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作 者:张强[1] Zhang Qiang(Department of Ophthalmology,Changzhou Third People's Hospital,Changzhou 213000,Jiangsu Province,China)
机构地区:[1]常州市第三人民医院眼科,江苏常州213000
出 处:《中外医药研究》2024年第2期57-59,共3页JOURNAL OF CHINESE AND FOREIGN MEDICINE AND PHARMACY RESEARCH
摘 要:目的:探讨采用综合疗法治疗小儿微小度数斜视性弱视的效果。方法:选取2018年6月-2023年6月常州市第三人民医院眼科收治的微小度数斜视性弱视患儿100例为研究对象,采用计算机随机分组法分为观察组和对照组,各50例。对照组采用遮盖法常规治疗,观察组进行综合治疗。比较两组临床疗效、视力、不良反应、生活质量情况。结果:观察组总有效率高于对照组,差异有统计学意义(P=0.046)。治疗前,两组视力比较,差异无统计学意义(P>0.05);治疗后1、2、4周,两组视力高于治疗前,且观察组高于对照组,差异有统计学意义(P<0.05)。两组不良反应发生率比较,差异无统计学意义(P>0.05)。治疗前,两组躯体功能、物质生活状态、心理功能、社会功能评分比较,差异无统计学意义(P>0.05);治疗后,两组躯体功能、物质生活状态、心理功能、社会功能评分升高,且观察组高于对照组,差异有统计学意义(P<0.05)。结论:采用综合疗法治疗小儿微小度数斜视性弱视,疗效显著,可提高生活质量,增强视力,安全性高。Objective:To explore the effect of comprehensive therapy to treat children's microtropia amblyopia.Methods:One hundred cases of children with microtropia amblyopia admitted to the Department of Ophthalmology of Changzhou Third People's Hospital from June 2018 to June 2023 were selected as the study subjects,and were divided into an observation group and a con-trol group of 50 cases each by using the computerized random grouping method.The control group was treated conventional occlu-sion therapy,and the observation group was treated comprehensive therapy.The clinical efficacy,visual acuity,adverse reactions and quality of life of the two groups were compared.Results:the total effective rate of the observation group was higher than that of the control group,and the difference was statistically significant(P=0.046).Before treatment,the visual acuity of the two groups was compared,and the difference was not statistically significant(P>0.05);one,two and four weeks after treatment,the visual acu-ity of the two groups was higher than that before treatment,and the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).Comparison of the incidence of adverse reactions between the two groups,the difference was not statistically significant(P>0.05).Before treatment,the scores of somatic function,material life state,psychologi-cal function and social function of the two groups were compared,and the difference was not statistically significant(P>0.05);after treatment,the scores of somatic function,material life state,psychological function and social function of the two groups were ele-vated,and the observation group was higher than the control group,and the difference was statistically significant(P<0.05).Con-clusion:The treatment of Children's microtropia amblyopia with comprehensive therapy has significant efficacy,can improve the quality of life,enhance visual acuity,and is safe.
关 键 词:小儿微小度数斜视性弱视 综合疗法 视力
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