凸透三棱镜结合视觉生理性眼操训练对青少年近视的预防控制效果研究

Study on the prevention and control effect of convex prism combined with visual physiological eye exercise training on adolescent myopia

目的探讨凸透三棱镜结合视觉生理性眼操训练对青少年近视的预防控制效果。方法 86例青少年近视患者,根据入院序号奇偶数按比例(1∶1)分为对照组和观察组,每组43例。对照组患者采用凸透三棱镜预防控制,观察组在对照组基础上进行生理性眼操训练预防控制,比较两组患者近视预防控制情况。结果治疗前两组屈光度、眼轴长度比较差异无统计学意义(P>0.05);治疗后,观察组屈光度(-2.07±0.45)D、眼轴长度(24.02±0.76)mm低于对照组的(-2.68±0.62)D、(24.31±0.43)mm,差异均有统计学意义(P<0.05)。结论采用凸透三棱镜配合生理性眼操训练预防控制青少年近视效果更为理想,并能缓解凸透三棱镜长期使用的不良问题,值得推广。

Objective To explore the prevention and control effect of convex prism combined with visual physiological eye exercise training on adolescent myopia. Methods A total of 86 patients with adolescent myopia were divided into control group and observation group according to the odd or even number of admission numbers by proportion（1：1）, 43 cases in each group. Patients in the control group were treated with convex prisms. Patients in the observation group were treated with visual physiological eye exercise training for prevention and control on the basis of control group. The prevention and control of myopia between the two groups were compared. Results There were no significant differences in the refractive power and axial length between the two groups before intervention（P0.05）. The refractive power and axial length of the two groups after treatment were significantly lower than those before treatment, the refractive power and axial length of the observation group were（-2.07±0.45） D and（24.02±0.76） mm, which were significantly lower than（-2.68±0.62） D and（24.31±0.43） mm of the control group, the differences were statistically significant（P0.05）. Conclusion The prevention and control effect of convex prism combined with visual physiological eye exercise training on adolescent myopia is more ideal, and can relieve the bad problems of the long term use of convex prism. It is worth popularizing.