浙江医学
浙江醫學
절강의학
ZHEJIANG MEDICAL JOURNAL
2015年
1期
25-29
,共5页
髋关节发育不良%成人%全髋置换术%髋臼假体%有限元模拟
髖關節髮育不良%成人%全髖置換術%髖臼假體%有限元模擬
관관절발육불량%성인%전관치환술%관구가체%유한원모의
School children%Myopia%Related factor
目的：2年随访期调查学龄期近视儿童屈光变化，获得近视进展状态和规律，探讨与近视进展相关的因素。方法120例8~13岁的近视儿童自愿入选本项研究，以睫状肌麻痹后自动电脑验光获得的屈光度数以及眼轴长度作为主要研究参数，跟踪随访测量，每6个月1次，至24个月，分析其近视进展的状况及年龄、初始度数、散光等因素在近视进展中所起的作用。结果（1）共92例完成随访，其中男54例，女38例，年龄（10.18±1.03）岁。初始度数：-（2.46±1.03）D，年平均进展度数-（0.69±0.29）D。眼轴的年平均变化值为（0.33±0.11）mm；（2）各个年龄组间的近视进展量有差异统计学意义（F=2.724， P=0.049）。年龄越小，近视进展得越快；（3）初始度数＞-2.00D的受试者近视进展量大于初始度数＜-2.00D的受试者（F=8.168， P=0.006）；（4）初始有散光的受试者近视进展量比初始无散光的稍大（F=4.107，P=0.046）。结论学龄期近视儿童年近视进展量明显，近视度数年进展量0.50~1.00D,年龄小、初始度数高、存在散光是近视进展的相关因素。
目的：2年隨訪期調查學齡期近視兒童屈光變化，穫得近視進展狀態和規律，探討與近視進展相關的因素。方法120例8~13歲的近視兒童自願入選本項研究，以睫狀肌痳痺後自動電腦驗光穫得的屈光度數以及眼軸長度作為主要研究參數，跟蹤隨訪測量，每6箇月1次，至24箇月，分析其近視進展的狀況及年齡、初始度數、散光等因素在近視進展中所起的作用。結果（1）共92例完成隨訪，其中男54例，女38例，年齡（10.18±1.03）歲。初始度數：-（2.46±1.03）D，年平均進展度數-（0.69±0.29）D。眼軸的年平均變化值為（0.33±0.11）mm；（2）各箇年齡組間的近視進展量有差異統計學意義（F=2.724， P=0.049）。年齡越小，近視進展得越快；（3）初始度數＞-2.00D的受試者近視進展量大于初始度數＜-2.00D的受試者（F=8.168， P=0.006）；（4）初始有散光的受試者近視進展量比初始無散光的稍大（F=4.107，P=0.046）。結論學齡期近視兒童年近視進展量明顯，近視度數年進展量0.50~1.00D,年齡小、初始度數高、存在散光是近視進展的相關因素。
목적：2년수방기조사학령기근시인동굴광변화，획득근시진전상태화규률，탐토여근시진전상관적인소。방법120례8~13세적근시인동자원입선본항연구，이첩상기마비후자동전뇌험광획득적굴광도수이급안축장도작위주요연구삼수，근종수방측량，매6개월1차，지24개월，분석기근시진전적상황급년령、초시도수、산광등인소재근시진전중소기적작용。결과（1）공92례완성수방，기중남54례，녀38례，년령（10.18±1.03）세。초시도수：-（2.46±1.03）D，년평균진전도수-（0.69±0.29）D。안축적년평균변화치위（0.33±0.11）mm；（2）각개년령조간적근시진전량유차이통계학의의（F=2.724， P=0.049）。년령월소，근시진전득월쾌；（3）초시도수＞-2.00D적수시자근시진전량대우초시도수＜-2.00D적수시자（F=8.168， P=0.006）；（4）초시유산광적수시자근시진전량비초시무산광적초대（F=4.107，P=0.046）。결론학령기근시인동년근시진전량명현，근시도수년진전량0.50~1.00D,년령소、초시도수고、존재산광시근시진전적상관인소。
Objective To investigate the progression of myopia among school children and its related factors. Methods One hundred and twenty children aged 8~13 years were recruited into this study. Cycloplegic objective refraction was measured over a 24- month period with 6- month intervals. The correlation of myopia progression with age, initial refractive error and astig-matism was analyzed. Results The study was completed in 92 child subjects, including 54 boys and 38 girls. The average my-opic increasing rate was- 0.69±0.29D per year. The average increase of axial length was 0.33mm. The myopic progression was related to the ages of subjects:the younger children the more myopia progression (F=2.724, P=0.049). The subjects with initial myopia higher than - 2.00D had more progression than those under - 2.00D (F=8.168, P=0.006). Children with astigmatism at baseline had more myopic progression (F=4.107, P=0.046). Conclusion Myopia progresses fast in school children;age, initial myopia status and baseline astigmatism are responsible for this progression.
