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基于微信平台的管理模式在青少年配戴角膜塑形镜后的随访应用 被引量:4
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作者 丁雯芝 张金燕 +5 位作者 蒋冬冬 高兆溶 鲁伟聪 田玉寅 姬戎媛 冷林 《中华眼视光学与视觉科学杂志》 CAS CSCD 2023年第6期432-437,共6页
目的::分析基于微信平台的管理模式对青少年配戴角膜塑形镜后的随访依从性的影响。方法::病例对照研究。随机选取2020年5月至2021年10月于山东第一医科大学附属青岛眼科医院视光中心验配角膜塑形镜的近视患者300例。采用随机数字表法将... 目的::分析基于微信平台的管理模式对青少年配戴角膜塑形镜后的随访依从性的影响。方法::病例对照研究。随机选取2020年5月至2021年10月于山东第一医科大学附属青岛眼科医院视光中心验配角膜塑形镜的近视患者300例。采用随机数字表法将患者随机分为微信随访组、电话随访组和对照组(不进行主动微信和电话联系,患者按照常规复查时间进行复查,期间有问题可以入院或者电话咨询),每组各100例。嘱患者于戴镜后1 d,1周及1、3、6、9、12个月复查,共完成7次随访。对3组患者随访情况、眼部健康情况等参数进行比较分析。采用单因素方差分析或非参数分析对3组间各参数进行比较,采用Spearman检验分析随访完成率与并发症发生频率、年龄、屈光度和眼轴长度等参数之间的相关关系。结果::微信随访组、电话随访组和对照组随访次数分别为5.47(5.00,6.00)、4.86(4.00,6.00)、4.77(4.00,6.00),差异有统计学意义( H=13.40, P=0.001)。其中,微信组随访次数最多,与电话随访组和对照组差异有统计学意义( Z=35.25, P=0.010;Z=40.37, P=0.002)。3组总失访率分别为20.9%、28.0%、30.9%,差异有统计学意义( χ^(2)=19.20, P<0.001),其中微信随访组的失访率最低,与电话随访组、对照组差异有统计学意义( χ^(2)=9.67, P=0.002;χ^(2)=18.26, P<0.001)。3组并发症发生率分别为16.0%、19.0%和35.0%,差异有统计学意义( χ^(2)=11.67, P=0.003)。随访完成率与并发症发生频率、年龄均呈负相关( r=-0.12, P=0.038;r=-0.23, P<0.001),与其他参数均无相关性(均 P>0.05)。 结论::角膜塑形镜配戴过程中,基于微信平台的管理方式能够有效提高患者随访依从性,减少角膜塑形镜相关眼部并发症的发生。 展开更多
关键词 角膜接触镜 随访 眼部并发症
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Effect of orthokeratology on precision and agreement assessment of a new sweptsource optical coherence tomography biometer 被引量:1
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作者 Bao Shu Fangjun Bao +6 位作者 Giacomo Savini weicong lu Ruixue Tu Haisi Chen Benhao Song Qinmei Wang Jinhai Huang 《Eye and Vision》 SCIE CSCD 2020年第1期119-127,共9页
Background:To evaluate the effect of orthokeratology on precision of measurements in children using a new swept-source optical coherence tomography(SS-OCT)optical biometer(OA-2000),and agreement between its measuremen... Background:To evaluate the effect of orthokeratology on precision of measurements in children using a new swept-source optical coherence tomography(SS-OCT)optical biometer(OA-2000),and agreement between its measurements and those provided by the commonly used IOLMaster based on partial coherence interferometry(PCI).Methods:This study recruited fifty-one eyes of 51 normal children(8–16 years).An operator took measurements with the two biometers.Then,a second operator took measurements with the SS-OCT biometer.After orthokeratology was performed for one month,the same operators repeated the same procedures.Axial length(AL),mean keratometry(Km)at 2.5 mm and 3.0 mm diameters(Km2.5 and Km3.0),central corneal thickness(CCT),anterior chamber depth(ACD),lens thickness(LT)and corneal diameter(CD)were analyzed.Results:With the SS-OCT optical biometer,the test-retest repeatability of AL measurements was<0.06 mm.For all parameters,the coefficients of variation were<1.23%and the intraclass correlation coefficients were>0.95.The 95%limits of agreement of difference between the two devices for CD parameter were up to 1.53 mm.After orthokeratology,the fluctuation ranges of difference for Km3.0 measurement was 1.11 times higher than before orthokeratology,while the absolute values of difference for AL,Km2.5,ACD and CD measurements were comparable.Conclusions:Before and after orthokeratology,the SS-OCT biometer showed high repeatability and reproducibility for all measurements.Wearing orthokeratology contact lenses affected the agreement between SS-OCT and PCI biometers for Km3.0 measurements.The CD measurement showed poor agreement between the two devices. 展开更多
关键词 Swept source optical coherence tomography ORTHOKERATOLOGY PRECISION AGREEMENT CHILDREN
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