方法：选取我院2014-01/2015-07门诊就诊的儿童近视患者80例160眼，随机分为治疗组和对照组，每组各40例80眼。治疗组采用中周部加光镜片联合调节训练治疗近视，对照组则采用配戴普通单光框架眼镜的常规方法治疗近视，两组患者戴镜后每3mo复查，1a后观察各组近视进展指标、调节功能指标，比较分析两组的治疗效果。

结果：戴镜1a后治疗组病例裸眼视力、屈光度数、眼轴长度较戴镜前变化不大趋于稳定，与戴镜前比较差异无统计学意义(P>0.05)； 对照组病例裸眼视力较戴镜前下降，屈光度数增加，眼轴增长，与戴镜前比较差异有统计学意义(P<0.01)。两组间比较差异有统计学意义(P<0.05)。治疗组治疗1a后调节幅度与调节反应指标较治疗前改善，AC/A值下降，与治疗前比较差异有统计学意义(P<0.01)，对照组治疗前后调节功能指标无明显改善，与治疗前比较差异无统计学意义(P>0.05)。两组间比较差异有统计学意义(P<0.01)。

结论：中周部加光镜片联合调节训练治疗近视有助于延缓近视儿童屈光度的发展，有助改善患者的眼部调节功能。

METHODS: Eighty childhood(160 eyes in all)with myopia were included in this study. All patients were divided into two groups according to the methods of correcting refractive error: the midperipherv additional designed lenses and adjustment training group(treatment group, 80 eyes of 40 cases)and frame glasses group(comparison group, 80 eyes of 40 cases). The two groups had been measured myopia progress indicators and adjustment function indicators for ever 3mo. The results were compared and analyzed after 1a follow-up.

RESULTS: The visual acuity, refraction, axial length had a little change after wearing lens 1a in treatment group, there was no statistically significant difference compared with wearing before(P>0.05). The visual acuity decreased, refraction and axial length increased in comparison group, the differences were statistically significant(P<0.01). There was statistically significant difference compared with two groups(P<0.01). Accommodation amplitude and adjustment reaction index were improved and AC/A value decreased 1a after treatment in treatment group, and there were statistically significant differences compared with before treatment(P<0.05). Adjustment function index in control group had no significant improvement before and after treatment, with no statistical difference(P>0.05). The difference between the two groups was statistically significant(P<0.01).

CONCLUSION: Midperipherv additional designed lenses and adjustment training treatment of juvenile myopia is effective, which can delay the diopters development of myopic children, improve the regulatory function, control the development of myopia, improve the adjustment function.