感知觉训练联合压贴三棱镜在间歇性外斜视术后患儿中的应用效果  

Application effects of sensory perception training combined with triple prism pressing in children after intermittent exotropia surgeries

作　　者：张俊玲 华明 ZHANG Junling;HUA Ming(Pediatric Department of Ophthalmology of Xinyang Aier Eye Hospital,Xinyang 464000 Henan,China)

机构地区：[1]信阳爱尔眼科医院小儿眼科,河南信阳464000

出　　处：《中国民康医学》2023年第10期79-82,共4页Medical Journal of Chinese People’s Health

摘　　要：目的:观察感知觉训练联合压贴三棱镜在间歇性外斜视(IXT)术后患儿中的应用效果。方法:选取2019年8月至2021年9月该院收治的80例IXT患儿进行前瞻性研究,按随机数字表法将其分为对照组和观察组各40例。两组均行斜视矫正术,对照组术后采用压贴三棱镜治疗,观察组在对照组基础上联合感知觉训练,比较两组临床疗效、治疗前及治疗3个月后斜视度数、治疗期间不适症状发生率和家长生命质量[生活质量综合评定问卷(GQOLI-74)]评分。结果:观察组治疗总有效率为92.50%(37/40),高于对照组的70.00%(28/40),差异有统计学意义(P<0.05);治疗后,两组斜视度数均小于治疗前,且观察组小于对照组,差异有统计学意义(P<0.05);观察组不适症状发生率为5.00%(2/40),低于对照组的20.00%(8/40),差异有统计学意义(P<0.05);治疗后,两组家长心理功能、躯体功能、社会功能和物质生活等GQOLI-74评分均高于治疗前,且观察组高于对照组,差异有统计学意义(P<0.05)。结论:感知觉训练联合压贴三棱镜应用于IXT术后患儿可提高治疗总有效率和家长生命质量评分,降低斜视度数和不适症状发生率,效果优于单纯压贴三棱镜治疗。Objective:To observe application effects of sensory perception training combined with triple prism pressing in children after intermittent exotropia(IXT)surgeries.Methods:A prospective study was conducted on 80 children with IXT admitted to the hospital from August 2019 to September 2021.They were divided into control group and observation group according to the random number table method,40 cases in each.Both groups underwent strabismus correction.The control group was treated with triple prism pressing after the surgery,while the observation group was combined with sensory perception training on the basis of that of the control group.The clinical efficacy,the degree of strabismus before treatment and 3 months after the treatment,the incidence of discomfort during the treatment,and the quality of life[GQOLI-74]score of the parents were compared between the two groups.Results:The total effective rate of treatment in the observation group was 92.50%(37/40),which was higher than 70.00%(28/40)in the control group,and the difference was statistically significant(P<0.05).After the treatment,the strabismus degrees of the two groups were smaller than those before the treatment,that of the observation group was smaller than that of the control group,and the differences were statistically significant(P<0.05).The incidence of discomfort symptoms in the observation group was 5.00%(2/40),which was lower than 20.00%(8/40)in the control group,and the difference was statistically significant(P<0.05).Further,after the treatment,the GQOLI-74 scores of parents’psychological function,physical function,social function and material life in the two groups were higher than those before the treatment,those in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).Conclusions:Sensory perception training combined with triple prism pressing can improve the total effective rate of treatment and the quality of life score of the parents,and reduce the degree of strabismus

关 键 词：间歇性外斜视 压贴三棱镜 感知觉训练 斜视度数 不适症状 生命质量 

分 类 号：R777.4[医药卫生—眼科]