目的:探讨硬性透氧性角膜接触镜(RGPCL)的配戴人群分布以及患者的依从性。方法:采用回顾性病例调查研究方式,调查2008-02/12至温州医学院附属眼视光医院视光学专科验配RGP镜片的患者,通过电话问卷回访了解初次配戴RGP镜片患者的一般情况、配戴的目的、配戴依从性等。结果:有效受访者454例,男女配戴比例为1∶2.66;被调查者按年龄段分为10～12周岁45例(9.9%)、13～18周岁243例(53.5%)、大于18周岁166例(36.6%),其中13～18周岁所占比例最高;选择配戴RGP镜片的原因依次为近视进展迅速(57.5%)、高度近视或远视(51.5%)、方便(41.2%)(多项选择题);配戴期间平均复查时间少于3mo 68例(15.0%)、3～6mo 98例(21.6%)、7～9mo 26例(5.7%),大于9mo 50例(11.0%),未复查212例(46.7%);各年龄段的坚持配戴率,10～12周岁38.1%,13～18周岁39.7%,大于18周岁32.1%;停止配戴RGP镜片原因主要有:眼部常有不适感(69.9%),配戴麻烦(27.3%),镜片丢失(13.8%)(多项选择题)。结论:13～18周岁是配戴RGP镜片的主要年龄阶段,控制近视的进展是主要的配戴目的,配戴不适、配戴过程繁琐是造成患者自行停止配戴的主要原因,各年龄段配戴者的依从性无明显差别,配后教育有待进一步加强。女性患者的配戴比例高于男性,依从性也明显高于男性。调查也显示学历对验配率和依从性没有显著的影响。

AIM:To study the wearing crowd distribution and the compliance of lens wearing·METHODS: Retrospective case investigated research.Clinical data of 454 patients with optometry of rigid gas permeable contact lens(RGPCL) from February,2008 to December,2008 were investigated.Patients with RGPCL were reviewed to study age,gender,refractive state,wearing purpose as well as the compliance of lens wearing for the first time·RESULTS: Of the 454 RGPCL wearers,the proportion of male to female was 1∶2.66;Respondents,according to age,were divided into 10-12 years group with 45 casses(9.9%),13-18 years group 243 cases(53.5%)and >18 years group 166 cases(36.6%),in which 13-18 years had the highest proportion;57.5% of patients wearing RGPCL aimed to control myopia development,51.5% of patients for correcting high myopia or hyperopia,41.2% of patients for wearing convenience;The average review time was less than 3 months in 68 cases(15.0%),3-6 months(including 6 months)in 98 cases(21.6%),7-9 months in 26 cases(5.7%),more than 9 months in 50 cases(11.0%),never to check in 212 cases(46.7%)·CONCLUSION: 13-18 age is the main stage of wearing RGP lens,to control the progress of myopia is the main purpose of the wearers.The compliance of wearing RGPCL is effected by reasons of uncomfortable wear,tedious wearing process.Wearers of all ages have no significant difference in compliance,education needs to be further strengthened.Women patients wearing propotion is more than men patients,compliance is also significantly higher than male.The survey also show that education of patients have no significant influence on fitting rate and the compliance.

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2010年中国浙江省大学生科技创新活动计划(新苗人才计划)基金资助项目(No.2010R413038)