短小遮盖法预防大龄儿童及青少年弱视复发的临床效果研究  

The clinical effect of short covering method to prevent the recurrence of amblyopia in older children and adolescents

作　　者：任雪玲 

机构地区：[1]运城市中心医院验光配镜部,山西省运城044000

出　　处：《中国基层医药》2017年第22期3449-3452,共4页Chinese Journal of Primary Medicine and Pharmacy

摘　　要：目的 研究短小遮盖法预防大龄儿童及青少年弱视复发的临床效果.方法 146例大龄儿童及青少年弱视患者（200只患眼）采用随机数字表法分为两组,每组73例（100只患眼）.综合疗法组在弱视眼矫正视力≥0.9之后,继续给予1个月的综合疗法治疗,在终止治疗之后2~6个月内复查视力.短小遮盖法组在弱视眼矫正视力≥0.9之后,继续给予1个月的综合疗法治疗,之后改为短小遮盖法,每天遮盖时间2~3 h,在视力集中时间如上课、做作业等时间遮盖,坚持遮盖半年,每个月复查视力1次.比较两组视力变化情况和治疗前后注视性质及生活质量.结果 短小遮盖法组在治疗后视力均改善,其中,改善1行的有18只眼,改善2行及以上的有82只眼.综合疗法组在治疗后70只眼出现视力降低,其中,下降1行的有30只眼,下降2行及以上的有40只眼,其他30只眼保持不变.治疗前短小遮盖法组73例100只患眼均为旁中心注视,治疗后71例96眼转为中心或相对中心注视,有2例4只眼仍为旁中心注视.治疗后综合疗法组73例100眼仍为旁中心注视.治疗前两组生活质量评分差异无统计学意义[（59.37±6.72）分比（59.35±6.76）分,t=0.145,P〉00.05],治疗后短小遮盖法组生活质量评分显著优于综合疗法组,差异有统计学意义[（95.18±4.21）分比（50.01±2.59）分,t=7.655,P〈0.05].结论 用短小遮盖法预防大龄儿童及青少年弱视复发的临床效果确切,可有效改善患者视力水平和注视性质,提高患者生活质量,值得推广应用.Objective To study the clinical effect of short covering method in preventing the recurrence of amblyopia in older children and adolescents. Methods According to the digital table, 146 older children and adolescents （ 200 eyes ） with amblyopia were randomly divided into two groups, each group had 73 patients （100 eyes）. The comprehensive therapy group was given 1 month of comprehensive treatment after the corrected visual acuity was more than or equal to 0. 9,and the visual acuity was reviewed within 2-6 months after the termina-tion of treatment. The short covering group was continuously given comprehensive therapy 1 month of treatment after the corrected visual acuity of the amblyopic eye was greater than or equal to 0. 9,then changed to short covering for 2-3 hours every day,in the visual focus time like class or homework time to cover,covering the first half of the year, every month for one time of review on vision. The changes of visual acuity in the two groups were compared before and after treatment,and the qualities of life of patients before and after treatment was compared. Results In the short covering group,all of them had improved visual acuity after treatment. Among them, the improvement of 1 line had 18 eyes,the improvement of 2 lines and above had a total of 82 eyes. In the combined therapy group,the visual acuity decreased after treatment in 70 eyes. Among them,there were 30 eyes with a drop of 1 line,40 eyes with a decrease of 2 lines and more than 2 lines,and the other 30 eyes remained unchanged. Before treatment,100 eyes of all the patients in the short covering group were followed by the center of the eye,after treatment,the treatment of the eyes of 71 cases （90 eyes） turned to the center or the relative center of the eye,there were 2 cases（4 eyes） remained in the center of the eyes. After treatment,in the comprehensive therapy group,73 cases（100 eyes） were still at the center of the eye. Before treatment,there was no statistically significant difference in quality of life

关 键 词：弱视 复发 儿童 青少年 

分 类 号：R777.44[医药卫生—眼科]