摘要
目的 观察红光治疗联合叶黄素对儿童青少年近视增长的影响.方法 选择2023年3月~2024年3月收治的100例儿童青少年近视患者为研究对象,随机分为对照组及治疗组,每组各50例.双眼纳入研究过程,统一选取右眼数据进行分析.对照组采用波长650 nm红光进行防控干预,治疗组在此治疗基础上,口服来益叶黄素,1次/d,1粒/次.非干预时间两组均佩戴单光框架眼镜.比较治疗后1、3、6、12个月两组受试者右眼的等效球镜度(SE)、裸眼视力(UCVA)及眼轴长度(AL).结果 与干预前相比,干预1、3、6、12个月后,对照组SE降低、AL缩短、UCVA升高并逐渐趋于稳定,治疗组SE呈持续降低、AL持续缩短、UCVA持续升高(P<0.05),在6个月及12个月两组SE、AL及UCVA比较,差异均有统计学意义(P<0.05).结论 650 nm红光对儿童青少年近视的增长有明显控制作用,联合应用叶黄素效果更佳.
Abstract
Objective To observe the effect of red light therapy combined with lutein supplementation on the growth of myopia in children and adolescents.Methods One hundred cases of children and adolescents with myopia in our department from March 2023 to March 2024 were selected as the research object and randomly divided into control group and treatment group,with 50 cases in each group.Both eyes were included in the research process,and the right eye data were selected for analysis.The control group was treated with 650 nm red light for prevention and control inter-vention,and the treatment group was treated with oral administration of leyilutein,once a day,1 capsule each time.Dur-ing the non intervention time,both groups wore single light frame glasses.The equivalent spherical refraction(SE),un-corrected visual acuity(UCVA)and axial length(AL)of the right eye of the two groups were compared at 1,3,6 and 12 months after treatment.Results Compared with before intervention,after 1,3,6,and 12 months of intervention,the SE of the control group decreased,AL shortened,and UCVA increased and gradually stabilized,while the SE of the treatment group continued to decrease,AL shortened,and UCVA increased(P<0.05).There were statistically significant differ-ences in SE,AL,and UCVA between the two groups at 6 and 12 months(P<0.05).Conclusion 650 nm red light has obvious control effect on the growth of myopia in children and adolescents,and the effect of combined application of lute-in is better.