双眼视觉及调节功能训练对儿童 近视的临床效果研究  

Clinical effect of binocular vision and accommodation training on myopia in children

作　　者：刘惠东 柯建林[1] 龚莉莉 黄准[1] LIU Huidong;KE Jianlin;GONG Lili;HUANG Zhun(New Rongqi Hospital,Ronggui Street,Shunde District,Foshan City,Foshan 528300,Guangdong Province,China)

机构地区：[1]广东省佛山市顺德区新容奇医院眼科,广东佛山528300

出　　处：《西南医科大学学报》2020年第5期492-495,共4页Journal of Southwest Medical University

摘　　要：目的:探究儿童近视双眼视觉短塑性训练联合调节功能训练的临床疗效,为儿童近视干预提供科学参考。方法:选择2017年2月至2019年5月期间我院眼科近视患儿80例作为研究对象,随机分为研究组与对照组,每组各40例。对照组采用常规近视干预手段,研究组在常规干预基础上结合双眼视觉短塑性训练联合调节功能训练。疗程6个月,观察两组患儿视力、屈光状态变化、临床疗效及治疗满意度。结果:研究组治疗总有效率为81.25%,高于对照组(72.5%),差异有统计学意义(P<0.05)。两组治疗6个月、1年后最佳矫正视力均显著优于治疗前(P<0.05),且研究组优于对照组(P<0.05)。研究组患儿在治疗1年,年度屈光度变化值均优于治疗前,且对应时间点均优于对照组患儿,差异具有统计学意义(P<0.05)。治疗后研究组负球镜测正相对调节(positive relative accommodation,PRA)、正球镜测负相对调节(negative relative accommodation,NRA)均高于治疗前(P<0.05),对照组仅PRA高于干预前(P<0.05);研究组患儿治疗后PRA、NRA高于对照组(P<0.05)。两组治疗后调节灵敏度、幅度均高于治疗前(P<0.001),且研究组调节幅度优于对照组,差异有统计学意义(P<0.05)。结论:双眼视觉短塑性训练联合调节功能训练能够有效改善近视患儿视力、屈光状态,治疗满意度高,临床疗效显著,值得进一步在临床上推广使用。Objective:To explore the clinical effect of short-term binocular vision remodeling training combined with accommodation training on myopia in children,and to provide a scientific reference for intervention of myopia in children.Methods:Eighty children with myopia in our hospital from February 2017 to May 2019 were equally and randomly divided into research group and control group.The control group was treated with conventional myopia intervention,while the research group received short-term binocular vision remodeling training combined with accommodation training in addition to conventional intervention.The course of treatment was 6 months.The visual acuity,refractive status,clinical efficacy,and treatment satisfaction were observed in the two groups.Results:The research group had a significantly higher overall response rate than the control group(81.25%vs 72.5%,P<0.05).The best corrected visual acuity was significantly improved in both groups after 6 months and 1 year of treatment(P<0.05),which was even better in the research group than in the control group(P<0.05).The mean annual dioptric change in the research group was significantly improved at one year after treatment,which was also superior to that in the control group at corresponding time points(P<0.05).The research group had significantly improved positive relative accommodation(PRA)and negative relative accommodation(NRA)after treatment(P<0.05),while the control group had only PRA significantly improved after treatment(P<0.05).PRA and NRA after treatment were significantly higher in the research group than in the control group(P<0.05).The sensitivity and amplitude of accommodation in both groups were significantly increased after treatment(P<0.001).Particularly,the amplitude of accommodation was significantly higher in the research group than in the control group(P<0.05).Conclusion:Short-term binocular vision remodeling training combined with accommodation training can effectively improve the visual acuity and refractive status in children with myopia.P

关 键 词：儿童近视 调节功能训练 视觉短塑性训练 

分 类 号：R73[医药卫生—肿瘤]