摘要
阿托品眼膏长期以来都是中国儿童验光主流使用的睫状肌麻痹剂，而国际上则普遍使用环戊通滴眼液作为一线的睫状肌麻痹药物。近年来，国内引了进1％盐酸环戊通眼液，这种快速强效的睫状肌麻痹剂已被国内小儿眼科医师所关注。一系列国内外自身对照药物疗效研究证实，环戊通的睫状肌麻痹效果接近于阿托品，能广泛应用于中国儿童验光前的睫状肌麻痹。尽管如此，其药物疗效仍略逊于阿托品，故对于7岁以内的远视儿童、所有内斜视儿童、混合性散光儿童及短期内视力下降需要排除调节性近视的儿童，验光前仍应常规使用阿托品眼膏行睫状肌麻痹。本文同时对环戊通眼液的用药剂量、用药方法、可能发生的药物不良反应及其应对进行了讨论。
For a long time, atropine eye ointment has been widely used as the cycloplegic for children＇s optometry in China, while internationally, cyclopentolate gutta is widely used as the first choice for cycloplegic. In recent years, 1% cyelopentolate hydrochloride ocular humor has been introduced to our country. This effective and powerful eycloplegie has already been paid close attention to by domestic pedo- ophthalmiaters. According to a serious of studies both home and abroad on the therapeutic effects of the own control drugs, the cycloplegia effect of cyclopentolate is close to the atropine. Cyclopentolate can be widely used for the cycloplegia before optometry for the Chinese children. However, the effect of cyclopentolate is still not as good as atropine. So, for the children with farsightedness within 7 years old, all esotropia children, Am children, and children who suffer from decreased vision acuteness and needs to be excluded from accommodative myopia, atropine eye ointment should be routinely used for cycloplegia before optometry. In this article, we also discuss the medication dosage, medication method, possible drug adverse reactions of cyelopentolate humor ocular and the coping measures at the same time.
出处
《中华眼科杂志》
CAS
CSCD
北大核心
2012年第9期772-775,共4页
Chinese Journal of Ophthalmology
