高守铭 马姝婷 李丽霞 毛延焰

    [摘要] 目的 探討角膜塑形镜和低浓度阿托品在儿童近视控制中的作用。 方法 选取2018年1月至2019年5月我院就诊的140例近视儿童为研究对象，采用随机数字表法将其分为试验组和对照组，每组各70例。对照组给予角膜塑形镜配戴干预，试验组给予角膜塑形镜配戴和低浓度阿托品干预，比较两组治疗前后屈光度及眼轴长度的变化情况，比较两组LLT、OSI、BUT指标情况及不良反应总发生率，比较两组角膜内皮计数、IOP。 结果 治疗后试验组眼轴长度变化差值为(0.12±0.02)mm、屈光度变化差值为(0.04±0.01)D，明显低于对照组的(0.67±0.12)mm、(1.06±0.13)D，差异有统计学意义(P0.05);治疗后试验组与对照组角膜内皮计数、IOP比较，差异无统计学意义(P>0.05)。 结论 角膜塑形镜联合低浓度阿托品治疗效果较为理想，值得临床应用。

    [关键词] 角膜塑形镜;低浓度阿托品;儿童;近视

    [中图分类号] R778.11? ? ? ? ? [文献标识码] B? ? ? ? ? [文章编号] 1673-9701(2021)12-0087-04

    The role of orthokeratology and low-concentration atropine in the control of myopia in children

    GAO Shouming? ?MA Shuting? ?LI Lixia? ?MAO Yanyan

    Department of Ophthalmology， Fuzhou Children′s Hospital of Fujian Medical University， Fuzhou Children′s Hospital of Fujian Province， Fuzhou 350001， China

    [Abstract] Objective To explore the effect of orthokeratology and low-concentration atropine in the control of myopia in children. Methods A total of 140 myopic children who were treated in our hospital from January 2018 to May 2019 were selected as the research objects. They were divided into the experimental group and the control group by a random number table ......