RGPCL在青少年近视矫正与控制方面的效果分析

Analysis of the effects of RGPCL on correction and control of myopia in juvenile

目的:探讨硬性透气性角膜接触镜(RGPCL)在青少年近视矫正与控制方面的临床效果及安全性。方法:选取漯河医学高等专科学校第三附属医院门诊2011年9月至2012年9月收治的近视眼患者120例240眼,采用随机数字表法分为框架眼镜组和RGPCL组,各60例120眼;其中对照组患者采用框架眼镜佩戴;RGPCL组患者采用硬性透气性角膜接触镜佩戴,佩戴时间均为3个月;比较两组患者治疗前后屈光度、眼轴长度、角膜平均曲率半径及并发症发生率等。结果:对照组和RGPCL组患者治疗前屈光度组间比较,差异无统计学意义(P>0.05);RGPCL组患者治疗后屈光度明显优于对照组,差异有统计学意义(P<0.05);对照组和RGPCL组患者治疗前眼轴长度及角膜平均曲率半径,差异无统计学意义(P>0.05);RGPCL组患者治疗后眼轴长度及角膜平均曲率半径均明显优于对照组,差异有统计学意义(P<0.05);同时两组患者治疗过程中均无眼部感染、角膜及结膜损伤等严重并发症出现。结论:相较于框架眼镜,RGPCL用于青少年近视矫正与控制可有效矫正散光,控制近视进展,防止弱视,具有临床推广使用价值。

Objective： To investigate the therapeutic effect and security of RGPCL on correction and control of myopia in juvenile. Methods： 120 patients（ 240 eyes） with myopia were choosed in the period from September of 2011 to September of 2012 and randomly divided into two groups,control group（ 60 patients with 120 eyes） and RGPCL group（ 60 patients with 120 eyes）; the diopter,axial length,corneal average radius of curvature and complication incidence of two groups were compared. Results： There was no significant difference of diopter before treatment between control group and RGPCL group（ P 〉 0. 05）. The diopter of RGPCL group after treatment were significantly better than control group（ P 〈 0. 05）. There was no significant difference of axial length and corneal average radius before treatment between control group and RGPCL group（ P 〉0. 05）. The axial length and corneal average radius of RGPCL group after treatment were significantly better than control group（ P 〈 0. 05）. And there was no serious complication including eye infections,corneal and conjunctival injury between control group and RGPCL group. Conclusion：Compared with glasses,RGPCL in juvenile with myopia correction and control could efficiently correct astigmatism,control the progression of myopia and prevent amblyopia,and is worth of clinical application.