在学龄儿童的压力-压力指数的变化:为期3年的纵向研究
Zhengfei Yang1, Bo Wu2, Zhouyue Li1
1State Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-sen University, Guangzhou, China.
Journal of ophthalmology
|October 23, 2023
概括
在年幼的学生中,角膜生物力学参数应力-应变指数 (SSI) 在三年内下降,与轴长度和折射误差的变化相关. 新发育的近视显示出角膜属性的下降速度更快.
科学领域:
- 眼科医生 眼科 眼科
- 生物机械工程 生物机械工程
- 儿科光学测量 儿科光学测量
背景情况:
- 角膜的生物力学特性对于折射误差的发展至关重要.
- 对儿童角膜生物力学的纵向研究是有限的.
- 了解角膜生物力学的变化可能会为近视的进展提供见解.
研究的目的:
- 评估7至9岁学龄儿童角膜生物力学参数压力-应变指数 (SSI) 的三年变化.
- 调查SSI变化与折射误差和轴长度 (AL) 进展之间的相关性.
- 为了比较SSI在持续非近视,新发达近视和持续近视的儿童中的变化.
主要方法:
- 一项前性队列研究,涉及217名年龄在7-9岁的学童.
- 角膜生物力学参数SSI,AL和折射误差在基线和3年随访后被测量.
- 测量使用了Scheimpflug成像 (Corvis ST),光学生物识别 (IOLMaster) 和循环折射.
主要成果:
- 角膜生物力学参数SSI在三年内在所有参与者中显著下降 (P <0.01).
- 在SSI的变化显示,与AL的变化有负相关性 (r = -0.205,P = 0.002),与折射误差的变化有正相关性 (r = 0.183,P = 0.007).
- 与持久非近视的儿童相比,新近视的儿童在SSI中表现出明显更大的下降 (P <0.01).
结论:
- 在7至9岁的学龄儿童中,SSI在三年内下降.
- 观察到的SSI变化与轴长度和折射误差的变化有关.
- 儿童新发育的近视与角膜生物机械性质的更快速恶化有关.
相关概念视频
Stress-Strain Diagram
669
A stress-strain diagram is a crucial tool that graphically displays a material's mechanical characteristics. This diagram is derived from a tensile test performed on a carefully prepared cylindrical specimen. The specimen has two gauge marks inscribed on its central part, and the distance between these marks is known as the gauge length. The cylindrical specimen is placed in a testing machine, which applies an increasing centric load. As this load grows, so does the gauge length. This...
669
Stress-Strain Diagram - Ductile Materials
793
The stress-strain relationship in ductile materials such as structural steel or aluminium is intricate and progresses through several stages. When a specimen is loaded, it initially exhibits a linear length increase, depicted by a steep straight line on the stress-strain diagram. It indicates the material is elastically deforming and will return to its original shape once unloaded. However, when a critical stress value is reached, plastic deformation begins. This stage sees substantial...
793
Plastic Behavior
200
A material's elastic behavior is characterized by the disappearance of stress once the load is removed, allowing the material to return to its original state. However, when stress surpasses the yield point, yielding commences, marking the onset of plastic deformation or permanent set. This change from elastic to plastic behavior is influenced by the peak stress value and the duration before the load is removed. An intriguing observation occurs when a specimen is loaded, unloaded, and...
200
Three-Dimensional Analysis of Strain
224
Three-dimensional strain analysis is crucial for understanding how materials deform under stress, particularly in elastic, homogeneous materials. This method employs principal stress axes to simplify complex stress states into more understandable forms. Subjected to stress, a small cubic element within a material either expands or contracts along these axes, transforming into a rectangular parallelepiped. This transformation effectively illustrates the material's deformation. The principal...
224
True Stress and True Strain
322
Engineering stress is calculated as the load divided by the original, undeformed cross-sectional area. It approximates a material under load. This approximation is especially relevant post-yield in ductile materials. Though engineering stress-strain diagrams are often used for their convenience and accessibility, they can sometimes fall short in accuracy, particularly when dealing with large strain values.
In contrast, true stress offers a more precise portrayal. It is computed by dividing the...
In contrast, true stress offers a more precise portrayal. It is computed by dividing the...
322
Transformation of Plane Stress
233
Studying stress transformation is essential in understanding how stress components within a material, like a cube under plane stress, change with rotation. This change is analyzed by considering a prismatic element within the cube. As the element rotates, the stress components acting on it—both normal and shearing stresses—change in magnitude and orientation. This change is quantified using trigonometric functions of the rotation angle, relating the forces acting on the rotated element's...
233


