近视性弱视两种综合治疗方法疗效对比分析  

The comparision of clinical effect for two different combined therapy in myopic amblyopia

作　　者：黄玲华[1] 任兵[1] 刘秀琴[1] 曹小鹏[1] 李明[1] 张燕[1] 

机构地区：[1]解放军474医院眼科,新疆830000

出　　处：《中国斜视与小儿眼科杂志》2012年第1期8-10,38,共4页Chinese Journal of Strabismus & Pediatric Ophthalmology

摘　　要：目的对比分析短小遮盖+海丁格刷+闪烁红光+近距离功能训练和完全遮盖+闪烁红光+近距离功能训练两种综合治疗方法在近视性弱视治疗中的疗效。方法选择近视性弱视患儿甲、乙两组共92例172只眼,甲组46例87只眼,年龄4～10岁(5.65±1.57岁),乙组46例85只眼,年龄4～9岁(5.57±1.36岁),其中甲组轻度、中度、高度近视眼分别为23只眼、45只眼、19只眼;乙组为25只眼、43只眼、17只眼(χ2=0.217,P>0.05);甲组轻度、中度、重度弱视眼分别为20只眼、35只眼、32只眼;乙组分别为18只眼、36只眼、31只眼(χ2=0.112,P>0.05),甲组病例采用短小遮盖+海丁格刷+闪烁红光+近距离功能训练;乙组病例采用完全遮盖+闪烁红光+近距离功能训练,所有病例治疗随访时间24个月,对比分析两种治疗方法在近视性弱视治疗中的疗效。结果甲组基本治愈率为57.47%,有效率为27.59%,无效率为14.94%;乙组基本治愈率为38.82%,有效率为40.00%,无效率为21.18%,统计学检验差异有显著性(χ2=5.99,P<0.05)。结论短小遮盖+海丁格刷+闪烁红光+近距离功能训练在近视性弱视治疗中效果较好,可作为临床治疗近视性弱视的选择方案。Objective To compare the clinical effect of two different combined therapy which minimal occlusion ＋ Haidinger brush ＋ flicker red light ＋training at near activity and occlusion ＋ flicker red light ＋ training at near activity in treating children＇s myopic amblyopia.Methods 92 children（172eyes） with myopic amblyopia were treated,46 children（87eyes） in Group A aged 4～10y（5.65±1.57y） were treated with minimal occlusion ＋ Haidinger brush ＋ flicker red light ＋ training at near activity and 46 children（85eyes） in Group B aged 3～9y（5.57±1.36y） were treated with occlusion ＋ flicker red light ＋ training at near activity.The patients with mild myopic,moderate myopic and high myopic were 23,45 and 19eyes in group A and 25,43 and 17 eyes in group B（χ2=0.217,P0.05）,The patients with low amblyopia,medium amblyopia and severe amblyopia were 20,35 and 32eyes in group A and 18,36 and 31 eyes in group B（χ2=0.112,P0.05）.All patients were followed up 24 months,To compare and analysis the clinical effect of the two different combined therapy.Results The recovery rate,effective rate and inefficacy rate was 57.47%,27.59% and 14.94%,respectively in Group A.and 38.82%,40.00% and 21.18%,respectively in Group B（χ2=5.99,P0.05）.Conclusions there are a better effect for the combined therapy of minimal occlusion ＋ Haidinger brush ＋ flicker red light ＋ training at near activity in treating myopic amblyopia children and the combined therapy can be regarded as one of the appropriate treatment for myopic amblyopia.

关 键 词：近视性弱视 短小遮盖 海丁格刷 

分 类 号：R777.44[医药卫生—眼科]