CAJ | 학술논문

目的眼科视光门诊调查成年近视患者的视疲劳流行率,并探讨视疲劳的双眼视功能异常的相关危险因素.方法收集800例成年近视患者,在获得知情同意后进行视疲劳问卷调查及屈光不正矫正下的各眼动参数的测量,包括调节幅度(AA)、调节灵敏度、调节反应、正负相对调节(NRA/PRA)、远近距离垂直和水平隐斜、远近距离的正负融像集合、辐辏近点和立体视.结果 800例调查对象视疲劳的总患病率为24.2％(194/800),女性(27.8％,128/460)多于男性(19.4％,66/340)(P=0.006)；在单因素方差分析中,单眼AA、双眼AA、NRA和PRA眼动参数与视疲劳有关系(P=0.000).而多因素条件Logistic回归分析显示低的PRA(≤1.25 D)和低的NRA(≤1.50 D)是成年近视患者视疲劳的显著危险因素(P=0.000,OR值7.644；95％ CI 2.913～17.580；P=0.000,OR值5.303；95％ CI2.822～16.205).结论成年近视患者的视疲劳与性别和是否戴镜有关,低的正负相对调节是视疲劳明显的相关危险因素.
목적 안과시광문진조사성년근시환자적시피로류행솔,병탐토시피로적쌍안시공능이상적상관위험인소.방법 수집800례성년근시환자,재획득지정동의후진행시피로문권조사급굴광불정교정하적각안동삼수적측량,포괄조절폭도(AA)、조절령민도、조절반응、정부상대조절(NRA/PRA)、원근거리수직화수평은사、원근거리적정부융상집합、복주근점화입체시.결과 800례조사대상시피로적총환병솔위24.2％(194/800),녀성(27.8％,128/460)다우남성(19.4％,66/340)(P=0.006)；재단인소방차분석중,단안AA、쌍안AA、NRA화PRA안동삼수여시피로유관계(P=0.000).이다인소조건Logistic회귀분석현시저적PRA(≤1.25 D)화저적NRA(≤1.50 D)시성년근시환자시피로적현저위험인소(P=0.000,OR치7.644；95％ CI 2.913～17.580；P=0.000,OR치5.303；95％ CI2.822～16.205).결론 성년근시환자적시피로여성별화시부대경유관,저적정부상대조절시시피로명현적상관위험인소.
Objective To assess the prevalence and binocular dysfunctional risk factors associated with asthenopia among adult myopes.Methods The study population included 800 adult myopes,a cross-sectional visual parameters that characterize the accommodative:accommodation amplitude (AA),accommodative facility,and accommodative response (fused crossed cylinder-FCC) and binocular function (near and distant horizontal and vertical associated phorias,near and distance negative and positive fusional vergence,near point of convergence,negative and positive relative accommodation (NRA/PRA),stimulus AC/A ratio and stereoacuity) were evaluated when these subjects wore adequate spectacle correction.Results Asthenopia was reported in 24.2％ (194/800) of myopes.The incidence of asthenopia in female (27.8％,128/460) was more than that in male (19.4％,66/340),and there was significant difference (P =0.006).In univariate analysis,the monocular AA,binocular AA,NRA and PRA were significantly associated with asthenopia (P =0.000).In multivariate analysis,low NRA (≤1.25 D),low NRA (≤1.50 D) were significant risk factors for asthenopia (P =0.000,OR =7.644 ;95％ CI 2.913-17.580;P =0.000,OR =5.303;95％ CI 2.822-16.205).Conclusion Preventive measures directed against the binocular dysfunctional risks factors associated with asthenopia may help reduce the prevalence and provide a positive impact on asthenopia.