机构地区:[1]深圳市龙华区妇幼保健院,518000 [2]温州医科大学附属第二医院&育英儿童医院
出 处:《中国斜视与小儿眼科杂志》2022年第2期10-13,共4页Chinese Journal of Strabismus & Pediatric Ophthalmology
基 金:浙江省基础公益研究计划项目(LGC19H120001);深圳市科技创新委2020基础研究面上项目(JCYJ20190812155213250);深圳市龙华区科技创新专项资金项目(JCYJ201903)。
摘 要:目的探讨运用计算机化3D渲染矫正疗法对集合不足相关视疲劳患者的影响。方法选取2020年10月至2021年10月就诊于我院眼科,年龄≥18岁的成年集合不足引起视疲劳患者60例作为研究对象,按照随机数字表法分为对照组和试验组,每组30例。两组均根据初诊检查结果配置合适的框架眼镜进行屈光矫正,并进行视疲劳相关知识宣教,减少视频终端使用时间和合理安排工作休息等生活管理。对照组在此基础上予眼保健操训练,试验组则实施计算机化3D渲染矫正疗法,两组均干预1个月。对两组干预前后AC/A、NRA、BCC、PRA、NPC等视功能参数和集合不足视疲劳症状调查问卷(CISS)评分进行比较。结果干预后,两组患者的AC/A和NRA均较同组干预前升高(P<0.05),试验组的NRA较对照组更高,差异有统计学意义(P<0.05);两组患者的远隐斜和BCC均无明显变化(P>0.05);试验组的近隐斜、PRA和聚散灵敏度较对照组上升,差异有统计学意义(P<0.05);两组的NPC均较同组干预前下降(P<0.05),且试验组较对照组下降更明显,差异有统计学意义(P<0.05);两组CISS评分均较干预前下降,试验组CISS评分较对照组下降更明显,差异均有统计学意义(P<0.05)。结论计算机化3D渲染矫正疗法可明显改善患者的视功能体征和视疲劳症状,值得临床进一步应用和推广。Objective To evaluate the effect of computerized 3 D rendering correction therapy on patients with visual fatigue caused by insufficient collection.Methods Sixty adult patients with visual fatigue caused by abnormal visual function aged≥18 years who were treated in the department of ophthalmology of our hospital from October 2020 to October 2021 were selected as the research objects.According to the random number table method,they were divided into control group and experimental group,with 30 cases in each group.The two groups were equipped with appropriate frame glasses for refractive correction according to the preliminary examination results,and carried out publicity and education on visual fatigue,so as to reduce the use time of video terminals and reasonably arrange work and rest and other life management.On this basis,the control group was given eye exercises training,while the experimental group was given computerized 3 D rendering correction therapy,both groups were intervened for one month.The visual function parameters such as AC/A,NRA,BCC,PRA,NPC and the scores of insufficient collection visual fatigue symptom questionnaire(CISS)were compared between the two groups before and after intervention.Results After the intervention,the AC/A and NRA of the two groups were higher than those before the intervention(P<0.05),the NRA of the experimental group was higher than that of the control group,and the difference was statistically significant(P<0.05).There was no significant change in distal cryptotropia and BCC between the two groups before and after intervention(P>0.05).The sensitivity of near saphenous inclination,PRA and aggregation and dispersion of the experimental group was higher than that of the control group after the intervention,and the difference was statistically significant(P<0.05).NPC in both groups decreased compared with that in the same group before intervention(P<0.05),and the decrease in the experimental group was more obvious than that in the control group(P<0.05).The CISS score of the
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