目的：探讨近视大学新生框架眼镜顶焦度、轴位的准确性和加工装配质量。 方法：检测251例近视大学新生实际屈光程度和其配戴框架眼镜的顶焦度、柱镜轴位；确定框架眼镜镜片光学中心位置并计算光学中心水平偏差、光学中心垂直互差。 结果：近视大学新生251例中欠矫95例（37.85%），过矫54例（21.51%），足矫102例（40.64%）。低、中、高三组等效球镜度数差值有统计学意义，其中低、高度近视组间无统计学差异，低度近视组和高度近视组与中度近视组之间均有统计学意义，低度近视组和高度近视组的等效球镜度数差值均大于中度近视组。三组不同程度近视组的柱镜轴位无统计学差异。251副框架眼镜的光学中心水平偏差总体合格率为87.25%，光学中心垂直互差总体合格率为86.85%，且都随着顶焦度的增加，合格率逐渐下降。 结论：近视大学新生框架眼镜准确性和质量问题严重，定期的验光服务和多种方式的健康教育非常必要。

AIM: To investigate the accuracy of refraction and the quality of processing in myopic college freshmen spectacles. METHODS:Refractive error and spectacle power,axial were assessed for 251 college freshmen, the position of the spectacle lens optical center were determined, the optical center of horizontal deviations and vertical deviations were calculated. RESULTS:In 251 cases of myopic freshmen, undercorrection was 95 cases (37.85%), overcorrection was 54 cases (21.51%), the full correction was 102 cases (40.64%). No significant difference existed between the low and high myopia group, the spherical equivalent differences of the low myopia and high myopia group were all greater than the moderate myopia group, but no significant difference existed in axial among three groups. The overall pass rate of the horizontal deviations of the optical center was 87.25%, and the vertical deviations was 86.85%.With the increase of the vertex power, the pass rate decreased gradually. CONCLUSION:A serious problem exists in the accuracy and quality of myopic college freshmen spectacles.Regular optometry services and a variety of ways of health education are necessary.