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循环和非循环折射的区别及其与中国儿童纵向折射变化相关的关系
Yifan Xu1,2, Yuanyuan Hu3,4, Jiaqing Zhang1,2
1State Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-sen University, Guangzhou, Guangdong, China.
Ophthalmic epidemiology
|June 11, 2025
概括
在中国儿童中,较大的循环和非循环球等效折射 (DSE) 与年轻的年龄和高视度有关. DSE没有预测未来近视的进展.
科学领域:
- 眼科医生 眼科 眼科
- 儿科眼科医生 儿科眼科医生
- 折射误差研究 折射误差研究
背景情况:
- 准确的折射误差评估对儿童的早期检测和视力障碍的管理至关重要.
- 了解影响折射状态及其随时间变化的因素对于儿科眼科护理至关重要.
研究的目的:
- 为了比较中国儿童的循环和非循环球等效折射 (DSE).
- 为了确定基线DSE和该群体随后的折射变化之间的关联.
主要方法:
- 追溯审查2909名2至8岁儿童的医疗记录,这些儿童正在接受自身折射.
- 使用1%的阿特罗宾或0.5%的热胺诱导的循环.
- 统计分析包括多重线性回归,配对t测试和混合效应模型,以评估DSE分布,稳定性和进展关联.
主要成果:
- 总共分析了2909名儿童;大多数儿童的DSE在0到1D之间.
- 较大的DSE与年轻的年龄 (p<0.05) 和更高高的球形等价物 (p<0.05) 有关.
- 在一组儿童中,DSE在6岁后出现下降,并在6个月内保持稳定;在基线DSE和近视转移之间没有发现显著的关联.
结论:
- 年龄较小和视障较大与儿童周期性和非周期性折射之间的较大差异有关.
- 在这个队列中,球体等效折射 (DSE) 并未被确定为近视转移的独立风险因素.
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