三点卡训练对小角度间歇性外斜视的疗效  

Effect of three-point barrel cards training for patients with small-angle intermittent exotropia

作　　者：王小涛[1,2] 郭林涵 陈海英[1,2] 王超 邹云春 WANG Xiao-tao;GUO Lin-han;CHEN Hai-ying;WANG Chao;ZOU Yun-chun(Department of Ophthalmology,1.The First People's Hospital of Neijiang,Neijiang 641000;Affiliated Hospital North Sichuan Medical College,Nanchong 637000,Sichuan,China)

机构地区：[1]内江市第一人民医院眼科,四川内江641000 [2]川北医学院附属医院眼科,川北医学院眼视光系,四川南充637000

出　　处：《川北医学院学报》2021年第2期155-158,共4页Journal of North Sichuan Medical College

基　　金：四川省科技厅课题(2015JY0263)。

摘　　要：目的:分析运用三点卡训练治疗小角度间歇性外斜视患者的临床效果。方法:将73例间歇性外斜视患者随机分为三点卡训练组(n=35)和对照组(n=38)。三点卡训练组每天训练3次,每次连续做3组,持续6个月;对照组无特殊处理。所有患者均于治疗前,治疗后1个月、3个月和6个月时进行视远斜视度、视近斜视度、远立体视检查。数据采用单因素方差分析(ANOVA),各时间点的组间差异比较行独立样本t检验,组内的时间差异比较行LSD-t检验。结果:治疗前两组患者的远、近斜视度及远立体视的差异无统计学意义(P>0.05);治疗3个月后,三点卡训练组的视远、视近斜视度均小于对照组(P<0.05),且随训练时间延长,三点卡训练组的斜视度逐渐降低;训练6个月时,三点卡训练组的远立体视优于对照组(P<0.001)。结论:三点卡训练可改善小度数间歇性外斜视患者的融合控制,增加立体融合性集合的幅度,降低斜视度,稳定远立体视。Objective:To analyze the clinical effect of three-point barrel cards training for patients with small-angle intermittent exotropia.Methods:73 patients with small-angle intermittent exotropia were randomly divided into the three-point barrel cards training group(n=35)and control group(n=38).The patients in the three-point card training group were trained three times a day for 6 months,while the control was not given special treatment.The distant strabismus,near strabismus and far stereopsis were examined before treatment,and 1 month,3 months,6 months after treatment.One-way repeated measurement analysis of variance(ANOVA),independent samples t test and least significant difference-t(LSD-t)test were used for statistical analysis.Results:There was no significant difference between the two groups before treatment(P>0.05).After 3 months training,the magnitudes of distant strabismus and near strabismus in three-point barrel cards training group were smaller than those in the control group(P<0.05).And with the extension of training time,the strabismus degree of the patients in three point card training group decreased gradually.After 6 months of training,the far stereopsis in the three point card training group was significantly better than that of the control group(P<0.001).Conclusion:Barrel cards training effectively decrease the magnitude of small-angle intermittent exotropia,and improve the fusion control to strengthen the range of stereoscopic fusion convergence and stabilizing the far stereopsis.

关 键 词：间歇性外斜视 三点卡训练 远立体视 融合控制 立体融合性集合 

分 类 号：R777.4[医药卫生—眼科]