1％阿托品和复方托品酰胺在远视儿童检影比较

Comparison of 1% atropine and compound tropicamide in children with hyperopia by means of relinoscopy

目的比较1％阿托品眼膏和复方托品酰胺眼液在远视儿童散瞳检影的结果，探索复方托品酰胺在远视儿童散瞳检影的应用范围。方法用1％阿托品眼膏和复方托品酰胺眼液对166例（300只眼）远视儿童分别散瞳后进行视网膜检影验光，对两种药物散瞳检影所得结果采用自身配对t检验，用SPSS12．0统计学软件进行数据处理。结果12。15岁轻度远视组两种药物散瞳检影所得结果差异无统计学意义（P〉0．05）；4岁。和8岁～各组及12～15岁中度、高度组两种药物检影所得结果差异有统计学意义（P〈0．05）。结论12～15岁轻度远视患儿可用复方托品酰胺进行散瞳检影。12岁以下学龄儿童及12～15岁中度、高度远视患儿应以阿托品散瞳检影；在不能使用阿托品检影的特殊情况可用复方托品酰胺散瞳检影。学龄前和伴内斜的远视儿童应用阿托品散瞳检影。

Objective To compare the diagnositic therapeutic effects of 1% atropine eye ointment and compound tropicamide in the treatment of children with hyperopia by means of retinoscopy, and to assess the scope of application for compound tropicamide in juvenile hyperopia. Methods A total of 166 children with hyperopia （300 eyes） were examined with retinoscopy after using compound tropicamide and atropine eye ointment. Statistical analysis was performed by self-paired t test and SPSS12.0 statistics software. Results Twelve to 15 years old children with mild hyperopia showed no statistical difference （P 〉0.05） between the two kind of mydriatic. Twelve to 15 years old with moderate and high hyperopia and 4 years old and up group, 8 years old and up group showed statistical difference （P 〈0.05） between the two kind of mydriatic. Conclusions Compound tropicamide is an ideal drug for mydriatic optometry in 12 to 15 years old children with mild hypermetropia. Nevertheless atropine is an effective cycloplegic agent for 4 years old and up group, 8 years old and up group, and 12 to 15 years old with moderate and high hyperopia. Compound tropicamide can be used when atropine can＇t be used to dilate the pupil for of hypermetropia children. But atropine must be used in the follow- ing conditions that pre-school children hyperopia and hyperopia with esotropia.