首页|期刊导航|中国医学创新|视功能训练联合角膜塑形镜配戴对近视患儿视功能的影响

视功能训练联合角膜塑形镜配戴对近视患儿视功能的影响OA

The Influence of Visual Function Training Combined with Orthokeratology Lens Wearing on Visual Function in Children with Myopia

中文摘要英文摘要

目的:研究视功能训练联合角膜塑形镜配戴对近视患儿视功能的影响.方法:选取 2021 年1 月—2024 年 1 月江南大学附属中心医院收治的 102 例近视患儿作为研究对象,按照随机数字表法分为研究组与对照组,各 51 例.对照组行角膜塑形镜配戴治疗,研究组在对照组基础上行视功能训练.于治疗前与治疗 6 个月后统计两组裸眼视力、眼轴长度、视功能指标及美国国家眼科研究所视觉相关生活质量-25(NEI-VFQ-25)评分.结果:治疗后,研究组裸眼视力高于对照组(P<0.05);治疗后,研究组负相对调节高于对照组,正相对调节、调节性集合与调节比率低于对照组(P<0.05);治疗后,研究组NEI-VFQ-25 中各项评分均高于对照组(P<0.05).结论:视功能训练与角膜塑形镜配戴联合用于近视患儿的治疗中,相较单纯角膜塑形镜配戴,更有助于提升患儿裸眼视力及改善视功能,患儿视觉相关生活质量更好.

Objective:To investigate the effect of visual function training combined with orthokeratology lens wearing on the visual function of myopic children.Method:A total of 102 myopic children admitted to Jiangnan University Affiliated Central Hospital from January 2021 to January 2024 were selected as the research objects and divided into the study group and the control group according to the random number table method,with 51 cases in each group.The control group received orthokeratology lens wearing treatment,while the study group received visual function training on the basis of the control group.The uncorrected visual acuity,axial length of the eye,visual function indicators and National Eye Institute vision function questionnaire-25(NEI-VFQ-25)scores of the two groups were statistically analyzed before treatment and 6 months after treatment.Result:After treatment,the uncorrected visual acuity of the study group was higher than that of the control group(P<0.05).After treatment,the negative relative regulation in the study group was higher than that in the control group,while the positive relative regulation and the ratio of regulatory convergence to regulation were lower than those in the control group(P<0.05).After treatment,the scores of each item in NEI-VFQ-25 of the study group were all higher than those of the control group(P<0.05).Conclusion:The combination of visual function training and orthokeratology lens wearing in the treatment of myopic children is more conducive to improving the children's uncorrected vision and visual function compared with wearing orthokeratology lenses alone,and the visual-related quality of life of the children is better.

朱冬元;付玉婷;诸瑛;邓雪婷

江南大学附属中心医院眼科 江苏 无锡 214000江南大学附属中心医院眼科 江苏 无锡 214000江南大学附属中心医院眼科 江苏 无锡 214000江南大学附属中心医院眼科 江苏 无锡 214000

近视儿童角膜塑形镜视功能训练裸眼视力眼轴长度生活质量

MyopiaChildrenOrthokeratology lensVisual function trainingNaked eye visionEye axis lengthQuality of life

《中国医学创新》 2026 (8)

130-134,5

10.3969/j.issn.1674-4985.2026.08.030

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