国际眼科杂志2004年6月第4卷第3期电话：029一B2245172电子信箱：UO．2000@163．corn影响近视眼角膜屈光力多因素分析吴小影，刘双珍，胡生发，李晨玲·论著·MultiplefactorsanalysisofcornealrefractivepowerinmyopiaXiao—YingWu，Shuang-ZhenLiu，Sheng—FaHu，Chen-LingLiOphthalmicLaserCenter，XiangyaHospital,CentralSouthUni-versity，Changsha410008，HunanProvince，ChinaCorrespondenceto：Xiao—YingWu．OphthalmicLaserCenter．XiangyaHospital,CentralSouthUniversity，Changsha410008，HunanProvince，China．wxy一64@yahoo．com．cnReceived：2O04—03—26Abstract。AIM：Toexplorethefactorscorrelatedtocornealre。fractivepowerinmyopiapatients．·M日rH0DS：CorneaItopography．centraIconeaIthick-ness(CCT)，intraocularpressure(1OP)，Ascanultra-sonographyandretinophotoscopyweremeasuredineyesofmyopiaormyopicastigmatism，andtherelationshipsamongtheseparameterswereanalyzedstatistically．·RESUL1-S：(1)ThediopteratthevertexofcorneainMildMyopiaGroupissignificantlydifierentfr0mthatofModerateMyopiaGroupandHeavyMyopiaGroup(尸<0．o5)．Thatinthe3mmzoneofMildMyopiaGroupandModerateMyopiaGroupissignificantlydifferentfr0mthatofHeavyMyopiaGroup(尸<0．o5)．Thatinthe5mmzoneofMildMyopiaGroupissignificantlydifierentfr0mthatofHeavyMyopiaGroup(尸<0．o5)．Asf0rthatinthe7mmzone．therewasnosignificantdifierenceamongthesegroups(尸>O．o5)．②Apositivecorrelationwasbuiltupbetweenthediopterof3，5，7mmzoneandfac-torssuchasage(厂=0．398，0．387，0．342，P<0．001)；andanteriorchamberdepth(厂I10．277，0．31，0．288，尸<作者单位：(410008)中国长沙市中南大学湘雅医院眼科激光中心通讯作者：吴小影．wxy_64@yahoc~com．cn收稿日期：2004—03—264340．001)；Anegativecorrelationwasbuiltupbetweenthediopterandfactorssuchasoculardiopterf厂1-0．780,-0．782,-0．71，尸<0．001)，thelengthofocularaxis(厂=-0．67O，-0．668,-0．598，P<0．001)andthicknessofIens(厂=-0．318,-0．282,-0．232P<0．001)．③Theregressionequationf0rthediopterof3mm(，3)，5mm(7mm(zonewasfiguredoutas3=77．571—1．43Z／r，1—0．O54—t，2+O．9643+0．067一1．205X5(=101．356，尸=O．ooo)；5=76．538-1．424X广0．538／t，2+1．O63／t，3_卜O．067X4-1．122／t，5(=92．395，P=0．ooo)；Y7=72．563-1．308Xr0．462+1．078+0．062r0．926Xs(=67．398，P=O．ooo)．／t，1=lengthofocularaxis(mm)，X2=oculardiopter(D)，／量，3=anteriorchamberdepth(mm)，／t，4=age(year)，／t，5=thicknesoflens(mm)．·C0NCLUS10N：ThemaininfluenciaIfactorsofcorneaIrefractivepowerincludeslengthofocularaxis，oculardiopter，anteriorchamberdepth，ageandthicknessofIens．。KEYWORDS：myopia；cornea；refractivepowerWuXY，LiuSZ，HuSF，LiCF．Multiplefactorsanalysisofcornealrefractivepowerinmyopia．／atJOphzhJmo／，2004；4(3)：434-437摘要目的：探讨影响近视眼角膜屈光力的相关因素。方法：分别测量227例(452眼)近视及近视散光患者角膜地形图、角膜中央厚度、眼压、A超及屈光度，将所得结果进行统计学分析。结果：①不同程度屈光度，角膜顶点屈光力低度近视组与中、高、重度近视组比较有显著性差异(尸O．05)；②角膜中央3，5，7mm的屈光力与年龄、前房深度呈正相关(年龄：厂维普资讯http://www.cqvip.comInternationalJourn~ofOphthalmology，Vo1．4，No．3，Jun．2004Tel：029L-82245172EmaihIJO．2000@163．com分别为：0．398，0．387，0．342，P=O．000；前房深度：厂分别为：0．277，0．310，0．288，尸=0...
