目的：探讨多媒体训练系统治疗不同年龄段儿童屈光不正性弱视的临床疗效。

方法：选取2015-03/2016-03我院收治的屈光不正性弱视患儿120例161眼作为研究对象，按其年龄划分为3组，即4～6岁学龄前期组患儿40例54眼，7～9岁学龄期A组患儿40例52眼，10～12岁学龄期B组患儿40例55眼，三组患儿均采用多媒体训练系统治疗，比较三组患儿的临床疗效和治疗依从性。

结果：治疗1个疗程后，学龄前组、学龄期A组、学龄期B组患儿的治疗总有效率分别为96.3%、82.7%、78.2%，差异有统计学意义(χ²=7.875，P<0.05)，其中学龄前组患儿治疗总有效率高于学龄期A组和学龄期B组。相关性分析显示，年龄与治疗效果间具有一定的相关性(χ²=7.875，P=0.017)，Pearson列联系数r=0.216。学龄前组、学龄期A组、学龄期B组患儿的治疗依从率分别为85.0%、87.5%、90.0%，差异无统计学意义(χ²=1.142，P>0.05)。

结论：多媒体训练系统治疗屈光不正性弱视能够提高患儿的治疗依从性，治疗效果较好，其中4～6岁患儿效果更为显著。

METHODS: One hundred and twenty children(161 eyes)with ametropic amblyopia were selected from March 2015 to March 2016 in our hospital. According to their age, they were divided into three groups: 40 cases(54 eyes)with 4-6 years of age as pre-school group and 40 cases(52 eyes)with 7-9 years of age as school age group A, and 55 eyes(40 cases)with 10-12 years of age as school age group B. All of them were treated with multimedia training system. The clinical efficacy and compliance were analyzed.

RESULTS: After one course of treatment, the total effective rate of preschool group, school age group A, and school age group B was 96.3%, 82.7%, and 78.2%, respectively, and the difference was statistically significant(χ²=7.875, P<0.05), in which the total effective rate of pre-school group was higher than that of school age group A and school age group B. Correlation analysis showed that there was a certain correlation between age and treatment effect(χ²=7.875, P=0.017). Pearson column number r=0.216. The treatment adherence rates of preschool group, school age group A, and school age group B were 85.0%, 87.5%, and 90.0%, respectively, and the difference was not statistically significant(χ²=1.142, P>0.05).

CONCLUSION: Multimedia training system can improve the compliance of children with ametropic amblyopia. The efficacy is more remarkable in children of 4-6 year old.