目的 探讨连续动态随访对角膜塑形镜矫正儿童近视临床疗效及随访依从性的影响。方法 选取2021-05至2022-05北京同仁医院配戴角膜塑形镜的近视眼患者120例为研究对象,随机分为试验组和对照组,每组60例。对照组给予常规健康教育,试验组在常规健康教育基础上采用连续动态随访,随访时间均为1年。对两组患者视力、眼轴、随访依从性、并发症及满意度情况进行对比分析。结果 随访1年后,试验组和对照组裸眼视力均明显提高,试验组眼轴增长(0.28±0.18)mm,明显小于对照组(0.34±0.20)mm,差异有统计学意义(P＜0.05),试验组镜片蛋白沉积发生率明显低于对照组(3.33% vs.13.33%),差异具有统计学意义(P＜0.05)。两组随访依从率自戴镜1个月开始逐渐下降,戴镜6个月时试验组和对照组依从率分别为85.00%和76.67%,差异具有统计学意义(P＜0.05)。试验组角膜塑形镜配戴满意率明显高于对照组(96.67% vs.83.33%),差异有统计学意义(P＜0.05)。结论 连续动态随访有助于提高角膜塑形镜配戴患者的随访依从性,减少并发症的发生,提升近视防控效果,值得临床推广应用。
Abstract
Objective To investigate the effect of continuous dynamic follow-up on clinical effect and compliance of Orthokeratology(Orhto-K, OK)wearers. Methods A total of 120 OK wearers from May 2021 to May 2022 in Beijing Tongren Hospital were included in this study, and were randomly divided into observation group and control group, with 60 cases in each group. Patients in the control group received conventional nursing care, while the observation group were performed continuous dynamic follow-up visit combined with conventional nursing care. The visual acuity, axial length, follow-up compliance rate, complications and patient satisfaction were compared between the two groups after one year. Results After one year of follow-up, the uncorrected visual acuity of the observation group and the control group were improved. The axial length of the observation group (0.28±0.18)mm was significantly lower than that of the control group(0.34±0.20)mm; P＜0.05). Lens protein deposition was significantly lower in the observation group than in the control group (3.33% vs. 13.33%) (P＜0.05). Follow-up compliance rate decreased gradually from 1 month after wearing OK, especially in the control group. At the 6-month visit, the compliance rate was 85.00% in the observation group and 76.67% in the control group, with statistically significant differences between the two groups(P＜0.05). The patient satisfaction rate in observation group was significantly higher than that of the control group (96.67% vs. 83.33%)(P＜0.05). Conclusions Continuous dynamic follow-up is worthy of clinical application, which can improve the follow-up compliance of OK wearer, reduce the incidence of complications, and improve the control effect of myopia progression.
关键词
角膜塑形镜 /
依从性 /
连续动态随访
Key words
orthokeratology /
compliance /
continuous dynamic follow-up
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基金
北京市自然科学基金项目(M22021);国家自然科学基金项目(82371038);北京市属医院科研培育项目(px2024011)
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