1%的热皮卡米德和1%的cyclopentolate对周期性折射的比较疗效:随机对照试验的系统审查和元分析
Jeewanand Bist, Nabin Paudel, Sandeep Kandel1
1University of Houston College of Optometry, Houston, Texas.
概括
热皮卡米德1%和环酸1%在儿童和成年人中对循环折射具有可比的有效性. 由于耐受性和安全性更好,Tropicamide 1%可能更适合常规使用.
科学领域:
- 眼科医生 眼科 眼科
- 临床药理学 临床药理学
背景情况:
- 环醇 1% 是循环折射的标准.
- 热胺 1% 提供了与改善耐受性的可比效果.
研究的目的:
- 进行一项元分析,比较1%的热皮卡米德和1%的环酸对于环性折射的疗效.
主要方法:
- 在MEDLINE,Embase,Scopus和Cochrane图书馆进行系统搜索,直到2024年3月20日.
- 包括4项随机对照试验,比较1%的热皮卡米德和1%的环醇在非患者中.
- 使用随机效应模型的元分析,通过Cochrane风险偏差工具-2进行研究评估.
主要成果:
- 热皮卡米德1%和环酸1%之间的平均球体等效折射误差没有统计学上显著的差异 (平均差异: -0.05;p=0.774).
- 分析显示没有异质性 (I2=0.00%,p=0.93).
- 当分析儿科子组 (年龄为4个月至16岁) 时,结果保持一致.
结论:
- 热胺1%和环酸1%在非的人群中对环性折射具有相似的疗效.
- 热胺1%为例行循环学折射提供了切实可行的替代方案,考虑到其良好的耐受性和安全性.
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