配戴渐进多焦点眼镜对近视青少年近视进展的影响

The Effect of Wearing Progressive Multifocal Glasses on the Progression of Myopia in Adolescents

探讨配戴渐进多焦点眼镜对青少年近视进展的临床疗效及影响。对2015年6月至2016年6月到贵州医科大学就诊的青少年近视眼患者76例为研究对象,随机分为两组,每组38例,观察组患者配戴渐进多焦点眼镜,对照组配戴常规单焦点框架眼镜治疗。对两组患者配戴1年前后的舒适度、眼镜屈光度、眼轴长度以及临床疗效进行对比。结果渐进多焦点眼镜组患者的舒适度较单焦点眼镜组好,且渐进多焦点眼镜组患者的屈光度低于单焦点眼镜组[(4.20±0.42)D VS(4.62±0.43)D],眼轴长度短于单焦点眼镜组[(24.5±3.1)mm VS(25.1±4.2)mm],两组在平均屈光度与眼轴长度的比较差异显著,具有统计学意义,P<0.05;针对青少年患者近视临床有效率渐进多焦点眼镜组高于单焦点组(92.1%VS 71.0%),差异有统计学意义,P<0.05。渐进多焦点眼镜对于青少年近视患者有较好的舒适度,可以改善患者的近视度数,且对患者的临床有效率较单焦点框架眼镜组高,值得临床推广应用。

Objective to explore the clinical effect and influence of wearing progressive multifocal glasses on the progression of myopia in adolescents.Methods from June 2015 to June 2016,76 cases of juvenile myopia patients who went to Guizhou Medical University were randomly divided into two groups,38 cases in each group.The patients in the observation group wore progressive multifocal glasses,and the patients in the control group wore conventional single focus frame glasses.The comfort,diopter,axial length and clinical effect of the two groups were compared before and after wearing for one year.Results the comfort of patients with progressive multifocal glasses group was better than that of monocular glasses group,and the diopter of patients with progressive multifocal glasses group was lower than that of monocular glasses group[(4.20±0.42)d vs(4.62±0.43)d)],and the length of eye axis was shorter than that of monocular glasses group[(24.5±3.1)mm Vs(25.1±4.2)mm],there was a significant difference between the two groups in the average diopter and axial length,with statistical significance(P<0.05);the clinical efficiency of progressive multifocal glasses group was higher than that of single focus group(92.1%vs 71.0%),with statistical significance(P<0.05).Conclusion progressive multifocal glasses have better comfort for juvenile myopia patients,can improve the myopia degree of the patients,and the clinical efficiency of the patients is higher than that of the single focus frame glasses group,which is worthy of clinical application.