儿童屈光不正性弱视的治疗方法及远期疗效  

Treatment of childhood ametropic amblyopia and long-term curative effect

作　　者：谢美娜[1] 邓德勇[1] 

机构地区：[1]武警浙江省总队嘉兴医院眼科,浙江嘉兴314000

出　　处：《中国妇幼健康研究》2015年第1期55-57,共3页Chinese Journal of Woman and Child Health Research

摘　　要：目的探讨儿童屈光不正性弱视的治疗方法,评价其远期疗效。方法选取在武警浙江总队嘉兴医院就诊治疗的180例(167眼)屈光不正性弱视患儿,初诊时行阿托品散光检影验光检查,佩戴合适的眼镜矫正,半年到1年验光复查,调整眼镜,辅助配合遮盖疗法、弱视治疗仪、精细目力训练、红光刺激等方法治疗,并跟踪随访3年后评价其远期治疗效果。结果 180例(167眼)患儿经跟踪随访3年的治疗总有效率为99.39%。3~6岁组患儿经治疗总有效率(96.34%)高于7~9岁组和10~12岁组(85.71%和77.27%),差异均具有统计学意义(x^2值分别为5.30、6.40,均P<0.05);弱视程度轻者经治疗总有效率(96.12%)高于弱视程度中、重度者(83.72%和71.43%),差异均具有统计学意义(x^2值分别为5.03、11.20,均P<0.05);远视性弱视组经治疗总有效率(91.87%)高于近视性弱视组(57.14%),差异具有统计学意义(x^2=6.66,P<0.01);中心注视性弱视组经治疗总有效率(93.94%)高于旁中心弱视组(45.71%),差异具有统计学意义(x^2=47.47,P<0.01);远视性弱视组与混合和散光性弱视组比较差异无统计学意义(P>0.05)。结论就诊年龄越小、弱视程度越轻、远视性及中心性弱视的患儿治疗效果越好。屈光不正性弱视患儿,根据患儿年龄、弱视程度、类型和性质,采取不同的综合治疗方法,疗效显著。Objective To study the treatment of ametropic amblyopia in children and evaluate the long-term curative effect. Methods Totally 180 cases （ 167 eyes） with ametropic amblyopia treated in Jiaxing Hospital of Zhejiang Province People＇ s Armed Police Corps were selected. At the first diagnosis the eases accepted atropine astigmatism shadow optometry and corrected vision by wearing proper glasses. After half to 1 year, optometry was done again to adjust glasses, assisted with cover, amblyopia therapeutic apparatus, fine cross training and red light stimulation treatment. Long-term therapeutic effect was evaluated after 3-year follow-up. Results The total effective rate of 180 cases （ 167 eyes） after 3-year follow-up was 99.39%. That of children aged 3 -6 years （96.34%） was higher than that of children aged 7-9 years and 10 -12 years （85.71% and 77.27% ）, and the differences were significant （Xz value was 5.30 and 6.40, respectively, both P 〈 0.05 ）. The total effective rate of children with minor degree of amblyopia （ 96.12% ） was higher than those with moderate and severe degree （83.72% and 71.43% ） , and the differences were significant （χ^2 value was 5.03 and 11.20, respectively, both P 〈 0.05 ）. Hyperopia amblyopia group had higher total effective rate （ 91.87% ） than myopic amblyopia group （ 57. 14% ） with significant difference （χ^2 = 6.66, P 〈 0.01 ）. The total effective rate of center amblyopia group （93.94%） was higher than center near amblyopia treatment group （45.71%） with significant difference （χ^2 = 47.47,P 〈 0.01 ）. There was no significant difference in hyperopia amblyopia group, mixed and astigmatic amblyopla group （ P 〉 0.05 ）. Conclusion The effective rate is better when children are young, amblyopia degree is light and in the case of hyperopia amblyopia and central amblyopia. For ametropic amblyopia children, comprehensive therapy should be adopted according to age, amblyopia degree, type and properties for significant effic

关 键 词：儿童 屈光不正性弱视 方法 远期疗效 

分 类 号：R779.7[医药卫生—眼科]