影响屈光参差双眼视功能的相关因素及其治疗效果的临床研究
发布时间：2018-12-12 07:42
【摘要】：目的:通过对3-20岁屈光参差患者矫治前后的双眼视功能的测定及不同治疗方法、治疗时间的疗效评估,并分析不同屈光参差程度、不同的年龄矫治后视功能恢复情况的差别,进一步分析屈光参差的合理矫治对双眼视功能的影响。试图探索预防、矫正、治疗儿童及青少年屈光参差的最佳方案。方法:选取2013-2015年在我院门诊就诊的3-20岁屈光度参差患者,经过纳入与排除标准,最后选取未经过合理矫治的患者67例,根据屈光参差程度及年龄各分为两组。67例屈光参差患者均在我院进行合理矫治,患者的矫治方法根据每个患者不同的屈光参差类型及程度、年龄而定,根据其矫治方法分为戴镜治疗组及戴镜+穴位按摩组,合理矫治半年后对这67例患者再次测量近立体视功能及视力。最后对以上相关数据结果进行统计分析。结果:1、屈光参差6.25D-10.0D组较屈光参差3.25D-6.00D组的融合功能、近立体视功能损害严重,差异有统计学意义(P0.05);前者较后者治疗后立体视恢复疗效也更差,差异有统计学意义。2、年龄≥13岁组较年龄≤12岁组,立体视功能好的人更多,差异具有统计学意义(p0.05),但前者与后者同时视及融合功能无明显影响,差异不具有统计学意(P0.05)。在治疗后年龄对立体视功能恢复的疗效影响不大,差异不具有统计学意(P0.05)。3、治疗6个月组比治疗3个月组的视力及立体视功能恢复情况好,差异有统计学意义(P0.05)。4、穴位按摩+戴镜治疗组比戴镜治疗组在治疗后视力恢复情况更好,差异有统计学意义(P0.05);但两组的立体视功能区别不大,差异无统计学意义(P0.05)。结论:1、屈光参差程度越大,视功能损害越严重,治疗后立体视恢复情况越差。2、年龄9-12岁时,立体视功能发育成熟,但其融像功能及同时视功能无明显差别,并且年龄的大小对治疗后立体视功能的恢复影响不大。3、穴位按摩在改善提高视力、缓解视疲劳方面有一定疗效优势,值得推广。4、治疗时间越长,视力及视功能恢复情况更好,因此屈光参差治疗应持之以恒。
[Abstract]:Objective: to evaluate the curative effect of anisometropia between 3-20 years old patients with anisometropia by measuring the binocular visual function before and after treatment and different treatment methods, and to analyze the different degrees of anisometropia. The effect of anisometropia on binocular visual function was analyzed. This paper attempts to explore the best program for prevention, correction and treatment of anisometropia in children and adolescents. Methods: a total of 67 patients with anisometropia aged from 3 to 20 years from 2013 to 2015 were selected after inclusion and exclusion criteria, and 67 patients without reasonable treatment were selected. According to the degree of anisometropia and age, the patients were divided into two groups. 67 patients with anisometropia were treated reasonably in our hospital. According to the method of correction, the patients were divided into two groups: the group of wearing mirror and the group of acupoint massage. After six months of reasonable correction, the near stereoscopic function and visual acuity of 67 patients were measured again. Finally, the results of the above related data are statistically analyzed. Results: 1. The fusion function of anisometropia 6.25D-10.0D group was more serious than that of anisometropia 3.25D-6.00D group (P0.05). The effect of stereopsis recovery in the former group was worse than that in the latter group, the difference was statistically significant. 2. There were more patients with better stereopsis in age 鈮，
本文编号：2374204
[Abstract]:Objective: to evaluate the curative effect of anisometropia between 3-20 years old patients with anisometropia by measuring the binocular visual function before and after treatment and different treatment methods, and to analyze the different degrees of anisometropia. The effect of anisometropia on binocular visual function was analyzed. This paper attempts to explore the best program for prevention, correction and treatment of anisometropia in children and adolescents. Methods: a total of 67 patients with anisometropia aged from 3 to 20 years from 2013 to 2015 were selected after inclusion and exclusion criteria, and 67 patients without reasonable treatment were selected. According to the degree of anisometropia and age, the patients were divided into two groups. 67 patients with anisometropia were treated reasonably in our hospital. According to the method of correction, the patients were divided into two groups: the group of wearing mirror and the group of acupoint massage. After six months of reasonable correction, the near stereoscopic function and visual acuity of 67 patients were measured again. Finally, the results of the above related data are statistically analyzed. Results: 1. The fusion function of anisometropia 6.25D-10.0D group was more serious than that of anisometropia 3.25D-6.00D group (P0.05). The effect of stereopsis recovery in the former group was worse than that in the latter group, the difference was statistically significant. 2. There were more patients with better stereopsis in age 鈮，
本文编号：2374204
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