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目的分析门诊就诊的高度远视性屈光不正儿童屈光状态远期变化规律。方法对81例(81眼)3~11岁高度远视儿童进行5~22年的观察。结果 81眼高度远视儿童的屈光状态初次就诊远视屈光度平均为+8.13±1.87D,末次随访远视屈光度平均为+4.46±2.74D,年均下降屈光度为0.41D,屈光度的减少具有统计学意义(t=13.30,P<0.05)。9~14岁年屈光度减少较快,15岁以后屈光度减少缓慢。Logistic回归分析结果表明影响屈光度减少因素是精细训练和随访时间。结论高度远视性屈光不正儿童远视有减少趋势,精细训练和随访时间是影响远视减少的主要因素。
Objective To analyze the long-term refractive change of children with high myopia ametropia. Methods 81 cases (81 eyes) 3 ~ 11 years old children with hyperopia were observed for 5 ~ 22 years. Results The refractive hyperopic refractive power of 81 children with hyperopic hyperopia in the first visit was + 8.13 ± 1.87D, the average follow-up myopic hyperopia was + 4.46 ± 2.74D, the average annual decline was 0.41D, the reduction of refraction was statistically significant ( t = 13.30, P <0.05). Refraction 9 to 14 years to reduce the rapid rate of refraction after 15 years to reduce slowly. Logistic regression analysis showed that the factors affecting the reduction of refraction were fine training and follow-up time. Conclusions Hypermetropia children with hyperopia ametropia have a tendency to decrease. Fine training and follow-up time are the main factors that influence the decrease of hyperopia.