首页|视觉功能训练结合综合疗法在屈光参差性弱视患儿中的应用效果

视觉功能训练结合综合疗法在屈光参差性弱视患儿中的应用效果

Effect evaluation of visual function training combined with comprehensive therapy in children with anisometropic amblyopia

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目的 观察视觉功能训练结合综合疗法在屈光参差性弱视患儿中的应用效果.方法 按照治疗方法将 120例屈光参差性弱视患儿分为研究组和对照组各 60 例,对照组采用综合治疗疗法,研究组应用视觉功能训练和综合疗法.对比两组患儿治疗前后双眼融合功能、立体视、双眼调节滞后量(Lag)、调节幅度(AA)、调节灵敏度(AF)和正/负相对调节(PRA/NRA),统计患儿家属治疗满意度.结果 研究组的临床总有效率(95.00%)高于对照组(83.33%),差异有统计学意义(χ2=4.227,P=0.040).治疗 6 个月后,两组双眼融合功能异常率、立体视异常率均低于治疗前和治疗 3 个月后,且研究组低于对照组,差异均有统计学意义(P<0.05).组别(F=18.735)和时间(F =47.159,)对双眼Lag均有影响(P<0.05),但两者不存在交互作用(F=0.795,P=0.454).组别和时间对AA、AF、PRA/NRA均有影响(P<0.05),且两者存在交互作用(均P>0.05).研究组患儿家属的总满意度评分高于对照组,差异有统计学意义(t=7.280,P<0.001).结论 视觉功能训练结合综合疗法治疗有助于改善屈光参差性弱视患儿的视功能和调节功能,提高患儿家属满意度.
Objective To study the effect of combined therapy involving visual function training and comprehensive therapy in children with anisometropic amblyopia.Methods A total of 120 children with anisometropic amblyopia were divided into a study group and a control group,with 60 cases in each group.The control group received comprehensive treatment,while the study group received visual function training and comprehensive therapy.The binocular fusion function,stereoscopic vision,binocular accommodation lag(Lag),accommodation amplitude(AA),accommodation sensitivity(AF)and positive/negative relative accommodation(PRA/NRA)of the children in both groups were observed and compared before and after treatment.The treatment satisfaction of the children's families was also recorded.Results The clinical total effective rate in the study group(95.00%)was significantly higher than that in the control group(83.33%),with a statistically significant difference(χ2=4.227,P=0.040).After 6 months of treatment,the abnormal rate of binocular fusion function and stereopsis in both groups was lower than befor and after 3 months of treatment,and the study group had a lower rate than the control group,with significant differences(P<0.05).Both group(F=18.735)and time(F=47.159)had an effect on binocular accommodative lag(Lag)(P<0.05),but there was no interaction between them(F= 0.795,P= 0.454).Both group and time had an effect on AA,AF,and PRA/NRA(P<0.05),and there was an interaction between them(all P>0.05).The total satisfaction score of the children's families in the study group was significantly higher than that in the control group(t = 7.280,P<0.001).Conclusions The combination of visual function training and comprehensive therapy is beneficial in improving visual function and accommodative function in children with anisometropic amblyopia,as well as increasing the satisfaction of their families.

anisometropic amblyopiachildrenvisual function trainingcomprehensive therapiesvisual function

王亚娥、廖鹏慧、翁春瑜

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龙游县人民医院眼科,浙江 衢州 324400

龙游县人民医院视光中心,浙江 衢州 324400

屈光参差性弱视 儿童 视觉功能训练 综合疗法 视功能

2024

健康研究
杭州师范大学

健康研究

影响因子:0.823
ISSN:1674-6449
年,卷(期):2024.44(2)
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