当前位置:主页 > 医学论文 > 眼科论文 >

聚散灵敏度与融像性聚散的相关性研究

发布时间:2019-05-06 10:02
【摘要】:目的 探讨聚散灵敏度与融像性聚散的相关性,同时了解被检者聚散适应量值在此相关性中的作用,为临床上功能性双眼视觉异常的诊断提供更直接、更有意义的指标。 方法 随机选取50名20-28周岁在校近视大学生,应用电脑验光仪和综合验光仪行规范主觉验光后,在被检者屈光不正全矫的基础上利用FVG法测量被检者的视近隐斜量值,随后分别进行聚散灵敏度检测和融像性聚散检测,最后测量其经过两种检测后的棱镜适应量值,利用SPSS13.0统计软件对相关数据进行分析,确定聚散灵敏度检测数据与融像性聚散检测数据的相关性,同时确定被检者棱镜适应量值与此相关性的关系。 结果 1.视近隐斜偏高组(6△EXO)和视近隐斜正常组(0-6△EXO)的聚散灵敏度检测结果存在显著性差异(t=-0.552,P=0.033),并且BI方向和BO方向的恢复点数值也都存在显著性差异(t=0.115,P=0.023;t=-0.146,P=0.031)。 2.运用Spearman rank相关分析法发现被检者BI方向的模糊点和破裂点与聚散灵敏度无相关性(r=0.215, P=0.253; r=0.336, P=0.07),而恢复点与其聚散灵敏度检测结果存在相关性(r=0.445,P=0.014)。 3.高度近视组(-6.00D)和低度近视组(-6.00D)的BI方向的恢复点数值和聚散灵敏度的数值之间均无显著性差异(t=-0.521, P=0.610;t=-1.081, P=0.300)。 4.运用方差分析的检验方法研究发现,分别测量被检者在通过聚散灵敏度检测和融像性聚散检测后的四点的棱镜适应量值,发现四者之间不存在显著性的差异(F=6.294,P=0.325)。 5.融像性聚散检测达标组与非达标组的棱镜适应量值无显著性差异(P=0.354);聚散灵敏度检测达标组与非达标组的棱镜适应量值也无显著性差异(P=0.482)。 结论 可以通过被检者的恢复点数值推测其聚散灵敏度数值是否异常,可使融像性聚散检测中的恢复点数值得到充分的使用,从而减少了专项的聚散灵敏度检查,使双眼视觉异常的诊断更为简便、直接,同时确定被检者的棱镜适应量值与两种检测之间是否存在相关性并无直接关系。
[Abstract]:Aim to investigate the correlation between the sensitivity of dispersion and fusion dispersion, and to understand the role of fitness value in the correlation, so as to provide a more direct and meaningful index for the diagnosis of functional binocular visual abnormalities in clinic. Methods Fifty 20-28-year-old myopic college students were randomly selected. After using computer optometry and comprehensive optometry, the visual near-occult deviation of the subjects was measured by FVG method on the basis of full correction of refractive errors of the subjects, and the visual near-occult deviation of the subjects was measured by using the computer optometry and the comprehensive optometry. At last, the prism adaptation value after two kinds of detection is measured, and the correlation data are analyzed by SPSS13.0 statistical software, and the correlation data are analyzed by the statistical software of SPSS13.0, then the fusion sensitivity detection and fusion dispersion detection are carried out respectively. The correlation between the measurement data of dispersion sensitivity and the data of fusion dispersion detection was determined, and the relationship between the adaptation value of prism and the correlation was also determined. Outcome 1. There was a significant difference in the sensitivity between the groups of high near occlusal deviation (6 EXO) and normal visual near aphasia (0 / 6 EXO) (t = 0.552, P = 0.033), and there was a significant difference between the two groups (t = 0.552, P = 0.033). There was also a significant difference in the recovery point values between BI and BO (t = 0.115, P = 0.023). T = 0.146, P = 0.031). 2. By means of Spearman rank correlation analysis, it was found that there was no correlation between the BI direction fuzzy point and the rupture point and the dispersion sensitivity (r = 0.215, P = 0.253). However, there was a correlation between the recovery point and the sensitivity (r = 0.445, P = 0.014), but there was a significant correlation between the recovery point and the sensitivity (r = 0.445, P = 0.014). 3. There was no significant difference between high myopia group (- 6.00D) and low myopia group (- 6.00D) in BI recovery point and divergence sensitivity (t = 0.521, P = 0.610, P = 1.081, P = 0.300). There was no significant difference between high myopia group (- 6.00D) and low myopia group (- 6.00D) in recovery point value and divergence sensitivity value (t = 0.521, P = 0.610). 4. By means of ANOVA test method, it was found that there was no significant difference among the four points of prism adaptation after the detection of dispersion sensitivity and fusion dispersion (F = 6.294, P < 0.05, P < 0.01, P < 0.01), and that there was no significant difference between the four groups. (P = 0.325). 5. There was no significant difference in the prism adaptation value between the two groups (P = 0.354), and there was no significant difference in the prism adaptation value between the two groups (P < 0. 482), and there was no significant difference in the prism adaptation value between the standard-reaching group and the non-standard group (P < 0. 482). Conclusion it is possible to speculate whether the value of dispersion sensitivity is abnormal according to the recovery point value of the subject, which can make full use of the recovery point value of the fusion dispersion detection, and thus reduce the special detection of the dispersion sensitivity. It makes the diagnosis of binocular vision abnormality more simple and direct, and there is no direct relationship between the prism adaptation value of the subject and whether there is a correlation between the two tests.
【学位授予单位】:天津医科大学
【学位级别】:硕士
【学位授予年份】:2014
【分类号】:R778.2

【参考文献】

相关期刊论文 前10条

1 王玲;王淮庆;;儿童双眼视觉三级功能研究现状与进展[J];国际眼科杂志;2007年03期

2 叶良,涂昌森,俞阿勇;3~6岁儿童立体视发育、屈光状态和弱视的调查[J];临床眼科杂志;2004年02期

3 张雯,谢勤,刘文静;两眼视像不等与屈光参差性弱视的临床思考[J];山东大学基础医学院学报;2003年04期

4 吕帆;;重视功能性双眼视觉异常的临床研究[J];眼科;2006年05期

5 乔晓望,胡聪,赵维强,黄欣,曹桂莲;学龄前儿童中远距离立体视测定[J];中国妇幼保健;2002年10期

6 黄欣,胡聪;立体视的发育及检查方法[J];中国斜视与小儿眼科杂志;2001年03期

7 徐丹,吕帆,瞿佳;Sheard准则和Percival准则在评估双眼视症状中的运用[J];眼视光学杂志;1999年04期

8 王冬梅;杨智宽;;调节滞后与隐斜对青少年近视眼影响的研究进展[J];眼视光学杂志;2009年04期

9 刘惠娟;屈光不正患者的异常双眼视功能情况分析处理[J];中国实用眼科杂志;2002年10期

10 廖瑞端,贾惠莉,冯涓涓,陈咏冲,朱文珲;屈光不正儿童非斜视性双眼视异常状况分析[J];中国实用眼科杂志;2005年10期



本文编号:2470089

资料下载
论文发表

本文链接:https://www.wllwen.com/yixuelunwen/yank/2470089.html


Copyright(c)文论论文网All Rights Reserved | 网站地图 |

版权申明:资料由用户28670***提供,本站仅收录摘要或目录,作者需要删除请E-mail邮箱bigeng88@qq.com