配戴漸進多焦點眼鏡對近視青少年近視進展的影響

張永菲 朱仁紅 公方香

摘? 要：探討配戴漸進多焦點眼鏡對青少年近視進展的臨床療效及影響。對2015年6月至2016年6月到貴州醫科大學就診的青少年近視眼患者76例為研究對象，隨機分為兩組，每組38例，觀察組患者配戴漸進多焦點眼鏡，對照組配戴常規單焦點框架眼鏡治療。對兩組患者配戴1年前后的舒適度、眼鏡屈光度、眼軸長度以及臨床療效進行對比。結果漸進多焦點眼鏡組患者的舒適度較單焦點眼鏡組好，且漸進多焦點眼鏡組患者的屈光度低于單焦點眼鏡組[（[（4.20±0.42）D VS（4.62±0.43）D]]，眼軸長度短于單焦點眼鏡組[[（24.5±3.1）mm VS（25.1±4.2）mm]]，兩組在平均屈光度與眼軸長度的比較差異顯著，具有統計學意義，[P<0.05];針對青少年患者近視臨床有效率漸進多焦點眼鏡組高于單焦點組[（92.1% VS 71.0%）]，差異有統計學意義，[P<0.05]。漸進多焦點眼鏡對于青少年近視患者有較好的舒適度，可以改善患者的近視度數，且對患者的臨床有效率較單焦點框架眼鏡組高，值得臨床推廣應用。

關鍵詞：漸進多焦點眼鏡;青少年近視;臨床療效

中圖分類號：R778? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ?文獻標志碼：A? ? ? ? ? ? ? 文章編號：1672-0105（2020）01-0071-03

The Effect of Wearing Progressive Multifocal Glasses

on the Progression of Myopia in Adolescents

ZHANG Yong-fei， ZHU Ren-hong， GONG Fang-xiang

（Zhejiang Industry and Trade Vocational and Technical College， Wenzhou， 325000， China）

Abstract：? Objective to explore the clinical effect and influence of wearing progressive multifocal glasses on the progression of myopia in adolescents. Methods from June 2015 to June 2016， 76 cases of juvenile myopia patients who went to Guizhou Medical University were randomly divided into two groups， 38 cases in each group. The patients in the observation group wore progressive multifocal glasses， and the patients in the control group wore conventional single focus frame glasses. The comfort， diopter， axial length and clinical effect of the two groups were compared before and after wearing for one year. Results the comfort of patients with progressive multifocal glasses group was better than that of monocular glasses group， and the diopter of patients with progressive multifocal glasses group was lower than that of monocular glasses group [（[（4.20 ± 0.42） d vs （4.62 ± 0.43） d）]， and the length of eye axis was shorter than that of monocular glasses group [[（24.5 ± 3.1） mm Vs （25.1 ± 4.2） mm）]， there was a significant difference between the two groups in the average diopter and axial length， with statistical significance [（P < 0.05）]; the clinical efficiency of progressive multifocal glasses group was higher than that of single focus group [（92.1% vs 71.0%）]， with statistical significance [（P<0.05）]. Conclusion progressive multifocal glasses have better comfort for juvenile myopia patients， can improve the myopia degree of the patients， and the clinical efficiency of the patients is higher than that of the single focus frame glasses group， which is worthy of clinical application.

Key Words：? progressive multifocal glasses; juvenile myopia; clinical effect

近視是臨床中較為常見的一種眼科疾病，好發的年齡段是青少年。近視主要指患者眼睛處在休息狀態下時，從遠處來的可見平行光經過眼睛的屈光系統折射后，在視網膜前端聚集成焦點，在視網膜上則形成不清楚的像而引起的遠視能力降低。近視已成為我國乃至亞洲青少年健康的公共衛生問題，青少年人群近年來患近視年齡呈現低齡化且患病人群呈現上升趨勢，患者本身近視度數增加速度快，若不及時治療可能會并發青光眼和脈絡膜新生血管等眼病，嚴重者可致永久性視力喪失，嚴重影響到青少年患者的生活質量和學習。……