞后及调节幅度与年近视进展量均呈负相关(相关系数r分别为-0.416,-0.495及-0.463,P均小于0.05);考虑到AC/A与调节滞后相互关联,将AC/A作为控制因素再行分析,调节滞后与年近视加深量仍有相关性(r=-0.383,P<0.05).结论 近距离工作时高调节滞后可能是导致近视进展的原因之一.
目的 探討近距離眼動參數與青少年近視進展的關繫.方法 以28名近視青少年為研究對象跟蹤隨訪8～19箇月,每3箇月記錄近距水平隱斜、AC/A、負相對調節、正相對調節、調節滯後、調節幅度等近距離眼動參數,檢測雙眼平均等效毬鏡值,根據首次與末次雙眼平均等效毬鏡值計算年近視進展量作為近視加深速度,分析各近距離眼動參數與年近視進展量之間的相關性.結果 AC/A、調節滯後及調節幅度與年近視進展量均呈負相關(相關繫數r分彆為-0.416,-0.495及-0.463,P均小于0.05);攷慮到AC/A與調節滯後相互關聯,將AC/A作為控製因素再行分析,調節滯後與年近視加深量仍有相關性(r=-0.383,P<0.05).結論 近距離工作時高調節滯後可能是導緻近視進展的原因之一.
목적 탐토근거리안동삼수여청소년근시진전적관계.방법 이28명근시청소년위연구대상근종수방8～19개월,매3개월기록근거수평은사、AC/A、부상대조절、정상대조절、조절체후、조절폭도등근거리안동삼수,검측쌍안평균등효구경치,근거수차여말차쌍안평균등효구경치계산년근시진전량작위근시가심속도,분석각근거리안동삼수여년근시진전량지간적상관성.결과 AC/A、조절체후급조절폭도여년근시진전량균정부상관(상관계수r분별위-0.416,-0.495급-0.463,P균소우0.05);고필도AC/A여조절체후상호관련,장AC/A작위공제인소재행분석,조절체후여년근시가심량잉유상관성(r=-0.383,P<0.05).결론 근거리공작시고조절체후가능시도치근시진전적원인지일.
Objective To investigate the relationship between the nearwork oculomoter functions and the myopia progression in myopia juveniles. Methods 28 students were followed up and visited for 8 to 19months and their oculomoter functions such as heterophoria,the response AC/A ratio,negative relative accommodation,positive relative accommodation,accommodative lag and accommodative amplitudes were measured and analyzed. Results The response AC/A ratio,accommodative hysteresis and accommodative amplitudes were correlated with the annual myopia progression; and the Pearson's correlation coefficients (-0.416,-0.495 and -0.463 respectively) were significant at the 0.05 level. A scatterplot indicated that there was a linear relationship between the accommodative lag and the annual myopia progression;these variables were still negatively correlated while controlling for the effects of the response AC/A ratio (r=-0.383 ,P <0.05). Conclusion High accommodative lag in the nearwork maybe one of the reasons lead to myopia progression.
