过时向茉莉 发表于 2024-3-19 17:04:11

儿童“近视神药”来了?医生提醒:自行使用存在风险!

<section class="mp_profile_iframe_wrp"><mp-common-profile class="js_uneditable custom_select_card mp_profile_iframe" data-pluginname="mpprofile" data-id="MzI1MTAyOTA4Ng==" data-headimg="https://www.hbrdcm.com/plugin.php?id=wcn_editor:wx_img&url=http://mmbiz.qpic.cn/mmbiz_png/f91uJOcbkQawkB2UGiaNdNHV4cia1H1gJmxZo2XRiaueytNPglUAaHtvdT0ia3ibKvGiamXmHonxM4wLHD0GDhhx6Dibg/0?wx_fmt=png" data-nickname="长江云新闻" data-alias="changjiangyunnews" data-signature="云开见世界" data-from="0" data-is_biz_ban="0"></mp-common-profile></section><p><span style="font-size: 17px;"></span></p><p><span style="font-size: 17px;">近日,国家药监局发布消息称,某款国产的0.01%硫酸阿托品滴眼液获批上市,可用于延缓儿童青少年近视的进展,</span><strong style="font-size: 17px;">“近视神药”</strong><span style="font-size: 17px;">相关话题随之登上热搜。3月18日,武汉儿童医院眼科专家表示:</span><strong style="font-size: 17px;">低浓度阿托品确有延缓近视的功效,但不是“一点就好”的近视神药,作为处方药,有相应的适应症和禁忌症,自行购买使用不可取。</strong><br/></p><p><span style="font-size: 17px;"><br/></span></p><p style="text-align: center;"></p><p><strong style="text-align: center;font-size: var(--articleFontsize);letter-spacing: 0.034em;"></strong><span style="font-size: 17px;"></span></p><p></p><section style="letter-spacing: 1px;line-height: 1.75;font-size: 16px;"><section style="text-align: center;justify-content: center;display: flex;flex-flow: row nowrap;margin-top: 10px;margin-bottom: 10px;" powered-by="xiumi.us"><section style="display: inline-block;vertical-align: top;width: auto;min-width: 5%;flex: 0 0 auto;height: auto;align-self: flex-start;z-index: 1;"><section style="transform: perspective(0px);transform-style: flat;" powered-by="xiumi.us"><section style="margin-top: -1px;line-height: 0;transform: rotateX(180deg);"><section style="vertical-align: middle;display: inline-block;line-height: 0;width: 15px;height: auto;"></section></section></section></section><section style="display: inline-block;vertical-align: top;width: auto;align-self: flex-start;flex: 0 0 auto;background-image: linear-gradient(90deg, rgb(100, 183, 233) 0%, rgb(59, 101, 235) 100%);min-width: 5%;height: auto;padding: 5px 20px;margin-right: -15px;margin-left: -15px;"><section style="font-size: 17px;color: rgb(255, 255, 255);letter-spacing: 2px;" powered-by="xiumi.us"><p><strong>滴了“神奇眼药水”</strong></p><p><strong>6岁女孩患上青光眼</strong></p></section><section style="text-align: left;justify-content: flex-start;display: flex;flex-flow: row nowrap;margin-top: -5px;" powered-by="xiumi.us"><section style="display: inline-block;vertical-align: middle;width: auto;align-self: center;flex: 100 100 0%;height: auto;"><section style="margin-top: 0.5em;margin-bottom: 0.5em;" powered-by="xiumi.us"><section style="background-color: rgb(255, 255, 255);height: 1px;"><svg viewbox="0 0 1 1" style="float:left;line-height:0;width:0;vertical-align:top;"></svg></section></section></section><section style="display: inline-block;vertical-align: middle;width: auto;align-self: center;flex: 0 0 auto;min-width: 5%;height: auto;padding-right: 10px;padding-left: 10px;"><section style="text-align: center;line-height: 0;" powered-by="xiumi.us"><section style="vertical-align: middle;display: inline-block;line-height: 0;width: 8px;height: auto;"></section></section></section><section style="display: inline-block;vertical-align: middle;width: auto;align-self: center;flex: 100 100 0%;height: auto;"><section style="margin-top: 0.5em;margin-bottom: 0.5em;" powered-by="xiumi.us"><section style="background-color: rgb(255, 255, 255);height: 1px;"><svg viewbox="0 0 1 1" style="float:left;line-height:0;width:0;vertical-align:top;"></svg></section></section></section></section></section><section style="display: inline-block;vertical-align: top;width: auto;min-width: 5%;flex: 0 0 auto;height: auto;align-self: flex-start;"><section style="transform: perspective(0px);transform-style: flat;" powered-by="xiumi.us"><section style="margin-top: -1px;line-height: 0;transform: rotateX(180deg);"><section style="vertical-align: middle;display: inline-block;line-height: 0;width: 15px;height: auto;"></section></section></section></section></section></section><p></p><p><span style="font-size: 17px;">最近,家住江汉区的李女士发现女儿潇潇(化名)写作业时跟本子凑得很近,看东西时还总爱眯眼。到医院一查,发现孩子双眼近视100度,医生建议佩戴眼镜矫正。</span></p><p><span style="font-size: 17px;"><br/></span></p><p><span style="font-size: 17px;">“孩子才6岁就要戴眼镜,以后怎么办?”李女士无法接受这个事实,便在朋友圈、家长群里多方打听,听说低浓度阿托品滴眼液是治近视的“神药”,就找代购买了几瓶,睡前给女儿滴。</span></p><p><span style="font-size: 17px;"><br/></span></p><p><span style="font-size: 17px;">没想到,滴了一段时间后,潇潇开始出现眼睛胀痛、不停流泪的症状,李女士赶紧带其到武汉儿童医院检查,结果发现孩子患上了青光眼。医生分析,潇潇本身眼压比较高,再加上自行不规范用药,可能是导致青光眼发作的诱因。</span></p><p><span style="font-size: 17px;"><br/></span></p><p></p><section style="letter-spacing: 1px;line-height: 1.75;font-size: 16px;"><section style="text-align: center;justify-content: center;display: flex;flex-flow: row nowrap;margin-top: 10px;margin-bottom: 10px;" powered-by="xiumi.us"><section style="display: inline-block;vertical-align: top;width: auto;min-width: 5%;flex: 0 0 auto;height: auto;align-self: flex-start;z-index: 1;"><section style="transform: perspective(0px);transform-style: flat;" powered-by="xiumi.us"><section style="margin-top: -1px;line-height: 0;transform: rotateX(180deg);"><section style="vertical-align: middle;display: inline-block;line-height: 0;width: 15px;height: auto;"></section></section></section></section><section style="display: inline-block;vertical-align: top;width: auto;align-self: flex-start;flex: 0 0 auto;background-image: linear-gradient(90deg, rgb(100, 183, 233) 0%, rgb(59, 101, 235) 100%);min-width: 5%;height: auto;padding: 5px 20px;margin-right: -15px;margin-left: -15px;"><section style="font-size: 17px;color: rgb(255, 255, 255);letter-spacing: 2px;" powered-by="xiumi.us"><p><strong>阿托品确实能延缓近视</strong></p><p><strong>但并非人人适用</strong></p></section><section style="text-align: left;justify-content: flex-start;display: flex;flex-flow: row nowrap;margin-top: -5px;" powered-by="xiumi.us"><section style="display: inline-block;vertical-align: middle;width: auto;align-self: center;flex: 100 100 0%;height: auto;"><section style="margin-top: 0.5em;margin-bottom: 0.5em;" powered-by="xiumi.us"><section style="background-color: rgb(255, 255, 255);height: 1px;"><svg viewbox="0 0 1 1" style="float:left;line-height:0;width:0;vertical-align:top;"></svg></section></section></section><section style="display: inline-block;vertical-align: middle;width: auto;align-self: center;flex: 0 0 auto;min-width: 5%;height: auto;padding-right: 10px;padding-left: 10px;"><section style="text-align: center;line-height: 0;" powered-by="xiumi.us"><section style="vertical-align: middle;display: inline-block;line-height: 0;width: 8px;height: auto;"></section></section></section><section style="display: inline-block;vertical-align: middle;width: auto;align-self: center;flex: 100 100 0%;height: auto;"><section style="margin-top: 0.5em;margin-bottom: 0.5em;" powered-by="xiumi.us"><section style="background-color: rgb(255, 255, 255);height: 1px;"><svg viewbox="0 0 1 1" style="float:left;line-height:0;width:0;vertical-align:top;"></svg></section></section></section></section></section><section style="display: inline-block;vertical-align: top;width: auto;min-width: 5%;flex: 0 0 auto;height: auto;align-self: flex-start;"><section style="transform: perspective(0px);transform-style: flat;" powered-by="xiumi.us"><section style="margin-top: -1px;line-height: 0;transform: rotateX(180deg);"><section style="vertical-align: middle;display: inline-block;line-height: 0;width: 15px;height: auto;"></section></section></section></section></section></section><p></p><p><span style="font-size: 17px;">这款被家长称为“近视神药”的阿托品,到底有什么功效?武汉儿童医院眼科主任揭红介绍,根据2022年发布的《低浓度阿托品滴眼液在儿童青少年近视防控中的应用专家共识》:0.01%阿托品滴眼液具有良好的延缓近视效果。但是,并非所有近视儿童都适合滴阿托品。作为处方药,它有对应的适应症和禁忌症,需由医生综合判断使用。滴用期间,也要定期到医院监测视力、眼表、眼压、眼轴、眼底,以确保药物的使用安全和有效性。</span></p><p><span style="font-size: 17px;"><br/></span></p><p><strong><span style="font-size: 17px;">“不少家长会自行买阿托品给孩子滴,其实存在风险。”</span></strong><span style="font-size: 17px;">如过敏体质患儿自行使用,可能出现眼部红痒等反应;不规范长期用药或者使用不合格产品,可能导致孩子干眼。</span></p><p><span style="font-size: 17px;"><br/></span></p><p></p><section style="letter-spacing: 1px;line-height: 1.75;font-size: 16px;"><section style="text-align: center;justify-content: center;display: flex;flex-flow: row nowrap;margin-top: 10px;margin-bottom: 10px;" powered-by="xiumi.us"><section style="display: inline-block;vertical-align: top;width: auto;min-width: 5%;flex: 0 0 auto;height: auto;align-self: flex-start;z-index: 1;"><section style="transform: perspective(0px);transform-style: flat;" powered-by="xiumi.us"><section style="margin-top: -1px;line-height: 0;transform: rotateX(180deg);"><section style="vertical-align: middle;display: inline-block;line-height: 0;width: 15px;height: auto;"></section></section></section></section><section style="display: inline-block;vertical-align: top;width: auto;align-self: flex-start;flex: 0 0 auto;background-image: linear-gradient(90deg, rgb(100, 183, 233) 0%, rgb(59, 101, 235) 100%);min-width: 5%;height: auto;padding: 5px 20px;margin-right: -15px;margin-left: -15px;"><section style="font-size: 17px;color: rgb(255, 255, 255);letter-spacing: 2px;" powered-by="xiumi.us"><p><strong>“神药”不能逆转、预防近视</strong></p><p><strong>综合防控才是关键</strong></p></section><section style="text-align: left;justify-content: flex-start;display: flex;flex-flow: row nowrap;margin-top: -5px;" powered-by="xiumi.us"><section style="display: inline-block;vertical-align: middle;width: auto;align-self: center;flex: 100 100 0%;height: auto;"><section style="margin-top: 0.5em;margin-bottom: 0.5em;" powered-by="xiumi.us"><section style="background-color: rgb(255, 255, 255);height: 1px;"><svg viewbox="0 0 1 1" style="float:left;line-height:0;width:0;vertical-align:top;"></svg></section></section></section><section style="display: inline-block;vertical-align: middle;width: auto;align-self: center;flex: 0 0 auto;min-width: 5%;height: auto;padding-right: 10px;padding-left: 10px;"><section style="text-align: center;line-height: 0;" powered-by="xiumi.us"><section style="vertical-align: middle;display: inline-block;line-height: 0;width: 8px;height: auto;"></section></section></section><section style="display: inline-block;vertical-align: middle;width: auto;align-self: center;flex: 100 100 0%;height: auto;"><section style="margin-top: 0.5em;margin-bottom: 0.5em;" powered-by="xiumi.us"><section style="background-color: rgb(255, 255, 255);height: 1px;"><svg viewbox="0 0 1 1" style="float:left;line-height:0;width:0;vertical-align:top;"></svg></section></section></section></section></section><section style="display: inline-block;vertical-align: top;width: auto;min-width: 5%;flex: 0 0 auto;height: auto;align-self: flex-start;"><section style="transform: perspective(0px);transform-style: flat;" powered-by="xiumi.us"><section style="margin-top: -1px;line-height: 0;transform: rotateX(180deg);"><section style="vertical-align: middle;display: inline-block;line-height: 0;width: 15px;height: auto;"></section></section></section></section></section></section><p></p><p><span style="font-size: 17px;"></span></p><p><span style="font-size: 17px;">揭红介绍,低浓度阿托品不是“一点就好”的近视神药,目前,没有任何药物可以“逆转近视”。如果孩子已近视,首先考虑光学方法进行干预,同时进行近视防控,减缓近视度数增加。低浓度阿托品眼药水是防止近视加深的手段之一。</span></p><p><span style="font-size: 17px;"><br/></span></p><p><span style="font-size: 17px;">门诊上,也有不少家长咨询,能否用低浓度阿托品预防近视?揭红表示,对于健康孩子来说,不建议使用低浓度阿托品。<strong>自行使用不仅无效,反而让孩子白白承担用药风险。</strong>“对孩子而言,<strong>加强户外活动、培养良好的用眼习惯</strong>等仍是预防近视的最优解。”</span></p><p></p><section style="outline: 0px;letter-spacing: 0.544px;background-color: rgb(255, 255, 255);visibility: visible;"><section style="outline: 0px;letter-spacing: 0.578px;color: rgb(0, 0, 0);font-size: medium;text-align: start;visibility: visible;"><section powered-by="xiumi.us" style="outline: 0px;visibility: visible;"><section style="outline: 0px;visibility: visible;"><section style="outline: 0px;letter-spacing: 0.578px;visibility: visible;"><section 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