CAJ | 학술논문

目的系统评价青少年近视患者配戴角膜塑形镜及框架眼镜1～2年间眼轴长度的变化.方法计算机检索PubMed、EMbase、The Cochrane Library、CBM、CNKI、VIP和WanFang Data,检索时限均从建库至2013年7月,文种限中、英文.资料提取和纳入研究的方法学质量评价后,采用RevMan5.1软件进行Meta分析.结果最终纳入7篇文献,共1 346只眼.Meta分析结果显示:与配戴框架眼镜组比较,配戴角膜塑形镜1年、2年,眼轴长度增长明显变缓[1年:MD=-0.52,95％CI(-0.82,-0.21),P=0.0009;2年:MD=-0.35,95％CI(-0.60,-0.09),P=0.0008].结论角膜塑形镜能够延缓青少年近视患者眼轴的增长,起到控制近视发展的作用.但长期疗效仍需进一步随访证实.
목적 계통평개청소년근시환자배대각막소형경급광가안경1～2년간안축장도적변화.방법 계산궤검색PubMed、EMbase、The Cochrane Library、CBM、CNKI、VIP화WanFang Data,검색시한균종건고지2013년7월,문충한중、영문.자료제취화납입연구적방법학질량평개후,채용RevMan5.1연건진행Meta분석.결과 최종납입7편문헌,공1 346지안.Meta분석결과현시:여배대광가안경조비교,배대각막소형경1년、2년,안축장도증장명현변완[1년:MD=-0.52,95％CI(-0.82,-0.21),P=0.0009;2년:MD=-0.35,95％CI(-0.60,-0.09),P=0.0008].결론 각막소형경능구연완청소년근시환자안축적증장,기도공제근시발전적작용.단장기료효잉수진일보수방증실.
Objective To systematically evaluate the change of axial length in 1-2 year among the teenager in myopia receiving orthokeratology (OK) treatment and wearing spectacles.Methods Such databases as PubMed,EMbase,Cochrane library,CBM,CNKI,VIP,and WangFang Data were searched.The retrieval time was from inception to July 2013,and the language was in both Chinese and English.After extracted the data and assessed the quality of the included studies.The meta-analysis was performed by using RevMan 5.1 software.Results A total of 7 studies involving 1346 eyes were included.The results of meta-analysis showed that,compared with the conventional spectacles group,the axial length elongation in orthokeratology group increased slower among 1,2 years (One year:MD=-0.34,95％CI (-0.65,-0.03),P =0.003 Two year:MD=-0.35,95％CI (-0.60,-0.09),P =0.007).Conclusions OK can suppress axial length elongation in childhood myopia,and control the development of myopia.But further studies are still required for its long-term effect.