CAJ | 학술논문

目的：探讨角膜塑形镜控制青少年近视发展的影响因素。 　　方法：回顾性分析2012-11/2013-11在我院进行角膜塑形术患者86例169眼，治疗2 a后，屈光度增加>-0.25 D以上的为控制无效组(54眼)，屈光度增加≤-0.25D为控制有效组(115眼)，比较两组患者各因素差异。 　　结果：(1)单因素比较结果显示，两组患者在性别、曾经戴框架眼镜、治疗前角膜横径、中央角膜厚度、眼压以及前房深度上差异不存在统计学意义(P>0.05)；而年龄、治疗前屈光度、角膜曲率以及基础眼轴四个因素上差异具有统计学意义(P<0.05)；(2)多因素Logistic回归分析结果显示，基础眼轴、年龄以及角膜曲率进入回归模型(P<0.05)，为影响角膜塑形镜控制青少年近视发展疗效的独立影响因素。 　　结论：基础眼轴、年龄以及角膜曲率为影响角膜塑形镜控制青少年近视发展疗效的独立影响因素，基础眼轴越长、年龄越大、角膜曲率越大的青少年患者，角膜塑形镜对控制其近视发展的效果越好。
목적：탐토각막소형경공제청소년근시발전적영향인소。 　　방법：회고성분석2012-11/2013-11재아원진행각막소형술환자86례169안，치료2 a후，굴광도증가>-0.25 D이상적위공제무효조(54안)，굴광도증가≤-0.25D위공제유효조(115안)，비교량조환자각인소차이。 　　결과：(1)단인소비교결과현시，량조환자재성별、증경대광가안경、치료전각막횡경、중앙각막후도、안압이급전방심도상차이불존재통계학의의(P>0.05)；이년령、치료전굴광도、각막곡솔이급기출안축사개인소상차이구유통계학의의(P<0.05)；(2)다인소Logistic회귀분석결과현시，기출안축、년령이급각막곡솔진입회귀모형(P<0.05)，위영향각막소형경공제청소년근시발전료효적독립영향인소。 　　결론：기출안축、년령이급각막곡솔위영향각막소형경공제청소년근시발전료효적독립영향인소，기출안축월장、년령월대、각막곡솔월대적청소년환자，각막소형경대공제기근시발전적효과월호。
?AlM:To explore the influence factors of orthokeratology controlling development of juvenile myopia. ?Methods: A retrospective analysis of 86 cases ( 169 eyes ) who performed orthokeratology from November 2012 to November 2013 in our hospital was carried out. Ater 2a treatment, diopter increased > -0. 25D as invalid control group (54 eyes), diopter increased ≤ -0. 25D as effective control group ( 115 eyes ) . The difference of various factors between two groups were compared. ?RESULTS: Univariate comparison showed that the two groups had no statistical significance (P>0. 05) in terms of gender, whether wear glasses in the past, anterior corneal diameter before treatment, central corneal thickness, intraocular pressure and anterior chamber depth. However, the two groups had statistical significance (P<0. 05) in the terms of age, dioptre before trement, corneal curvature, and axial length basis. Logistic regression analysis showed that foundation axial length, age and corneal curvature were in line with regression model ( P<0. 05 ), these were independent factors that orthokeratology lens control juvenile myopia development. ? CONCLUSlON: lndependent factors affecting orthokeratology control juvenile myopia development is foundation axial length, age and corneal curvature. For juvenile patients, the longer of foundation axial length, the longer the age, the greater the curvature of cornea, orthokeratology can better control the myopia’s development.