首页|多媒体视觉功能训练对小儿弱视康复治疗的疗效观察

多媒体视觉功能训练对小儿弱视康复治疗的疗效观察

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目的 分析多媒体视觉功能训练对小儿弱视康复治疗的疗效。方法 将郑州市第二人民医院 2020 年 8 月至2023 年 3 月就诊的弱视患儿(102 例)设置为研究对象,按照随机单双数抽签法分为对照组与研究组,各 51 例,对照组治疗方法为优势眼遮盖,研究组治疗方法为多媒体视觉功能训练。比较两组治疗有效率及治疗前后矫正视力、屈光度、眼部调节功能指标、视觉诱发电位水平。结果 研究组治疗有效率(96。08%)高于对照组(82。35%),差异具有统计学意义(P<0。05);治疗前两组矫正视力、屈光度对比差异无统计学意义(P>0。05),治疗后两组矫正视力较治疗前提高,屈光度降低,研究组治疗后矫正视力高于对照组,屈光度低于对照组,差异具有统计学意义(P<0。05);治疗前两组调节功能指标对比差异无统计学意义(P>0。05),治疗后两组调节幅度、调节灵敏度较治疗前上升,调节滞后量降低,研究组治疗后调节幅度、调节灵敏度、调节滞后量均高于对照组,差异具有统计学意义(P<0。05);治疗前两组视觉诱发电位水平对比差异无统计学意义(P>0。05),治疗后两组潜伏期检查结果较治疗前降低,振幅升高,研究组治疗后潜伏期低于对照组,振幅高于对照组,差异具有统计学意义(P<0。05)。结论 小儿弱视康复采取多媒体视觉功能训练治疗可取得较理想的治疗效果,对于眼部调节功能与视觉诱发电位均有明确的改善作用,值得临床应用。
Observation on the therapeutic Effect of multimedia visual Function Training on the Rehabilitation Treatment of Amblyopia in Children
Objective To analyze the therapeutic effect of multimedia visual function training on the rehabilitation treatment of amblyopia in children.Methods A total of 102 children with amblyopia who visited the Second People's Hospital of Zhengzhou City from August 2020 to March 2023 were selected as the research subjects.They were divided into control group and study group using a random single or even number drawing method,with 51 cases in each group.The control group received treatment with dominant eye covering,while the study group received treatment with multimedia visual function training.The effective rates of two treatment groups,as well as the corrected visual acuity,refractive index,eye regulation function indicators,and visual evoked potential levels before and after treatment were compared.Results The effective rate of treatment in the study group(96.08%)was higher than that in the control group(82.35%),and the difference was statistically significant(P<0.05);Before treatment,there was no statistically significant difference in corrected visual acuity and refractive index between the two groups(P>0.05).After treatment,the corrected visual acuity of the two groups improved compared to that before treatment,while refractive index decreased.The corrected visual acuity of the study group was higher than that of the control group,but the refractive index was lower than that of the control group,and the difference was statistically significant(P<0.05);Before treatment,there was no statistically significant difference between the two groups in the comparison of adjustment function indicators(P>0.05).After treatment,the adjustment amplitude and adjustment sensitivity of the two groups increased compared with that before treatment,and the adjustment hysteresis decreased.After treatment,the adjustment amplitude and adjustment sensitivity of the study group were higher than that of the control group,and the adjustment hysteresis was higher than that of the control group,with statistically significant difference(P<0.05);There was no statistically significant difference in the level of visual evoked potentials between the two groups before treatment(P>0.05).After treatment,the latency test results of the two groups decreased compared to those before treatment,and the amplitude increased.The latency of the study group was lower than that of the control group,but the amplitude was higher than that of the control group,and the difference was statistically significant(P<0.05).Conclusion Multimedia visual function training can achieve ideal therapeutic effects in the rehabilitation of amblyopia in children.It has a clear improvement effect on eye regulation function and visual evoked potential,and is worthy of clinical application.

multimedia visual function trainingpediatric amblyopiaeye adjustment functionvisual evoked potential

何楠、曹洵、王素娟

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郑州市第二人民医院 视光学部,河南 郑州 450000

多媒体视觉功能训练 小儿弱视 眼部调节功能 视觉诱发电位

2024

临床研究
西安交通大学

临床研究

影响因子:0.234
ISSN:2096-1278
年,卷(期):2024.32(4)
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