双眼视觉训练和视感知觉训练及悬浮式视力训练器在斜视术后康复的疗效比较  

Efficacy comparison of binocular vision training,visual perception training and suspended vision trainer in postoperative recovery from strabismus surgery

作　　者：王萍 肇莉莉 喻磊 张莹 孙连义 马丽芬 Wang Ping;Zhao Lili;Yu Lei;Zhang Ying;Sun Lianyi;Ma Lifen(Xi'an People's Hospital(Xi'an Fourth Hospital),Xi'an 710004,Shaanxi Province,China)

机构地区：[1]陕西省西安市人民医院(西安市第四医院),710004

出　　处：《国际眼科杂志》2024年第12期1987-1991,共5页International Eye Science

基　　金：西安市卫生健康委员会科研项目(No.2024yb33)。

摘　　要：目的:分析对比双眼视觉训练与视感知觉训练、悬浮式视力训练器在斜视术后康复的疗效。方法:纳入2022-07/2023-09临床收治接受手术治疗斜视患儿96例为研究对象,数字抽签分组为A组、B组、C组各32例,术后分别采用双眼视觉训练、视感知觉训练、悬浮式视力训练器,比较组间疗效。结果:三组患儿通过3种不同训练方法,观察训练前和训练3 mo同时视功能、融合视功能、立体视功能、知觉眼位(水平、垂直)、CIXTQ的变化,研究结果发现训练3 mo后,三组间同时视功能恢复有差异,其中B组恢复最好(均P<0.05);A组与B组融合视功能比较无差异(P>0.05),但A组、B组与C组融合功能比较有差异(均P<0.05);三组间立体视恢复率比较无差异(P>0.05),知觉眼位水平偏移及垂直偏移改善B组优于A组与C组(均P<0.05)。结论:视感知觉训练在斜视患儿同时视功能、融合功能、立体视功能、知觉眼位及生活质量维度康复训练价值更高。AIM:To analyze and compare the efficacy of binocular visual perception training and suspended vision trainer in postoperative rehabilitation of strabismus.METHODS:A total of 96 children who received surgical treatment from July 2022 to September 2023 were included in the study subjects,and they were group A(n=32),group B(n=32)and group C(n=32).After operation,binocular visual training,visual perception training and suspension vision trainer were used to compare the efficacy among groups.RESULTS:The changes of simultaneous visual function,fusion visual function,stereoscopic visual function,perceptual eye position(horizontal and vertical)and CIXTQ of the three groups of children were observed before training and at 3 mo after training,and the study found that the simultaneous visual function recovered differently at 3 mo after training,with the best recovery in the group B(all P<0.05);there were no significant differences in fusion visual function of the groups A and B(P>0.05),but there were statistical significance in fusion visual function among the three groups(all P<0.05);and there were no significant differences in recovery rate of stereoscopic visual function among the three groups(P>0.05).The improvement of perceptual eye position of the group B,either horizontally or vertically,was better than that of both the group A and group C(all P<0.05).CONCLUSION:Visual perception training has a higher value in the simultaneous visual function,fusion function,stereoscopic visual function,perceptual eye position and quality of life in children with strabismus.

关 键 词：双眼视觉训练 视感知觉训练 悬浮式视力训练器 斜视 术后康复 

分 类 号：R777.41[医药卫生—眼科] R493[医药卫生—临床医学]