CAJ | 학술논문

目的：观察双眼合像尺治疗假性近视短期疗效。方法选取青少年假性近视58眼（29人），随机分为实验组和对照组，实验组使用双眼合像尺进行治疗，对照组不采取任何方式治疗。观察两组在治疗前及治疗后2w、1个月和3个月时的裸眼视力恢复情况、散瞳前屈光度以及散瞳后屈光度。结果实验组在治疗后各时间点裸眼视力较治疗前显著提高，散瞳前近视度数明显降低（P﹤0.05），而对照组裸眼视力和散瞳前近视度数较治疗前均无显著差异（P﹥0.05）。治疗后3个月时，实验组和对照组散瞳后屈光度较治疗前无统计学差异（ P﹥0.05），其中实验组有3眼（10.00％）散瞳后验光为近视，对照组有5眼（17.86％）散瞳后验光为近视，但两组间真性近视发生率无显著差异（χ2＝0.24，P﹥0.05）。结论双眼合像尺简单易学，携带方便，治疗假性近视疗效确切，可作为治疗青少年假性近视的方法大力推广。
목적：관찰쌍안합상척치료가성근시단기료효。방법선취청소년가성근시58안（29인），수궤분위실험조화대조조，실험조사용쌍안합상척진행치료，대조조불채취임하방식치료。관찰량조재치료전급치료후2w、1개월화3개월시적라안시력회복정황、산동전굴광도이급산동후굴광도。결과실험조재치료후각시간점라안시력교치료전현저제고，산동전근시도수명현강저（P﹤0.05），이대조조라안시력화산동전근시도수교치료전균무현저차이（P﹥0.05）。치료후3개월시，실험조화대조조산동후굴광도교치료전무통계학차이（ P﹥0.05），기중실험조유3안（10.00％）산동후험광위근시，대조조유5안（17.86％）산동후험광위근시，단량조간진성근시발생솔무현저차이（χ2＝0.24，P﹥0.05）。결론쌍안합상척간단역학，휴대방편，치료가성근시료효학절，가작위치료청소년가성근시적방법대력추엄。
Objective To evaluate the short-term curative effect of the binocular fusion ruler on pseudo myopia. Methods 58 eyes of 29 patients with pseudo myopia were collected and randomly divided into 2 groups:treatment group and control group;the uncorrected visual acuity( UCVA)and diopter before and after mydriasis of the 2 groups before treatment and at the time point of 2 week,1 month and 3 months after treatment were observed and evaluated,respectively. Results The UCVA of the patients in treatment group was much improved after treatment than that before treatment and the pre-mydriasis myopia diopter decreased obviously( P﹤0. 05);the UCVA and pre-mydriasis myopia diopter of the patients in control group after treatment were of no obvious difference from those before treatment(P﹥0. 05);at the time point of 3 months after treatment,the UCVA and post-mydriasis myopia diopter of the patients in the 2 groups were of no statistical difference from those before treatment(P﹥0. 05),including 3 eyes(10. 00%)of true myopia in treatment group and 5 eyes(17. 86%)in control group,while the occurrence of true myopia in the 2 groups was of no obvious difference(χ2 =0. 24,P﹥0. 05). Conclusions The binocular fusion ruler is easy for command,simple for operation and convenient for carrying,and it is of confirmed curative effect on pseudo myopia;it is worthy of wider application.