遮盖法及阿托品压抑法治疗中度弱视儿童的临床研究  

Clinical Study of Covering Method and Atropine Penalization in Treatment of Children with Moderate Amblyopia

作　　者：钟国文 

机构地区：[1]广东省鹤山市中医院,广东鹤山529700

出　　处：《临床医学工程》2015年第3期303-304,共2页Clinical Medicine & Engineering

摘　　要：目的探讨遮盖法及阿托品压抑法治疗中度弱视儿童的临床价值。方法选取150例单眼中度弱视患儿为研究对象,采用简单抽样法随机分成A组和B组各75例。B组予以常规遮盖法,A组采用阿托品压抑法。随访6个月,比对两组患儿治疗前后视力变化情况,记录其临床疗效及相关并发症发生率。结果 1治疗后,A组总治疗有效率为82.67%,明显高于B组的68.00%(P<0.05);2A组患儿视力由0.31±0.07提升至0.86±0.11,B组患儿视力也由0.32±0.07提升至0.67±0.10,但明显不及A组增幅大,对比差异显著(P<0.05);3A组在治疗途中及随访期内相关并发症发生率为10.67%,同B组的16.00%对比无明显差异(P>0.05)。结论对中度弱视儿童予以阿托品压抑疗法,临床疗效显著,可有效改善患儿视力,值得推广使用。Objective To investigate the clinical value of covering and atropine penalization in treatment of moderate amblyopia children. Methods 150 cases of unilateral moderate amblyopia children were selected and randomly divided into two groups, with 75 cases in each group. Group B was treated with conventional covering method, and group A was treated with atropine penalization. All cases were followed up for 6 months. The visions before and after therapy were observed, and the clinical effect and incidence of complications were recorded. Results The total effective rate of group A was 82.67%, significantly higher than 68.00% of group B（P〈0.05）. After therapy,both group had improvd vision（P〈0.05）, and the vision of group A was 0.86 ± 0.11, significantly higher than 0.67 ± 0.10 of group B（P〈0.05）.The incidences of related complications were 10.67% and 16.00% of group A and group B respectively, without statistically significant difference（P〉0.05）. Conclusions Atropine penalization in treatment of moderate amblyopia children has significant clinical effect, which can effectively improve children＇s vision.

关 键 词：遮盖法 阿托品压抑法 中度弱视 儿童 

分 类 号：R777.44[医药卫生—眼科]