对儿童近视的控制重复的低级红光治疗:随机对照试验的荟萃分析。
摘要来源:
眼神触角。 2023年10月1日; 49(10):438-446。 EPUB 2023 8月8日。PMID: 37565498> 37565498 Jiang
文章隶属关系:fei wang
摘要:
背景: 重复的低级红光(RLRL)疗法已被建议在儿童中有效。但是,来自随机对照试验(RCT)的证据仍然有限。 We performed a meta-analysis of RCTs to systematically evaluate the efficacy of RLRL on changes of axial length (AL) and cycloplegic spherical equivalent refraction (SER) in children with myopia.
METHODS: Relevant RCTs were obtained through从成立到2022年9月15日,搜索包括PubMed,Embase,Cochrane图书馆,Wanfang和中国国家知识基础设施在内的电子数据库的搜索。在结合潜在异质性的影响后,使用随机效应模型来填充结果。根据对照处理和随访持续时间进行亚组分析。
结果: 总共涉及1,031名与近视的儿童,年龄在6至16岁之间,年龄在6至16岁之间,包括6至16岁的儿童。 Compared with control treatment without RLRL, treatment with RLRL was associated with a significantly reduced AL (mean difference [MD]: -0.25 mm, 95% confidence interval [CI]: -0.32 to -0.17, P<0.001; I 2 =13%) and a significantly increased cycloplegic SER (MD: 0.60 D, 95% CI: 0.44-0.76, P<0.001; I 2 = 20%)。进一步的亚组分析表明,在比较穿着单视镜的儿童的研究中,结果一致ctive treatment including orthokeratology or low-dose atropine eye drops, as well as studies of treatment duration of 6 and 12 months.
CONCLUSIONS: Results of the meta-analysis suggested that RLRL treatment is effective for slowing down the progression of myopia in children aged 6 to 16年。