影响弱视儿童视力恢复的多因素分析  

Analysis on Multi-factors Contributing to Amblyopia Therapeutic Efficacy

作　　者：冯丽[1] 李洁[1] 张海江[1] 岳钟 李世强[1] 杨倩[1] 宋森[1] 

机构地区：[1]河北省保定市第一中心医院眼科,河北保定071000

出　　处：《实用预防医学》2011年第10期1888-1890,共3页Practical Preventive Medicine

摘　　要：目的对影响弱视儿童视力恢复的多个因素进行分析。方法对确诊为弱视并治疗满三年的600例3-12岁弱视儿童进行调查。结果在600例弱视患儿中3-5岁患儿治愈率为64.5%,6-8岁患儿治愈率为74.6%,9-12岁患儿治愈率为42.1%;轻度、中度、重度弱视治愈率分别为86.7%、59.3%、31.1%;屈光参差性、屈光不正性、斜视性弱视治愈率分别为69.6%、67.3%、48.4%;依从性好者、一般者、差者治愈率分别为79.3%、67.0%、29.4%;中心注视者治愈率明显高于旁中心注视者,无家族史者治愈率明显高于有弱视家族史者,父母文化程度越高患儿弱视治愈率越高,县城及城市的患儿治愈率明显高于农村的患儿。结论影响弱视儿童视力恢复的影响因素依次为弱视程度、依从性、年龄、注视性质、弱视类型。Objective To analyze the multi-factors contributing to amblyopia therapeutic efficacy. Methods Six hundred amblyopia children who aged 3～12 years and received 3-year treatment were investigated. Results In this study,the curative rates of children aged 3～5 years,6～8 years,and 9～12 years were 64.5%,74.6%,and 42.1%,respectively.The curative rates of light,moderate,and heavy amblyopia were 86.7%,59.3%,and 31.3%,respectively.The curative rates of anisometropic amblyopia,ametropic amblyopia,and strabismic amblyopia were 69.6%,67.3%,and 48.4%,respectively.The curative rates of patients with good compliance,common compliance,and poor compliance were 79.3%,67.0%,and 29.4%,respectively.The curative rate of patients with central fixation was significantly higher than that of paracentral fixation.The curative rate of patients with family history was significantly higher than those without family history.The more knowledge the parents,the higher curative rate the children.The curative rate of patients from county and city was significantly higher than those from countryside. Conclusions The degree of amblyopia is the most important influencing factor in treating amblyopia,followed by compliance,age,classification of fixation,and type of amblyopia.

关 键 词：弱视 治愈率 弱视程度 弱视类型 依从性 年龄 注视性质 

分 类 号：R777.44[医药卫生—眼科]