角膜塑形镜联合三棱镜正位视训练在间歇性外斜视合并近视患儿中的应用效果

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维普

中文摘要：目的:观察角膜塑形镜联合三棱镜正位视训练在间歇性外斜视合并近视患儿中的应用效果.方法:选取2021年5月至2023年5 月该院收治的 76 例间歇性外斜视合并近视患儿进行前瞻性研究,按照随机数字表法将其分为对照组和观察组各 38 例.两组均采用三棱镜正位视训练治疗,对照组佩戴框架眼镜治疗,观察组佩戴角膜塑形镜治疗,比较两组治疗前后眼表指标(最佳矫正视力、裸眼视力、屈光度)水平、斜视度、外融合范围和生命质量[健康调查简表(SF-36)]评分.结果:治疗后,观察组最佳矫正视力、裸眼视力均低于对照组,屈光度高于对照组,差异有统计学意义(P<0.05);治疗后,观察组 33 cm、6 m斜视度均低于对照组,外融合范围高于对照组,差异有统计学意义(P<0.05);治疗后,观察组生理功能、精神健康、情感职能、社会功能、躯体疼痛、活力、生理职能、一般健康等SF-36 评分均高于对照组,差异有统计学意义(P<0.05).结论:角膜塑形镜联合三棱镜正位视训练应用于间歇性外斜视合并近视患儿可提高屈光度、外融合范围和生命质量评分,改善眼表指标水平,降低斜视度,效果优于框架眼镜联合三棱镜正位视训练.

外文标题：Application effects of orthokeratology lens combined with prism orthographic training in children with intermittent exotropia and myopia

外文摘要：Objective:To observe application effects of orthokeratology lens combined with prism orthographic training in children with intermittent exotropia and myopia.Methods:A prospective study was conducted on 76 children with intermittent exotropia and myopia admitted to this hospital from May 2021 to May 2023.According to the random number table method,they were divided into control group and observation group,38 cases in each group.Both groups were treated with prism orthographic training.The control group was treated with frame glasses,while the observation group was treated with orthokeratology lenses.The ocular surface indexes(best corrected visual acuity,uncorrected visual acuity,diopter)levels,the strabismus degree,the external fusion range,and the quality of life[health survey summary(SF-36)]score were compared between the two groups before and after the treatment.Results:After the treatment,the best corrected visual acuity and the uncorrected visual acuity of the observation group were lower than those of the control group,the diopter was higher than that of the control group,and the differences were statistically significant(P<0.05).After the treatment,the 33 cm and 6 m strabismus degrees of the observation group were lower than those of the control group,the external fusion range was higher than that of the control group,and the differences were statistically significant(P<0.05).Further,after the treatment,the SF-36 scores of physiological function,mental health,emotional function,social function,physical pain,vitality,physiological function and general health in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).Conclusions:Orthokeratology combined with prism orthographic training can improve the diopter,the external fusion range and the quality of life scores,improve the ocular surface index levels,and reduce the strabismus degrees in the children with intermittent exotropia and myopia.Moreover,it is superior to frame glasses combined with prism orthographic training.

外文关键词：

Intermittent exotropiaMyopiaChildrenPrism orthographic trainingOrthokeratology lensQuality of lifeDiopter

作者：

黄少帅

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作者单位：

濮阳市第二人民医院眼视光中心,河南濮阳 457000

关键词：

间歇性外斜视近视儿童三棱镜正位视训练角膜塑形镜生命质量屈光度

出版年：

2024

DOI：