斜视术后康复训练的实施要点及效果  

Implementation points and effects of postoperative rehabilitation training after strabismus surgery

作　　者：黄君茹 杨新燕 王文娟 倪连红 HUANG Jun-ru;YANG Xin-yan;WANG Wen-juan(PLA Joint Logistics Support Force 910th Hospital,Quanzhou 362000,China)

机构地区：[1]解放军联勤保障部队第910医院,362000

出　　处：《中国现代药物应用》2024年第20期164-167,共4页Chinese Journal of Modern Drug Application

摘　　要：目的探讨斜视术后康复训练的实施要点和效果。方法60例接受斜视手术治疗的患者,以手术后康复训练方法不同将患者分成对照组(n=30)和试验组(n=30)。对照组术后接受TSJ-3同视机视功能训练,试验组术后接受双眼视觉康复训练。对比两组视功能、斜视情况及眼位情况。结果训练后7 d,试验组与对照组患者的立体视、同时视及融合功能对比较为接近,不存在统计学价值(P>0.05)。训练后3个月,试验组患者的立体视、同时视及融合功能正常的比例均较训练后7 d增高,且试验组患者的同时视、立体视及融合功能正常的比例分别为93.33%、63.33%、86.67%,均高于对照组的50.00%、30.00%、60.00%,差异存在统计学价值(P<0.05)。训练后3个月,与对照组的46.67%相比,试验组患者斜视度数≤30△的比例90.00%明显较高,差异存在统计学价值(P<0.05)。训练后3个月,试验组患者的欠矫、正位、过矫发比例分别为6.67%、90.00%、3.33%,对照组患者分别为26.67%、53.33%、20.00%。训练后3个月,与对照组相比,试验组患者的正位比例较高,过矫、欠矫发比例较低,差异存在统计学价值(P<0.05)。结论对斜视患者术后实施康复训练,有助于改善患者视功能和斜视情况,且过矫、欠矫情况较少,安全性较高,因此可在斜视治疗后训练中应用推广。Objective To explore the implementation points and effects of postoperative rehabilitation training after strabismus surgery.Methods 60 patients after strabismus surgery were divided into a control group(n=30)and an experimental group(n=30)according to different methods of postoperative rehabilitation training.The control group received TSJ-3 synoptic motor visual function training after surgery,while the experimental group received binocular visual rehabilitation training after surgery.The visual function,strabismus and eye position were compared between the two groups.Results At 7 d after training,the comparison data of stereoscopic,simultaneous,and fusion functions between the experimental group and the control group were relatively close,and there was no statistical value(P>0.05).At 3 months after surgery,the percentage of stereoscopic,simultaneous,and fusion functions in the experimental group increased compared with that at 7 d after the training,and the percentage of stereoscopic,simultaneous,and fusion functions were 93.33%,63.33%,and 86.67%in the experimental group,which were higher than 50.00%,30.00%,and 60.00%in the control group,and there was a statistical value(P<0.05).△At 3 months after training,the percentage of strabismus≤30 was 90.00%in the experimental group,which was significantly higher than 46.67%in the control group,and there was statistical value(P<0.05).At 3 months after training,the incidence of undercorrection,orthosis and overcorrection in the experimental group were 6.67%,90.00%and 3.33%,and those in the control group were 26.67%,53.33%and 20.00%.At 3 months after training,compared with the control group,the incidence of orthosis in the experimental group was higher,while the incidence of overcorrection and undercorrection was lower,and there was statistical value(P<0.05).Conclusion Implementing rehabilitation training for patients after strabismus surgery can help improve their visual function and strabismus,with fewer cases of overcorrection and undercorrection and higher safety.

关 键 词：康复训练 斜视 手术 双眼视觉康复训练 

分 类 号：R779.6[医药卫生—眼科] R493[医药卫生—临床医学]