目的：探索适合本地实际情况的屈光发育档案管理模式。方法：总结本区屈光发育档案推行数据，采用鱼骨图系统分析影响屈光发育档案在基层医院推行的关键因素。结果：影响屈光发育档案在基层医院推行的关键因素包括家庭因素、个人因素、学校因素、医院因素。建议通过与学校加强合作，进行健康教育，加强与学生、家长的沟通，开发简易技术，加强医院信息化建设，逐步建立适合本地实际情况的屈光发育档案管理模式。结论：在基层医院建立青少年屈光发育档案受多种因素影响，需平衡家庭、学校、医院的关系，加强数字化平台建设。

Objective: To explore an appropriate management model of refractive development archives suitable for local conditions. Methods: The main influencing factors of refractive development archives in primary hospitals were analyzed by using fishbone diagram. Results: The influencing factors included family factors, personal behavior, school and medical factors. It was recommended to improve the cooperation with school and strengthen communication with students and parents. The hospital should develop simple technologies to strengthen the construction of information technology. An appropriate model of refractive development archives was established according to the local situation. Conclusion: The establishment of adolescent refractive development archives in primary hospitals is affected by many factors. It is necessary to balance the relationship among families, schools and hospitals, and strengthen the construction of digital platforms.

目的：研究调节抑制对不同单色光中豚鼠眼屈光发育的作用。方法：根据光照不同将豚鼠分成蓝光组(430 nm)、绿光组(530 nm)和白光组(色温5 000 K)，每组各8只。各组豚鼠右眼均点1%阿托品滴眼液，每天1次，持续6周。实验前后各测一次屈光度、角膜曲率半径以及眼轴各参数。结果：实验前各组豚鼠双侧眼间及组间同侧眼屈光度差异无统计学意义(约4.25 D，P >0.05)。但实验结束时蓝光组和绿光组双侧眼间屈光度差异显著(P=0.0003和P=0.028)，而白光组双侧眼间无显著差异(P=0.7486)。实验结束时各组左眼(P<0.05)、绿光组和白光组右眼(P=0.001)以及蓝光组和绿光组右眼(P <0.001)屈光差异有统计学意义。蓝光组和白光组右眼屈光差异无统计学意义( P =0.072)。实验开始时各组双侧眼间及各组间同侧眼玻璃体腔长度差异无统计学意义(约3.2 mm，P>0.05)。实验结束时，蓝光组和绿光组双侧眼间玻璃体腔长度差异有统计学意义(P=0.0017和P=0.0113)，但白光组双侧眼间差异无统计学意义(P=0.9371)。同时，各组间同侧眼玻璃体腔长度差异有统计学意义(P<0.01)。此外，实验前后各组双侧眼间及组间同侧眼角膜曲率半径、前节长度、晶状体厚度差异无统计学意义(P>0.05)。结论：1%阿托品加强530 nm单色光促进豚鼠眼玻璃体腔延长和近视形成的作用，但减弱430 nm单色光抑制豚鼠眼玻璃体腔延长和远视形成的作用。眼调节反应可能参与了单色光中豚鼠眼的屈光发育机制。阿托品影响单色光中豚鼠眼屈光发育的作用可能是通过抑制眼调节反应实现的。

Objective: To investigate the effect of inhibiting accommodation on ocular refractive development of guinea pigs in different monochromatic lights. Methods: Twenty-four pigmented guinea pigs were randomly divided into three groups with 8 animals per group: short-wavelength light (SL, 430 nm) group, middle-wavelength light (ML,530 nm) group and broad-band light (BL, 5 000 K color temperature) group. The right eyes of all animals were treated by 1% Atropine solution once a day for 6 weeks. Measurements of ocular refraction, corneal curvature, and axial length were performed at the start and the end of the study. Results: There was no significant difference in bilateral ocular refraction for all groups at the beginning of the experiment (about 4.25 D, P>0.05) and in ipsilateral ocular refraction among groups at the start of the experiment (P>0.05). But at the end of the experiment,significant differences were detected between binocular refraction of the ML group (P=0.028) and the SL group (P=0.0003), however, there was no significant difference between bilateral refraction in the BL group (P=0.7486).There were significant differences in refraction between the left eyes of any two groups (P<0.05), between the right eyes of the ML and BL group (P=0.001), and between the right eyes of the ML and SL (P<0.001) at 6 weeks.No significant refractive difference was detected between the right eyes of the SL and BL groups (P=0.072). The vitreous length was about 3.2 mm in bilateral eyes of all groups at the onset of the experiment (all inner- or inter-group P>0.05). After the experiment, the bilateral difference in vitreous length was significant in the ML group(P=0.0113) and the SL group (P=0.0017), but not significant in the BL group (P=0.9371). There were significant vitreous differences in right or left eyes among the groups at the end of the experiment (P<0.01). There were no significant inter-group (ipsilateral) or inner-group (bilateral) differences at any time in any of corneal radius of curvature, anterior segment length and lens thickness (P>0.05 for all comparisons). Conclusion: 1% atropine can strengthen the effect of vitreous elongation and myopic formation on guinea pig eyes in 530 nm monochromatic light. Moreover, atropine can weaken the effect of vitreous shortening and hyperopic formation on guinea pig eyes in 430 nm monochromatic light. Ocular accommodation response should involve in the mechanism of refractive development of guinea pig in monochromatic light. Atropine can influence the refractive development of guinea pig in monochromatic light possibly by inhibiting accommodation response.