弱视治疗仪治疗392例弱视患儿的疗效及影响因素分析

发布时间：2018-03-03 06:31

本文选题：弱视　切入点：弱视治疗仪　出处：《南京医科大学学报(自然科学版)》2017年10期 　论文类型：期刊论文

【摘要】：目的:探讨弱视治疗仪用于弱视儿童的临床效果,并对相关影响因素进行分析。方法:392例弱视患儿均采用色光弱视治疗仪进行治疗,调节频率在40~50次/min,红光光谱波长610~710 nm,绿光530~570 nm,分为单眼和双眼2种,根据患者瞳距调整闪光点,确保正对眼睛中心点,20 min/(次·d),30 d为1个疗程,屈光不正患儿给予1%阿托品眼膏散瞳验光,同时应用遮盖疗法、压抑疗法及精细目力训练等辅助治疗措施,对本组392例患儿的总体疗效进行评价,并分别针对屈光性质、弱视类型、弱视程度、初治年龄、注视性质等因素进行疗效分析。结果:本次治愈506眼(77.8%),进步112眼(17.2%),无效32眼(4.9%),总有效率为95.1%;从屈光性质来看,远视性弱视和散光性弱视的疗效较好,治愈率分别达到86.3%、83.9%,两组对比无显著差异(P0.05),近视性弱视治愈率仅为54.4%,显著低于其他两组(P0.05);从弱视类型来看,疗效对比屈光不正屈光参差斜视性弱视形觉剥夺性弱视,组间差异均具有统计学意义(P0.05);从弱视程度来看,疗效轻度中度重度,组间差异均具有统计学意义(P0.05);从初诊年龄来看,各组间对比并无显著差异(P0.05);从注视性质来看,中心注视疗效显著优于旁中心注视(P0.05)。结论:弱视治疗仪结合综合疗法治疗弱视儿童的疗效较好,屈光性质、弱视类型、弱视程度、注视性质是治疗效果的影响因素。
[Abstract]:Objective: to investigate the clinical effect of amblyopia therapy instrument in children with amblyopia and to analyze the related influencing factors. Methods: 392 children with amblyopia were treated with chromatic amblyopia therapy instrument. The adjusting frequency was 40 ~ 50 times / min, the wavelength of red light was 610 ~ 710 nm, the green light was 530 ~ 570nm. There were two kinds of light points: one eye and two eyes. The flash points were adjusted according to the distance of the patients' pupil, so as to make sure that the central point of the eyes was 20 min / s (30 days) as a course of treatment. Children with ametropia were given 1% atropine eye ointment to dilate the pupil optometry. At the same time, the total curative effect of 1% atropine eye ointment was evaluated, and the refractive properties were evaluated by using the auxiliary treatment measures, such as covering therapy, depression therapy and fine visual training. The effects of amblyopia type, degree of amblyopia, age of first treatment and nature of fixation were analyzed. Results: 506 eyes were cured with 77.8%, 112 eyes improved 17. 2%, 32 eyes were ineffective, the total effective rate was 95. 1%, and the total effective rate was 95. 1%. The curative rate of hyperopic amblyopia and astigmatism amblyopia was better, the cure rate was 86.3% and 83.9%, respectively. There was no significant difference between the two groups (P 0.05), and the cure rate of myopic amblyopia was only 54.44%, which was significantly lower than that of the other two groups (P 0.05). The difference of amblyopia in amblyopia of anisometropia and strabismus was statistically significant (P 0.05), the degree of amblyopia was mild, moderate and severe, and the difference between groups was statistically significant (P 0.05). There was no significant difference in comparison among groups (P 0.05), and the effect of central fixation was significantly better than that of paracentric fixation (P 0.05). Conclusion: amblyopia therapy combined with comprehensive therapy is effective in the treatment of amblyopic children, including refractive property, amblyopia type, amblyopia degree, amblyopia, amblyopia, amblyopia, amblyopia and amblyopia. The nature of fixation is the influencing factor of therapeutic effect.
【作者单位】：南京医科大学附属儿童医院眼科;
【分类号】：R777.44

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