双眼视觉训练联合眼位矫正手术治疗儿童间歇性外斜视的效果观察  

Observation on the effect of binocular vision training combined with eye position correction surgery in the treatment of intermittent exotropia in children

作　　者：叶海力 杜素芬 张婷 颜玉娥 YE Haili;DU Sufen;ZHANG Ting;YAN Yu'e(Department of Children's Eye Disease and Optometry,Nanchang Purui Ophthalmology Hospital,Jiangxi Province,Nanchang 330046,China;Operating Room,Purui Ophthalmology Hospital in Honggutan,Jiangxi Province,Nanchang 330038,China)

机构地区：[1]江西省南昌普瑞眼科医院儿童眼病与视光专科,江西南昌330046 [2]江西省红谷滩普瑞眼科医院手术室,江西南昌330038

出　　处：《中国当代医药》2024年第29期83-86,共4页China Modern Medicine

基　　金：江西省卫生健康委科技计划项目(20204535)。

摘　　要：目的探讨双眼视觉训练联合眼位矫正手术治疗儿童间歇性外斜视的效果。方法选取2021年1月至2022年12月南昌普瑞眼科医院收治的56例间歇性外斜视患儿作为研究对象,采用随机数字表法将其分为观察组与对照组,每组各28例。两组均进行眼位矫正手术治疗,对照组术后行常规视觉训练,观察组术后予以双眼视觉训练。比较两组眼位情况、斜视度数、双眼视功能以及生活质量。结果观察组术后正位占比高于对照组,差异有统计学意义(P<0.05)。两组术前视功能比较,差异无统计学意义(P>0.05);观察组术后正常立体视占比高于对照组,差异有统计学意义(P<0.05)。两组术前斜视度数、双眼视功能、儿童量表、家长评分量表(p-CIXTQ)、家长代理量表(pp-CIXTQ)评分比较,差异无统计学意义(P>0.05)。两组术后儿童量表、pp-CIXTQ、p-CIXTQ评分均高于术前,斜视度数小于术前,且观察组儿童量表、pp-CIXTQ、p-CIXTQ均高于对照组,斜视度数低于对照组,差异有统计学意义(P<0.05)。结论间歇性外斜视患儿眼位矫正手术后实施双眼视觉训练效果较好,利于减少斜视度,促进眼位恢复正常,重建双眼视功能,进而提升患儿生活质量,值得临床广泛应用。Objective To explore the effect of binocular vision training combined with eye position correction surgery in the treatment of intermittent exotropia in children.Methods A total of 56 children with intermittent exotropia admitted to Nan-chang Purui Ophthalmology Hospital from January 2021 to May 2023 were selected as the study subjects.They were ran-domly divided into observation group and control group using random number table method,with 28 cases in each group.The control group only underwent eye position correction surgery,while the observation group received binocular vision training combined with eye position correction surgery.Eye position,degree of strabismus,binocular vision function and quality of life were compared between the two groups.Results The proportion of positive position in the observation group after surgery was higher than that in the control group,and the difference was statistically significant(P<0.05).There was no statistically significant difference in preoperative visual function between the two groups(P>0.05).The proportion of normal stereoscopic vision in the observation group after surgery was higher than that in the control group,and the difference was statistically significant(P<0.05).There were no statistically significant differences in preoperative strabismus degree,binocular vision function,children's scale,parent rating scale(p-CIXTQ),and parent proxy scale(pp-CIXTQ)scores be-tween the two groups(P>0.05).The postoperative children's scale,pp-CIXTQ and p-CIXTQ scores in both groups were higher than before surgery,degree of strabismus in the two groups after surgery was lower than before surgery,and the ob-servation group's children's scale,pp-CIXTQ and p-CIXTQ scores were higher than those in the control group,and the de-gree of strabismus in the observation group was lower than that in the control group,with statistical significances(P<0.05).Conclusion The implementation of binocular vision training after intermittent exotropia correction surgery is effective in re-ducing str

关 键 词：儿童间歇性外斜视 双眼视觉训练 眼位矫正手术 视功能 生活质量 

分 类 号：R779.6[医药卫生—眼科]