托吡卡胺与阿托品对儿童散瞳验光效果的临床观察

The Clinical Study on the Effect of Tropicamide and Atropine Ophthalmic Solution in Mydriatic Refractometry for Children

目的:对比托吡卡胺与阿托品眼液对儿童散瞳验光的效果。方法:用托吡卡胺眼液和1%硫酸阿托品眼膏先后分别对4～14岁260例(520只眼),无其它眼疾,眼位正常的屈光不正儿童散瞳后进行电脑验光,采用自身配对t检验对两种药物验光结果进行比较。结果:4～7岁组远视、近视和8～11岁组远视两种药物散瞳验光所得结果差异有统计学意义(P<0.05);8～11岁组近视、12～14岁组远视、近视两种药物散瞳验光所得结果差异无统计学意义(P>0.05)。结论:托吡卡胺散瞳验光方法适用于眼位正常的8岁及以上近视儿童和12岁及以上远视儿童。

Objective： To compare the effect of tropicamide and atropine ophthalmic solution in mydriatic refractometry for children.Methods： Totally 260 eases （520 eyes） of ametropia children from 4 to 14 years without other eye disease were received optometry after using the tropicamide eye drops and 1% atropine sulfate, The results of optometry were compared by paired T-test.Results： There existed statistically significant difference between the hyperopia and myopia in 4 to 7 years old group, hyperopia in 8 to 11 years old group.But there were no significant difference between the myopia in 8 to 11 years old group, myopia and hyperopia in 12 to 14 years old group.Conclusion： Aged 8 years and older children with myopia and hyperepia in aged 12 years and above children could receive optometry after using the tropicamide eye drops.