近视性弱视综合治疗方法及疗效对比
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Comparative analysis of combined therapy and clinical efficacy for myopic amblyopia
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    摘要:

    目的:分析短小遮盖+海丁格刷+闪烁红光+红色视力表远距离视功能训练在近视性弱视治疗中的效果。

    方法:选择近视性弱视患儿甲、乙两组共97例186眼,甲组47例89眼,年龄4~12(平均5.79±1.98)岁,乙组50例97眼,年龄3~10(平均5.92±1.72)岁; 其中甲组轻度、中度、高度近视眼分别为16眼、52眼、21眼,乙组分别为18眼、55眼、24眼(χ2=0.004,P>0.05); 甲组轻度、中度、重度弱视眼分别为23眼、49眼、17眼; 乙组分别为26眼、55眼、16眼(χ2=0.136,P>0.05); 甲组患者采用遮盖+闪烁红光+近距离功能训练; 乙组患者采用短小遮盖+海丁格刷+闪烁红光+红色视力表远距离视功能训练,所有患者治疗后随访时间24mo,对比分析两种治疗方法在近视性弱视治疗中的疗效。

    结果:甲组基本治愈率为35.96%,有效率为40.45%,无效率为23.60%; 乙组基本治愈率为56.70%,有效率为26.80%,无效率为16.49%,统计学分析差异有统计学意义(χ2=6.022,P<0.05); 甲乙两组治疗后近视度数增加≤1.0D,1.0~3.0D及≥3.0D者分别为:甲组3眼、49眼、37眼; 乙组4眼、69眼、24眼,统计学分析差异有统计学意义(χ2=5.074,P<0.05)。

    结论:短小遮盖+海丁格刷+闪烁红光+红色视力表远距离视功能训练法治疗近视性弱视疗效较好,治疗后弱视眼近视度数发展较轻。

    Abstract:

    AIM: To observe and analyze the clinical effect of minimal occlusion + Haidinger brush + flicker red light + distance visual function training of red E standard logarithm visual acuity chart in treating children with myopic amblyopia.

    METHODS: Totally 97 children(186 eyes)with myopic amblyopia were treated, 47 children(89 eyes)in group A aged 4-12(5.79±1.98)years old were treated by covering + flicker red light + near visual function training and 50 children(97 eyes)in group B aged 3-10(5.92±1.72)years old were treated by minimal covering + Haidinger brush + flicker red light + distance visual function training of red E standard logarithm visual acuity chart. The patients with mild myopia, moderate myopia and high myopia were 16, 52 and 21 eyes in group A and 18, 55 and 24 eyes in group B(χ2=0.004, P>0.05). The patients with low amblyopia, medium amblyopia and severe amblyopia were 23, 49 and 17 eyes in group A and 26, 55 and 16 eyes in group B(χ2=0.136, P>0.05). All patients were followed up for 24 months to comparatively analyze the efficacy of two different combined therapies.

    RESULTS: The recovery rate, effective rate and inefficacy rate was 35.96%, 40.45% and 23.60%, respectively in group A, and 56.70%, 26.80% and 16.49%, respectively in group B(χ2=6.022, P<0.05). The patients whose myopic degree developed ≤1.0D, 1.0D-3.0D and ≥3.0D were 3, 49 and 37 eyes in group A and 4, 69 and 24 eyes in group B after therapy(χ2=5.074, P<0.05).

    CONCLUSION:The efficacy is better of minimal covering+ Haidinger brush + flicker red light + distance visual function training by red E standard logarithm visual acuity chart for treating children with myopic amblyopia and the develop of myopic degree were mild after therapy.

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黄玲华,任兵,曹小鹏,等.近视性弱视综合治疗方法及疗效对比.国际眼科杂志, 2012,12(10):1966-1968.

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  • 收稿日期:2012-06-29
  • 最后修改日期:2012-09-03
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