首页|消旋山莨菪碱联合角膜塑形镜减缓对轻中度近视眼患者的视功能影响

消旋山莨菪碱联合角膜塑形镜减缓对轻中度近视眼患者的视功能影响

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目的 探讨与分析消旋山莨菪碱联合角膜塑形镜减缓对轻中度近视眼患者的视功能影响.方法 选取2020年3月—2022年12月江苏省南通市海门区人民医院眼科收治的112例轻中度近视眼患者作为研究对象,根据1∶1随机掷硬币原则分为研究组与对照组,各56例.对照组佩戴角膜塑形镜治疗,研究组在此基础上给予消旋山莨菪碱治疗,对比两组视功能变化情况.结果 治疗3个月后,两组裸眼视力高于治疗前,屈光度低于治疗前,并且研究组优于对照组,差异有统计学意义(P均<0.05).治疗3个月后,研究组的总有效率为98.21%,优于对照组的85.71%,差异有统计学意义(χ2=4.350,P<0.05).治疗3个月后,两组的眼压均低于治疗前,并且研究组的眼压更低,差异有统计学意义(P<0.05).研究组不良反应发生率为3.57%,低于对照组的17.86%,差异有统计学意义(χ2=5.973,P<0.05).结论 消旋山莨菪碱联合角膜塑形镜治疗轻中度近视眼能提高患者的裸眼视力,降低屈光度,也可促进降低患者的眼压,降低不良反应发生率,从而改善患者的总体视功能.
Effects of Racemic Anisodamine Combined with Orthokeratology on Vi-sual Function in Patients with Mild to Moderate Myopia
Objective To investigate and analyze the effects of racemic anisodamine combined with orthokeratology on visual function in patients with mild to moderate myopia.Methods A total of 112 patients with mild to moderate myo-pia admitted to the Department of Ophthalmology of Haimen District People's Hospital of Nantong City,Jiangsu Prov-ince from March 2020 to December 2022 were selected as the study objects.According to the 1:1 random coin toss principle,the patients were divided into the study group and the control group with 56 cases in each group.The con-trol group was treated with orthokeratology,on the basis of which,the study group was treated with racemic anisoda-mine.The changes of visual function were compared between the two groups.Results After 3 months of treatment The naked eye visual acuity of two groups were higher than before treatment,and the diopter were lower than before treat-ment,and the study group were better than those of the control group,and the differences were statistically significant(all P<0.05).After 3 months of treatment,the total effective rate was 98.21%in the study group,which was better than the control group of 85.71%,and the difference was statistically significant(χ2=4.350,P<0.05).After 3 months of treatment,IOP were lower in both groups than before treatment,and the study group was lower than the control group,and the differences were statistically significant(P<0.05).The incidence of side effects such as eye swelling,eye infec-tion,photophobia and irritation was 3.57%in the study group,which was lower than 17.86%in the control group,and the difference was statistically significant(χ2=5.973,P<0.05).Conclusion Racemic anisodamine combined with ortho-keratology in the treatment of mild and moderate myopia can improve the naked eye visual acuity of patients,reduce the diopter,also promote the reduction of the intraocular pressure of patients,reduce the incidence of adverse reac-tions,and thus improve the overall visual function of patients.

Racemic anisodamineOrthokeratology lensMyopiaVisual functionNaked eye visionDiopterAdverse reaction

张玉蓉、陆嵘梅、王卫星

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江苏省南通市海门区人民医院眼科,江苏南通 226100

消旋山莨菪碱 角膜塑形镜 近视 视功能 裸眼视力 屈光度 不良反应

2024

系统医学

系统医学

ISSN:
年,卷(期):2024.9(1)
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