CAJ | 학술논문

目的：研究散光对小学生屈光变化的影响，为儿童近视的防治提供理论参考。方法对川沙学区某小学一年级学生209人（418眼）进行眼科普查，了解其基础屈光状态。后随访2年，每年复查其屈光状态的变化情况。应用Minitab统计软件对无散光眼组、有散光眼组近视化进展程度进行比较，并对有散光组分别分析不同散光度数、不同散光轴向眼近视化进展的差异。结果有散光组近视化速度均高于无散光组，且两组间存在统计学显著性差异( P<0.05)。不同散光度数组与无散光组相较，其近视化进展的程度均具有统计学显著性差异( P<0.05)。2.00~1.25D散光组近视化进展速度最快。不同散光轴向对近视化促进作用无明显差异（P>0.05)。结论眼散光可促进儿童近视化的进展。在对儿童进行屈光矫正的过程中，应对散光进行合理矫正，以达到进一步控制近视发生发展的目的。
목적：연구산광대소학생굴광변화적영향，위인동근시적방치제공이론삼고。방법대천사학구모소학일년급학생209인（418안）진행안과보사，료해기기출굴광상태。후수방2년，매년복사기굴광상태적변화정황。응용Minitab통계연건대무산광안조、유산광안조근시화진전정도진행비교，병대유산광조분별분석불동산광도수、불동산광축향안근시화진전적차이。결과유산광조근시화속도균고우무산광조，차량조간존재통계학현저성차이( P<0.05)。불동산광도수조여무산광조상교，기근시화진전적정도균구유통계학현저성차이( P<0.05)。2.00~1.25D산광조근시화진전속도최쾌。불동산광축향대근시화촉진작용무명현차이（P>0.05)。결론안산광가촉진인동근시화적진전。재대인동진행굴광교정적과정중，응대산광진행합리교정，이체도진일보공제근시발생발전적목적。
Objective To study the effects of astigmatism on the change of refractive status in order to provide the theoretical reference for preventing myopia in children. Methods 209 children (418 eyes) were involved in the study. The ophthalmic general investigation provided the data of the basic refractive status. The children were examined once a year in the following 2 years. The statistical software Minitab was used for analysis of the changes of refractive status. Results The deference of the development extent and velocity of myopia between the eyes with astigmatism and non-astigmatism was significant (P< 0.05) . Compared to the non-astigmatism group, the extent of the myopic pro-gression with different degree astigmatism was significantly higher. The myopic progression is the fastest in the 2.00~1.25D group. No significant difference was found between the astigmatism groups with different axis. ( P > 0.05) . Conclusions Astigmatism will accelerate the progression of myopia.. In order to control the myopia progression, it’s necessary to make rational refractive correction to the eyes with astigmatism in children.