视觉生理刺激联合立体视觉训练治疗儿童弱视临床观察

发布时间：2017-12-27 09:53

本文关键词：视觉生理刺激联合立体视觉训练治疗儿童弱视临床观察　出处：《国际眼科杂志》2016年05期 　论文类型：期刊论文

【摘要】：目的:评价对儿童屈光不正性弱视(包括屈光参差性弱视)进行视觉生理刺激联合立体视觉训练综合治疗的疗效。方法:采取综合治疗和传统治疗分组对照,设立治疗组(综合疗法组)和对照组(传统治疗组)。对照组使用传统戴镜,遮盖加精细用目疗法,治疗组在对照组治疗方法基础上加用CAM光珊治疗仪,多色光谱刺激仪,后像弱视红光治疗仪,海丁格氏刷等生理刺激综合疗法,待视力达到0.4以上时,加用立体视觉训练,初期使用同视机训练,待视觉三级功能建立后使用家用立体视觉训练仪(实体镜cherioscope,红绿立体图片Tranaglyphs)进行立体视加强巩固训练。结果:两组病例随诊2~7a,治疗组中基本治愈率达86.3%,治疗前后基本治愈率有显著性差异。治疗后,治疗组的立体视锐度的正常率明显提高,由治疗前的11.0%提高到84.0%。治疗后两组间旁中心注视率比较,有统计学差异(χ2=31.95,P0.01)。结论:视觉生理刺激联合立体视觉训练法是治疗弱视较理想的方法。
[Abstract]:Objective: To evaluate the efficacy of visual physiological stimulation combined with stereovisual training for ametropic amblyopia (including anisometropic amblyopia) in children. Methods: comprehensive treatment and traditional treatment were divided into groups, and the treatment group (comprehensive therapy group) and the control group (traditional treatment group) were set up. The control group used the traditional glasses, covering with fine mesh with therapy, the treatment group in the control group treatment based on the use of CAM grationg treatment, polychromatic spectra stimulation, after image amblyopia therapeutic apparatus, brush and other physiological stimuli haydin Grignard comprehensive therapy for visual acuity reached more than 0.4, with stereo vision training. The early use of synoptophore training to vision three level function after the establishment of the home stereo vision training apparatus (stereoscope cherioscope, red green image Tranaglyphs) to strengthen the training of stereopsis. Results: the basic cure rate in the two groups was 86.3%, and the basic cure rate before and after treatment was significant difference between the two groups. After treatment, the normal rate of stereoacuity in the treatment group was significantly increased from 11% before treatment to 84%. After treatment, there was a statistical difference between the two groups in the paracenter Center (x 2=31.95, P0.01). Conclusion: visual physiological stimulation combined with stereoscopic vision training is an ideal method for the treatment of amblyopia.
【作者单位】：遵义医学院第五附属(珠海)医院眼科;
【分类号】：R777.44
【正文快照】： 0引言弱视是眼科临床常见病、多发病,其中屈光不正性弱视及屈光参差性弱视占很大比例,主要是由中、高度远视,高度散光所引起,均发生在没戴矫正眼镜的屈光不正儿童。目前我国弱视发病率为2%~3%左右,弱视患者保守估计2 000万[1-3],弱视患者不仅双眼或单眼视力明显下降,而且失去

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