多媒体视觉训练系统与传统方法治疗儿童弱视的对比研究

发布时间：2018-12-14 05:09

【摘要】：目的对比研究采用多媒体视觉训练系统与传统方法治疗儿童弱视的临床效果,评价多媒体训练系统治疗儿童弱视的疗效及应用的安全性。方法选取214例(330眼)3~12岁、首次接受治疗的弱视儿童,随机分入试验组和对照组。试验组107例(160眼),对照组107例(170眼),试验组采用多媒体训练系统进行治疗,对照组采用传统综合治疗法进行治疗,1个月、2个月后进行矫正视力的复查,3个月后进行视力、视功能等复查。通过比较两组弱视治疗的效果以评价多媒体训练系统治疗儿童弱视的有效性及安全性。结果试验组总有效率88.75%,对照组总有效率55.88%,两组相比差异有显著统计学意义(P0.001)。试验组轻度弱视有效率为79.31%,中度弱视有效率为94.74%,均明显优于对照组(47.37%、60.38%,均为P0.001)。试验组中屈光不正性弱视及屈光参差性弱视的有效率(88.33%和90.00%)均显著优于对照组(59.71%和30.00%)(均为P0.001)。对比不同年龄的疗效,3~6岁病例中试验组有效率为87.36%,对照组有效率为55.83%,两组比较差异有统计学意义(P0.001);7~9岁和10~12岁病例中,两组有效率之间差异均无统计学意义(均为P0.05)。对比不同疗程的疗效,试验组在治疗后1个月、2个月和3个月的有效率(43.13%、58.13%和88.75%)均显著优于对照组(32.35%、39.41%和55.88%)(均为P0.05)。两组病例在试验过程中均未发生并发症及严重不良事件。结论多媒体视觉训练系统治疗效果明显优于传统治疗手段,特别是对轻度、中度弱视,以及对屈光不正性弱视和屈光参差性弱视的疗效较好。多媒体视觉训练系统疗效与弱视的年龄有相关性,对3~6岁病例治疗效果较好。
[Abstract]:Objective to evaluate the efficacy and safety of multimedia visual training system in the treatment of amblyopia in children. Methods 214 cases (330 eyes) of amblyopic children aged 3 to 12 were randomly divided into the experimental group and the control group. 107 cases (160 eyes) in the experimental group and 107 cases (170 eyes) in the control group were treated with multimedia training system. Visual acuity and visual function were reexamined 3 months later. To evaluate the efficacy and safety of multimedia training system in the treatment of amblyopia in children, the effect of amblyopia treatment was compared between the two groups. Results the total effective rate of the experimental group was 88.75 and that of the control group was 55.88. The difference between the two groups was statistically significant (P0.001). The effective rates of mild amblyopia and moderate amblyopia in the test group were 79.31 and 94.74, respectively, which were significantly better than those in the control group (47.37, 60.38, P0.001). The effective rates of ametropia amblyopia and anisometropia amblyopia in the experimental group (88.33% and 90.00%) were significantly higher than those in the control group (59.71% and 30.00%) (both P 0.001). The effective rate of the trial group was 87.366.The control group's effective rate was 55.833.The difference between the two groups was statistically significant (P0.001). There was no significant difference in effective rate between the two groups (P0.05). Compared with the curative effect of different courses of treatment, the effective rate of the trial group was significantly better than that of the control group (43.13%, 58.13% and 88.75%) at 1 month, 2 months and 3 months after treatment (32.35%). 39.41% and 55.88% (P0.05). There were no complications and severe adverse events in both groups. Conclusion the effect of multimedia visual training system is better than that of traditional treatment, especially for mild and moderate amblyopia, ametropia amblyopia and anisometropia amblyopia. The effect of multimedia visual training system was correlated with the age of amblyopia.
【作者单位】：北京大学第三医院眼科;北京大学眼科中心视觉损伤与修复教育部重点实验室;
【基金】：国家自然科学基金面上项目(编号:81170877) 国家重点基础研究发展计划项目(编号:2011CB510200)~~
【分类号】：R777.44

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