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題名 兒童近視控制鏡片於學齡兒童近視影響之研究─以K眼鏡公司為例
The study of progressive addition lenses’ effect in children-using K. Optical company as an example
作者 張騰達
Teng-Ta Chang
貢獻者 鄭宇庭
張騰達
Teng-Ta Chang
關鍵詞 近視
兒童近視控制鏡片
T檢定
獨立性檢定
日期 2011
上傳時間 30-Oct-2012 10:16:05 (UTC+8)
摘要 近年來台灣學童罹患近視的年齡層逐漸下降，而文獻指出倘若近視發生的愈早，將來罹患重度近視的機會就愈高並可能併發其他眼翳疾病，且視力不良對於學童的學習能力、環境適應能力和心理認同有著密切的影響。因此，為減少視力不良對於學童生活及學習造成不良的影響，重視近視預防保健之餘，近視發生後立即的矯正治療，以抑制近視的進行亦是相當重要的。
     目前近視常用的治療方法有配戴眼鏡、藥物治療和雷射手術，而對於一般學童仍以配戴眼鏡為主要選擇，其中又以兒童近視控制鏡片為主。是故本研究欲以兒童近視控制鏡片對於學童近視的影響作為研究主軸，藉由個案K 眼鏡公司提供的2005至2010年資料進行分析探討，以瞭解我國學童配戴單焦鏡片或兒童近視控制鏡片其近視度數增長之差異。其中，以趨勢分析探討學童配戴單焦鏡片或兒童近視控制鏡片於四年期間度數增長之趨勢變化；以獨立樣本右尾T檢定探討學童配戴兒童近視控制鏡片每年增加度數是否低於單焦鏡片者；以配對樣本雙尾T檢定探討學童左眼和右眼每年增加度數是否有所差異；以獨立性檢定探討鏡片種類與每年近視度數增加程度之關聯性。
     本研究結果發現，兒童近視控制鏡片顯著抑制近視的進行，每年增加度數較單焦鏡片者減少約7度，並且單焦鏡片者在各配戴年期的增加度數皆大於兒童近視控制鏡片者，其中以第一年差異最大，此後隨著配戴年期增長，兩者差異逐漸縮小。此外，鏡片種類對於每年近視度數增加程度亦有顯著影響，且兒童近視控制鏡片較能抑制近視度數重度增長發生的可能性。最後，根據本研究之結果，對於我國學童視力保健提出若干建議，希望藉此提升國人對於近視保健上之知識水平，為近視學童選擇合適的眼鏡。
謝誌 I
     摘要 II
     目錄 III
     表目錄 IV
     圖目錄 V
     第壹章 緒論 1
     第一節 研究背景與動機 1
     第二節 研究目的 3
     第三節 研究流程 3
     第貳章 文獻探討 5
     第一節 近視形成之因素 5
     第二節 近視之預防與治療 10
     第三節 我國學童近視之現況 14
     第參章 研究方法 15
     第一節 研究架構與假設 15
     第二節 資料來源與變數定義 18
     第三節 分析方法 20
     第肆章 實證分析 24
     第一節 趨勢分析 24
     第二節 差異分析 35
     第三節 交叉分析 39
     第伍章 結論與建議 43
     第一節 結論 43
     第二節 建議 45
     第三節 後續研究發展 46
     參考文獻 47
參考文獻 一、中文部分
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     2.行政院衛生署國民健康局，2008，「您知道越小得近視越容易有眼睛的併發症嗎？」，取自：http://www.bhp.doh.gov.tw。
     3.行政院衛生署國民健康局，2011，「近視防治流行病學相關資料」，取自：http://www.bhp.doh.gov.tw。
     4.吳淑芬，1999，「眼睛總體檢-來自眼科醫師的叮嚀」，北市衛生，47，12-13。
     5.李淑佩、張英二、陳政友、楊智良、賴香如、林隆光，1988，學生視力保健實驗研究，衛生教育論文集刊，2，49-82。
     6.林思源，2004，「高度近視問題大」，健康世界，217，20-22。
     7.林國煌、王溢嘉、吳仁宇、林隆光，2001，「加強學童視力保健座談會」，健康世界，181（301），21-27。
     8.林隆光，1996，「幼童的視力保健」，健康教育，78，24-27。
     9.施永豐、林隆光、王勢爵、王鵬程、柯良時，1993，「實驗性近視之研究III-光線對眼球發育之影響」，中華民國眼科醫學會雜誌，32（1），36-40。
     10.徐旭亮、吳文權，2007，「準分子雷射屈光手術簡介」，高醫醫訊，27（5），9。
     11.郭瑞玲，2009，「臺北縣國小教師對學童近視預防的信念與相關教學行為之研究」，國立臺灣師範大學健康促進與衛生教育學系碩士論文。
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     二、英文部分
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     11.Edwards MH, Li RW, Lam CS, Lew JK, Yu BS., 2002, “The Hong Kong progressive lens myopia control study: study design and main findings”, Invest Ophthalmol Vis Sci, 43, 2852-2858.
     12.Edwards, M. H., 1996, “Do variations in normal nutrition play a role in the development of myopia”, Optometry& Vision Science, 73(10), 639-643.
     13.Farbrother JE, Kirov G, Owen MJ, Pong-Wong R, Haley CS, Guggenheim JA., 2004, “Linkage analysis of the genetic loci for high myopia on 18p, 12q, and 17q in 51 U.K. families”, Invest Ophthalmol Vis Sci, 45, 2879-2885.
     14.Fledelius HC., 2000, “Myopia profile in Copenhagen medical students 1996-98. Refractive stability over a century is suggested”, Acta Ophthalmol Scand, 78, 501-505.
     15.Grosvenor T., 1987, “A review and a suggested classification system for myopia on the basis of age-related prevalence and age of onset”, Am J Optom Physiol Opt , 64, 545-554.
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     18.Gwiazda J, Marsh-Tootle WL, Hyman L, Hussein M, Norton TT., 2002, “Baseline refractive and ocular component measures of children enrolled in the correction of myopia evaluation trial (COMET)”, Invest Ophthalmol Vis Sci, 43, 314-321.
     19.Jalbert I, Stretton S, Naduvilath T, Holden B, Keay L, Sweeney D., 2004, “Changes in myopia with low-Dk hydrogel and high-Dk silicone hydrogel extended wear”, Optom Vis Sci, 81, 591-596.
     20.Karlsson JL., 1975, “Influence of the myopia gene on brain development”, Clin Genet, 8, 314-318.
     21.Katz J, Tielsch JM, Sommer A, 1997, “Prevalence and risk factors for refractive errors in an adult inner city population” , Invest Ophthalmol Vis Sci, 38, 334-340.
     22.Krause UH, Rantakallio PT, Koiranen MJ, Mottonen JK., 1993, “The development of myopia up to the age of twenty and a comparison of refraction in parents and children”, Arctic Med Res, 52, 161-165.
     23.Lee, B., Godfrey, M., Vitale, E., Hori, H., Mattei, Mo G., Sarfarazim,M., Tsipouras, P., Ramirez, F., and Hollister, D. W., 1991, “Linkage of Marfan syndrome and a phenotypically related disorder to two different fibrillin genes”, Nature, 352, 330-334.
     24.Leung JT, Brown B., 1999, “Progression of myopia in Hong Kong Chinese schoolchildren is slowed by wearing progressive lenses”, Optom Vis Sci, 76: 346-354.
     25.Li T, Howland HC, Troilo D., 2000, “Diurnal illumination patterns affect the development of the chick eye”, Vision Res, 40, 2387-2393.
     26.Loman J, Quinn GE, Kamoun L, Ying GS, Maguire MG, Hudesman D, Stone RA., 2002, “Darkness and near work: myopia and its progression in third-year law students”, Ophthalmology, 109, 1032-1038.
     27.Lyhne N, Sjolie AK, Kyvik KO, Green A., 2001, “The importance of genes and environment for ocular refraction and its determiners: a population based study among 20-45 year old twins”, Br J Ophthalmol, 85, 1470-1476.
     28.Miles FA, Wallman J., 1990, “Local ocular compensation for imposed local refractive error”, Vis Res, 30(3), 339-349.
     29.Miles, P.W., 1962, “A study of heterophoria and myopia in children, some of whom wore bifocal lenses”, Am J. Ophthalmol, 54, 111-114.
     30.Mutti DO, Mitchell GL, Moeschberger ML, Jones LA, Zadnik K., 2002, “Parental myopia, near work, school achievement, and children`s refractive error”, Invest Ophthalmol Vis Sci, 43, 3633-3640.
     31.Negrel AD, Maul E, Pkharel GP, Zhao J, Ellwein LB., “Refractive error study in children: sampling and measurement methods for a multi-country survey”, Am J Ophthalmol 2000, 129(4), 421-6.
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     33.Olmedo MV, Munoz JI, Rodriguez-Cid MJ, Carracedo A, Gomez-Ulla FJ, Salorio MS., 1992, “Two different genetic markers for high and low myopia”, Eur J Ophthalmol, 2, 196-199.
     34.Palmer S., 1993, “Does computer use put children`s vision at risk?”, Journal of Research & Development in Education, 26(2), 59-65.
     35.Perrigin J, Perrigin D, Quintero S, Grosvenor T., 1990, “Silicone-acrylate contact lenses for myopia control: 3-year results” Optom Vis Sci, 67(10), 764-769.
     36.Quek TP, Chua CG, Chong CS, Chong JH, Hey HW, Lee J, Lim YF, Saw SM., 2004, “Prevalence of refractive errors in teenage high school students in Singapore” Ophthalmic Physiol Opt, 24, 47-55.
     37.Quinn GE, Shin CH, Maguire MG, Stone RA., 1999, “Myopia and ambient lighting at night”, Nature, 399, 113-114.
     38.Rah MJ, Jackson JM, Jones LA, Marsden HJ, Bailey MD, Barr JT., 2002, “Overnight orthokeratology: preliminary results of the Lenses and Overnight Orthokeratology (LOOK) study”, Optom Vis Sci, 79, 598-605.
     39.Roberts WL, Banford RD., 1967, “Evaluation of bifocal correction technique in juvenile myopia” Optom Weekly, 58(38), 25-31.
     40.Rosner M, Belkin M., 1987, “Intelligence, education, and myopia in males”, Arch Ophthalmol, 105, 1508-1511.
     41.Saw SM, Chua WH, Hong CY, Wu HM, Chia KS, Stone RA, Tan D., 2002, “Height and its relationship to refraction and biometry parameters in Singapore Chinese children”, Invest Ophthalmol Vis Sci, 43, 1408-1413.
     42.Schrijver I, Liu W, Brenn T, et al., 1999, “Cysteine substitutions in epidermal growth factor-likedomains of fibrillin-I: distinct effects on biochemical and clinical phenotype”, Am J Hum Genet , 65, 1007-1020.
     43.Schwartz, J.T., 1981, “Results of a monozygotic co-twin control study on a treatment for myopia”, Twin Research 3: Epidemiological and Clinical Studies, Liss, New York.
     44.Silventoinen K, Kaprio J, Lahelma E, Koskenvuo M., 2000, “Relative effect of genetic and environmental factors on body height: differences across birth cohorts among Finnish men and women”, Am J Public Health, 90, 627-630.
     45.Silventoinen K., 2003, “Determinants of variation in adult body height”, J Biosoc Sci, 35, 263-285.
     46.Sorsby A, Sheridan M, Leary G., 1962, “Refraction and ints components in twins”, MRC Report No 303. HMSO, London.
     47.Teasdale TW, Fuchs J, Goldschmidt E., 1988, “Degree of myopia in relation to intelligence and educational level”, Lancet, 2, 1351-1354.
     48.Vogel R., 1988, “Pharmaceutical agents and the prevention or reduction of progressive myopia”, Acta Ophthalmol Suppl, 185, 134-138.
     49.Ware J., 1813, “Aberrations relative to the near and distant sight of different persons”, Phil Trans Royal Soc London ; 1-31.
     50.Whitmore WG, 1992, “Congenital and developmental myopia”, Eye, 6, 361-365.
     51.Wildsoet C., 2003, “Neural pathways subserving negative lens-induced emmetropization in chicks—insights from selective lesions of the optic nerve and ciliary nerve”, Curr Eye Res, 27, 371-385.
     52.Williams SM, Sanderson GF, Share DL, Silva PA, 1988, “Refractive error, IQ and reading ability: a longitudinal study from age seven to 11”, Dev Med Child Neurol, 30, 735-742.
     53.Wu X, Cooper RS, Boerwinkle E, Turner ST, Hunt S, Myers R, Olshen RA, Curb D, Zhu X, Kan D, Luke A., 2003, “Combined analysis of genomewide scans for adult height: results from the NHLBI Family Blood Pressure Program”, Eur J Hum Genet, 11, 271-274.
     54.Yap,M.,WU,M.,Lin,ZM.,Lee,FL & Wang,SH., 1993, “Role of heredity in the genesis of myopipga”, Ophthal Phhysiol Opt., 13, 316-319.
     55.Yen MY, Liu JH, Kao SC, Shiao CH., 1989, “Comparison of the effect of atropine and cyclopentolate on myopia”, Ann Ophthalmol, 21, 180-182, 187.
     56.Zhang MZ, Saw SM, Hong RZ, Fu ZF, Yang H, Shui YB, Yap MK, Chew SJ., 2000, “Refractive errors in Singapore and Xiamen, China—a comparative study in school children aged 6 to 7 years”, Optom Vis Sci, 77, 302-308.
描述 碩士
國立政治大學
經營管理碩士學程(EMBA)
99932135
100
資料來源 http://thesis.lib.nccu.edu.tw/record/#G0099932135
資料類型 thesis
dc.contributor.advisor 鄭宇庭zh_TW
dc.contributor.author (Authors) 張騰達zh_TW
dc.contributor.author (Authors) Teng-Ta Changen_US
dc.creator (作者) 張騰達zh_TW
dc.creator (作者) Teng-Ta Changen_US
dc.date (日期) 2011en_US
dc.date.accessioned 30-Oct-2012 10:16:05 (UTC+8)-
dc.date.available 30-Oct-2012 10:16:05 (UTC+8)-
dc.date.issued (上傳時間) 30-Oct-2012 10:16:05 (UTC+8)-
dc.identifier (Other Identifiers) G0099932135en_US
dc.identifier.uri (URI) http://nccur.lib.nccu.edu.tw/handle/140.119/54204-
dc.description (描述) 碩士zh_TW
dc.description (描述) 國立政治大學zh_TW
dc.description (描述) 經營管理碩士學程(EMBA)zh_TW
dc.description (描述) 99932135zh_TW
dc.description (描述) 100zh_TW
dc.description.abstract (摘要) 近年來台灣學童罹患近視的年齡層逐漸下降，而文獻指出倘若近視發生的愈早，將來罹患重度近視的機會就愈高並可能併發其他眼翳疾病，且視力不良對於學童的學習能力、環境適應能力和心理認同有著密切的影響。因此，為減少視力不良對於學童生活及學習造成不良的影響，重視近視預防保健之餘，近視發生後立即的矯正治療，以抑制近視的進行亦是相當重要的。
     目前近視常用的治療方法有配戴眼鏡、藥物治療和雷射手術，而對於一般學童仍以配戴眼鏡為主要選擇，其中又以兒童近視控制鏡片為主。是故本研究欲以兒童近視控制鏡片對於學童近視的影響作為研究主軸，藉由個案K 眼鏡公司提供的2005至2010年資料進行分析探討，以瞭解我國學童配戴單焦鏡片或兒童近視控制鏡片其近視度數增長之差異。其中，以趨勢分析探討學童配戴單焦鏡片或兒童近視控制鏡片於四年期間度數增長之趨勢變化；以獨立樣本右尾T檢定探討學童配戴兒童近視控制鏡片每年增加度數是否低於單焦鏡片者；以配對樣本雙尾T檢定探討學童左眼和右眼每年增加度數是否有所差異；以獨立性檢定探討鏡片種類與每年近視度數增加程度之關聯性。
     本研究結果發現，兒童近視控制鏡片顯著抑制近視的進行，每年增加度數較單焦鏡片者減少約7度，並且單焦鏡片者在各配戴年期的增加度數皆大於兒童近視控制鏡片者，其中以第一年差異最大，此後隨著配戴年期增長，兩者差異逐漸縮小。此外，鏡片種類對於每年近視度數增加程度亦有顯著影響，且兒童近視控制鏡片較能抑制近視度數重度增長發生的可能性。最後，根據本研究之結果，對於我國學童視力保健提出若干建議，希望藉此提升國人對於近視保健上之知識水平，為近視學童選擇合適的眼鏡。		zh_TW
dc.description.abstract (摘要) 謝誌 I
     摘要 II
     目錄 III
     表目錄 IV
     圖目錄 V
     第壹章 緒論 1
     第一節 研究背景與動機 1
     第二節 研究目的 3
     第三節 研究流程 3
     第貳章 文獻探討 5
     第一節 近視形成之因素 5
     第二節 近視之預防與治療 10
     第三節 我國學童近視之現況 14
     第參章 研究方法 15
     第一節 研究架構與假設 15
     第二節 資料來源與變數定義 18
     第三節 分析方法 20
     第肆章 實證分析 24
     第一節 趨勢分析 24
     第二節 差異分析 35
     第三節 交叉分析 39
     第伍章 結論與建議 43
     第一節 結論 43
     第二節 建議 45
     第三節 後續研究發展 46
     參考文獻 47		-
dc.description.tableofcontents 謝誌 I
     摘要 II
     目錄 III
     表目錄 IV
     圖目錄 V
     第壹章 緒論 1
      第一節 研究背景與動機 1
      第二節 研究目的 3
      第三節 研究流程 3
     第貳章 文獻探討 5
      第一節 近視形成之因素 5
      第二節 近視之預防與治療 10
      第三節 我國學童近視之現況 14
     第參章 研究方法 15
      第一節 研究架構與假設 15
      第二節 資料來源與變數定義 18
      第三節 分析方法 20
     第肆章 實證分析 24
      第一節 趨勢分析 24
      第二節 差異分析 35
      第三節 交叉分析 39
     第伍章 結論與建議 43
      第一節 結論 43
      第二節 建議 45
      第三節 後續研究發展 46
     參考文獻 47		zh_TW
dc.language.iso en_US-
dc.source.uri (資料來源) http://thesis.lib.nccu.edu.tw/record/#G0099932135en_US
dc.subject (關鍵詞) 近視zh_TW
dc.subject (關鍵詞) 兒童近視控制鏡片zh_TW
dc.subject (關鍵詞) T檢定zh_TW
dc.subject (關鍵詞) 獨立性檢定zh_TW
dc.title (題名) 兒童近視控制鏡片於學齡兒童近視影響之研究─以K眼鏡公司為例zh_TW
dc.title (題名) The study of progressive addition lenses’ effect in children-using K. Optical company as an exampleen_US
dc.type (資料類型) thesisen
dc.relation.reference (參考文獻) 一、中文部分
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