【作者】 张云霞；

【导师】 郭霞；

【作者基本信息】 山东中医药大学 ， 中医五官科学， 2010， 硕士

【摘要】 目的：探讨青少年近视发生的相关因素以及多焦渐进镜治疗近视的疗效机理,为近视的病因病机及治疗提供依据。方法：将确诊的109例近视青少年作为研究对象,通过多因素Logistic回归分析筛选出主要相关因素；其中72例患者作为多焦渐进镜的治疗对象,随机分为试验组和对照组,各36例；试验组配戴多焦渐进镜治疗,对照组配戴普通树脂平光镜治疗。结果：调查显示患者出生体重、戴镜早晚、父亲视力为近视的危险因素。青少年近视中医证型归纳为：肝肾阴虚52例,约为46.43%；痰湿内阻18例,约为16.71%；阳气不足10例,约为9.05%；瘀血阻滞10例,约为9.05%。经3个疗程治疗后,实验组总有效率为68.57%,对照组总有效率为10.77%。结论：1.先天不足和后天失养均可导致近视的发生,其病因病机多见肝肾阴虚、痰湿内阻、阳气不足、瘀血阻滞。2.多焦渐进镜治疗青少年近视对视力、调节幅度有统计学意义。更多还原

【Abstract】 Objiective:To assess the related factors of myopia and its pathogenesis,First:we collected 109 myopes,72 of which grouping as for disscusstion of the creative effect of polyfocal progressive eyeglass,36 of 72 myopes using for experimental group,other 36 for matched group.After 3 stages of the treatment for this kind of eyeglass,we can watch the diffrences between experimental group and matched group.Throughout the changes of vision、corneal curvature、diopter、accommodative amplitude and so on, there are four grades that cure、efficiency、excellence、nullity,as which,we can evaluate the quality of this glass. Next,we collect the symptoms of 109 myopes. Its symptoms include age、stature、weight、palpitation、Spontaneous sweating、nightsweats、amnesia insomnia aphasia anemia、chills、hyperactivity、indigestion、sore waist、tingle、dryness of eye、foreign body sensation、defecate、urinate、tongue coating、pulse condition,by them,we summarize 7 syndrome types. Results:The syndrome include deficiency of liver-yin and kidney-yin,internai retention of phlegm,insufficiency of yang qi,blood stasis.The results showed that effective rate of experimental group is 68.57%and the rate of matched group is 10.77%,the former is much more effective than the latter. The eyeglass’s mechanism is to relieve the tire of ciliary muscle and keep the flexibility of lens,which are the main cause for teenager’s myopia.更多还原