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用眼睛使用监测进行行为干预,以延迟儿童近视发作和进展:一个集群随机试验

Yuanyuan Hu¹, Mingkun Yu², Xiaotong Han³

¹Affiliated Eye Hospital of Shandong University of Traditional Chinese Medicine, Shandong Academy of Eye Disease Prevention and Therapy, Shandong Provincial Key Laboratory of Integrated Traditional Chinese and Western Medicine for Prevention and Therapy of Ocular Diseases, Shandong Provincial Clinical Medical Research Center of Optometry and Children Visual Impairment Prevention and Control, Shandong Engineering Technology Research Center of Visual Intelligence, Shandong Institute of Children Health and Myopia Prevention and Control, Shandong, China; Ophthalmology and Optometry Medical School, Shandong University of Traditional Chinese Medicine, Shandong, China.

|January 10, 2025

概括

眼睛使用监测技术与行为反有效地延迟了儿童近视发病和进展. 持续的干预很可能是需要的长期益处在儿科眼科护理.

科学领域:

眼科医生眼科眼科
儿科光学测量儿科光学测量
行为科学行为科学

背景情况:

近视,儿童常见的视力障碍,是一个重大的公共卫生问题.
早期检测和干预对于控制近视的进展至关重要.
行为干预措施在控制近视发展方面表现有前途.

研究的目的:

评估使用眼睛使用监测技术的行为干预措施在延迟儿童近视发病和进展方面的有效性.
为了比较只有提醒的警报与结合的提醒和反的有效性.

主要方法:

一个前性,集群随机化,检查员蒙面的临床试验,涉及413名儿童 (二至四年级) 在中国.
参与者按类别随机分为三个组:提醒和反,仅提醒和控制.
该干预涉及49周的眼睛使用监测技术,随后是49周的观察期.

主要成果:

提醒和反组在49周 (P < 0.001) 时,周期性球体等价值 (SE) 和轴长 (AL) 的变化最小 (P < 0.001).
与其他组相比,提醒和反组 (13.3%) 的近视发病率明显较低 (P < 0.05).
随着98周的随访,这些有益影响减少了,这表明需要持续的干预.

结论:

将眼睛使用监测提醒与行为反相结合,有效地延迟了儿童近视的发病和进展.
这项研究强调了技术辅助行为干预在儿科近视管理中的潜力.
长期有效性需要持续应用干预措施,以保持效益.

关键词:

孩子孩子孩子孩子集群随机对照试验随机对照试验.眼睛使用行为.近视近视近视近视近视近视近视近视近视近视近视近视近视近视近视近视近视近视近视近视近视近视近视近视近视近视近视近视近视近视近视近视近视近视近视近视近视近视近视近视近视近球体相当的球体等价物.

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