本文選題：近視　切入點(diǎn)：調(diào)節(jié)幅度　出處：《昆明醫(yī)科大學(xué)》2017年碩士論文　論文類型：學(xué)位論文

【摘要】：[目的]分析不同近視程度兒童的調(diào)節(jié)功能,探討近視與調(diào)節(jié)之間的相關(guān)性。[方法]從2016年1月至2017年2月在昆明醫(yī)科大學(xué)第一附屬醫(yī)院眼科門診首次就診的近視兒童中隨機(jī)選取84例,進(jìn)行調(diào)節(jié)功能的檢查,包括調(diào)節(jié)反應(yīng)、調(diào)節(jié)幅度、調(diào)節(jié)靈活度、相對(duì)調(diào)節(jié)。根據(jù)近視程度分為低、中、高度近視組,將各項(xiàng)檢查結(jié)果與近視程度進(jìn)行統(tǒng)計(jì)分析。所有數(shù)據(jù)經(jīng)SPSS 21.0統(tǒng)計(jì)學(xué)軟件處理比較。[結(jié)果]1、不同近視程度研究對(duì)象的性別分布:本研究中共入選84例,其中男性38例,所占比例為45. 23%;女性46例,所占比例為54. 76%。各近視程度組研究對(duì)象的性別構(gòu)成差異經(jīng)卡方檢驗(yàn)無(wú)統(tǒng)計(jì)學(xué)意義,P=0.97。2、不同近視程度調(diào)節(jié)類型的分布:在本研究中,調(diào)節(jié)滯后共計(jì)55例,占65. 48%;調(diào)節(jié)等同共計(jì)19例,占22. 62%;調(diào)節(jié)超前共計(jì)10例,占11. 90%。低度近視組中調(diào)節(jié)滯后、調(diào)節(jié)等同、調(diào)節(jié)超前的發(fā)病率分別為64. 81%、22. 22%和12. 96%;中度近視組中調(diào)節(jié)滯后、調(diào)節(jié)等同、調(diào)節(jié)超前的發(fā)病率分別為65. 22%、26.09%和8. 70%;高度近視組中調(diào)節(jié)滯后、調(diào)節(jié)等同、調(diào)節(jié)超前的發(fā)病率分別為71. 43%、14. 29%和14. 29%。對(duì)不同近視程度組中調(diào)節(jié)滯后者進(jìn)行統(tǒng)計(jì)分析,低度近視組與中度近視組、低度近視組與高度近視組比較存在統(tǒng)計(jì)學(xué)差異(P0.001),中度近視組與高度近視組比較無(wú)統(tǒng)計(jì)學(xué)差異(P=0.67)。3、不同近視程度的調(diào)節(jié)功能檢查結(jié)果分布:相對(duì)調(diào)節(jié)中,各近視程度之間的正相對(duì)調(diào)節(jié)比較差異無(wú)統(tǒng)計(jì)學(xué)意義(P=0.12),各近視程度之間的負(fù)相對(duì)調(diào)節(jié)比較差異無(wú)統(tǒng)計(jì)學(xué)意義(P=0.99)。調(diào)節(jié)靈活度中,各近視程度之間比較差異均無(wú)統(tǒng)計(jì)學(xué)意義(P0.05),雙眼(P=0.79)、右眼(P=0.80)、左眼(P=0.97)。同一近視程度組中雙眼、右眼、左眼三組間兩兩比較差異無(wú)統(tǒng)計(jì)學(xué)意義(P0.05)。調(diào)節(jié)幅度中,低度近視組與中度近視組比較差異有統(tǒng)計(jì)學(xué)意義(P0.05)、中度近視組與高度近視組比較差異有統(tǒng)計(jì)學(xué)意義(P0.05)、低度近視組與高度近視組相比較差異有統(tǒng)計(jì)學(xué)意義(P0.001)。[結(jié)論]近視患者的調(diào)節(jié)功能表現(xiàn)為:1、調(diào)節(jié)滯后在近視患者中發(fā)病率較高,且表現(xiàn)為與低度近視和中度近視相關(guān)。調(diào)節(jié)滯后在早期近視的發(fā)展中存在一定作用。2、調(diào)節(jié)幅度在不同近視程度間有明顯差異,隨著近視程度的增加呈現(xiàn)上升趨勢(shì)。調(diào)節(jié)幅度與近視的發(fā)展相關(guān)。3、相對(duì)調(diào)節(jié)及調(diào)節(jié)靈活度與近視發(fā)展無(wú)相關(guān)性。
[Abstract]:[objective] to analyze the regulatory function of children with different myopia, [methods] from January 2016 to February 2017, 84 children with myopia were randomly selected from the ophthalmological outpatient department of the first affiliated Hospital of Kunming Medical University. Including adjusting response, adjusting amplitude, adjusting flexibility, relative adjustment. According to the degree of myopia, it is divided into low, medium and high myopia groups. All the data were compared by SPSS 21.0 statistical software. [results] 1. The sex distribution of the subjects with different myopia degree: 84 cases were included in this study, 38 cases were male, The proportion was 45. 23; female 46, the proportion was 54. 76.There were no significant differences in sex composition among the subjects in each myopic degree group by chi-square test. The distribution of different types of adjustment of myopia: in this study, the adjustment lag was 55 cases. In the low myopia group, the adjustment lag, the adjustment is equivalent, the incidence of the adjustment leading is 64. 81%, 22. 22% and 12. 96 respectively; in the moderate myopia group, the adjustment lag, the adjustment is equal, the adjustment lag is equal, the adjustment is equal in the medium myopia group, the adjustment lag is the same in the moderate myopia group, the incidence of the adjustment leading is 64. 81%, 22. 22% and 12. 96% respectively; in the moderate myopia group, the adjustment lag is the same. The incidences of adjustment leading were 65. 22% and 8. 70%, respectively. In the high myopia group, the incidence of adjustment lag, adjustment equivalence, and adjustment leading were 71. 4343, 14. 29% and 14. 29 respectively. Statistical analysis was made on the patients with adjustment lag in different myopia groups. There was statistical difference between low myopia group and moderate myopia group, low myopia group and high myopia group. There was no statistical difference between moderate myopia group and high myopia group. There was no significant difference in positive relative regulation between different myopia degrees and there was no significant difference in negative relative regulation between different myopia degrees. There was no significant difference in the degree of myopia between the three groups (P0.05, P0. 79, P0. 80, P0. 97, P0. 97). There was no significant difference between the three groups in the same degree of myopia (P 0. 05, P 0. 05, P 0. 05, P 0. 05, P 0. 05, P 0. 05, P 0. 05, P 0. 05, P 0. 05, P 0. 05, P 0. 05, P 0. 05). There was significant difference between low myopia group and moderate myopia group. There was significant difference between moderate myopia group and high myopia group (P 0.05). There was significant difference between low myopia group and high myopia group (P 0.001). [conclusion]. The regulatory function of myopia patients was as follows: 1. The incidence of adjustment lag was higher in myopia patients. The results showed that it was associated with low myopia and moderate myopia. There was a certain role of regulating lag in the development of early myopia, and the amplitude of regulation was significantly different among different myopia degrees. With the increase of myopia degree, the amplitude of adjustment is related to the development of myopia. There is no correlation between relative adjustment and flexibility of adjustment and development of myopia.
【學(xué)位授予單位】：昆明醫(yī)科大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2017
【分類號(hào)】：R778.11

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