川北医学院学报2025，Vol.40Issue(11)：1383-1389,7.DOI:10.3969/j.issn.1005-3697.2025.11.005
视功能训练对近视儿童青少年眼调节功能及屈光相关参数的影响
Effect of visual function training on ocular accommodative function and refraction related parameters in myopic children and adolescents
摘要
Abstract
Objective:To investigate the effects of combining visual function training with different optical correction mo-dalities on ocular accommodative function and refractive-related parameters in myopic children and adolescents,aiming to evalu-ate their combined efficacy in myopia control and prevention.Methods:This study enrolled 120 patients(240 eyes)meeting in-clusion criteria,they were divided into 6 groups according to different correction methods:single-vision lenses(SVL),defocus incorporated multiple segments(DIMS),orthokeratology(OK),and their respective combinations with vision training(SCVT,DCVT,OCVT),with 20 patients(40 eyes)in each group.Optical correction groups wore lenses only,while combined groups received additional accommodative training.Changes in axial length(AL),anterior chamber depth(ACD),mean keratometry(Km),accommodative amplitude(AMP),accommodative facility(AF),positive relative accommodation(PRA),and negative relative accommodation(NRA)were assessed before intervention and 3 and 6 months after intervention treatment.Results:Af-ter the intervention,in optical correction groups,SVL showed no significant changes,DIMS improved AF(P<0.05),OK im-proved AMP,AF,PRA,and reduced ACD,Km(P<0.05).In combined groups,SCVT improved AMP,AF(P<0.05),DCVT improved AMP,AF,PRA,NRA(P<0.05),OCVT improved AMP,AF,PRA,NRA,and reduced ACD,Km(P<0.05).Com-bined groups showed better AL control and AMP,AF,PRA improvements than in optical correction groups(P<0.05).A-mong combined groups,DCVT and OCVT outperformed SCVT in AMP,AF,PRA improvements(P<0.05),OCVT sur-passed DCVT in AMP improvements(P<0.05).After 6 months of intervention,AL growth was OCVT<DCVT<SCVT(P<0.05).Conclusion:Visual function training based on accommodative function training has a significant effect on controlling AL growth and improving AMP,AF and PRA,but has no effect on ACD and Km,when combined with optical prevention and control methods(such as defocus-incorporated spectacles or orthokeratology),their synergistic effect can further enhance the effectiveness of AL control and accommodative function improvement.关键词
近视/眼轴/视功能训练/调节功能Key words
Myopia/Axial length/Visual function training/Accommodative function分类
医药卫生引用本文复制引用
罗玥,陶杰,谢娟,廖文川,程多加,胡雨函,唐杨禹,张佳伟,邹云春..视功能训练对近视儿童青少年眼调节功能及屈光相关参数的影响[J].川北医学院学报,2025,40(11):1383-1389,7.基金项目
四川省科技厅自然科学基金(2022NSFSC0754) （2022NSFSC0754）
四川省南充市科技局课题(22SXQT0350) （22SXQT0350）
