视觉训练系统4辅助治疗对屈光不正性弱视患儿视神经功能重建的影响研究  

Effect of VTS 4 Adjuvant Therapy on Optic Nerve Function Reconstruction in Children with Ametropic Amblyopia

作　　者：张慧卿 胡燕 陈晓静 ZHANG Huiqing;HU Yan;CHEN Xiaojing(Department of Ophthalmology,Qingdao Haici Traditional Chinese Medicine Medical Group North Campus(Qingdao Hongdao People's Hospital),Qingdao,Shandong 266000,China)

机构地区：[1]青岛市海慈中医医疗集团北院区(青岛市红岛人民医院)眼科,山东青岛266000

出　　处：《转化医学杂志》2024年第6期902-907,共6页Translational Medicine Journal

摘　　要：目的探讨视觉训练系统4(VTS 4)辅助治疗对屈光不正性弱视患儿视神经功能重建的影响。方法选择2020年8月至2024年2月青岛市海慈中医医疗集团北院区(青岛市红岛人民医院)眼科收治的屈光不正性弱视患儿100例(100眼),根据患者的治疗方法将其分为传统治疗组(传统屈光矫正)46例(46眼)和VTS 4辅助治疗组(VTS 4辅助传统屈光矫正)54例(54眼)。治疗6个月后,观察2组患儿的视功能形成情况,比较2组患儿治疗前后视力水平、视觉敏感度、矫正近立体视锐度、矫正辐辏范围和矫正分开范围。结果与治疗前比较,治疗后6个月,VTS 4治疗组和传统治疗组I、Ⅱ、Ⅲ级视功能形成率均升高,差异有统计学意义(P<0.05)。治疗后6个月,VTS 4治疗组I、Ⅱ、Ⅲ级视功能形成率均高于传统治疗组,差异有统计学意义(P<0.05)。与治疗前比较,治疗后6个月,VTS4治疗组和传统治疗组视力水平均升高,差异有统计学意义(P<0.05)。治疗后3个月和治疗后6个月,VTS 4治疗组视力水平均高于传统治疗组,差异有统计学意义(P<0.05)。与治疗前比较,治疗后6个月后,VTS 4治疗组和传统治疗组10%[VTS 4治疗组:(0.81±0.16)vs.(0.64±0.14),传统治疗组:(0.70±0.12)vs.(0.63±0.13)]、25%[VTS 4治疗组:(1.16±0.14)vs.(0.86±0.15),传统治疗组:(0.96±0.16)vs.(0.84±0.16)]、75%[VTS 4治疗组:(1.34±0.18)vs.(1.19±0.16),传统治疗组:(1.26±0.17)vs.(1.16±0.18)]、100%[VTS 4治疗组:(1.69±0.19)vs.(1.29±0.16),传统治疗组:(1.52±0.21)vs.(1.28±0.18)]对比度的视觉敏感度均升高,差异有统计学意义(P<0.05)。治疗后6个月后,VTS 4治疗组10%对比度[(0.81±0.16)vs.(0.70±0.12)]、25%对比度[(1.16±0.14)vs.(0.96±0.16)]、75%对比度[(1.34±0.18)vs.(1.26±0.17)]、100%对比度[(1.69±0.19)vs.(1.52±0.21)]视觉敏感度均高于传统治疗组,差异有统计学意义(P<0.05)。治疗后,VTS 4治疗组矫正辐辏范围[(16.39±2.91)°vs.(11.56±2.46)°]、矫正分开范围[(3.4Objective To investigate the effect of visual training System 4(VTS 4)on the reconstruction of optic nerve function in children with ametropic amblyopia.Methods 100 children with ametropic amblyopia(100 eyes)were selected from Qingdao Haici traditional chinese medicine medical group north campus(Qingdao Hongdao people's hospital)from August 2020 to February 2024.According to their treatment methods,they were divided into the traditional treatment group(46 eyes)(traditional refractive correction)and the VTS 4 adjuvant treatment group(VTS 4 adjuvant refractive correction)(54 eyes).After 6 months of treatment,the visual function formation of the two groups of children was observed,and the visual acuity level,visual sensitivity,corrected near-stereoscopic acuity,corrected convergence range and corrected separate range were compared between the two groups before and after treatment.Results Compared with before treatment,6 months after treatment,the formation rate of gradeⅠ,Ⅱ and Ⅲ visual function in VTS 4 treatment group and traditional treatment group was increased,and the difference was statistically significant(P<0.05).Six months after treatment,the formation rates of gradeⅠ,Ⅱ and Ⅲ visual function in VTS 4 treatment group were higher than those in traditional treatment group,and the difference was statistically significant(P<0.05).Compared with before treatment,the visual acuity level of VTS 4 treatment group and traditional treatment group was increased at 6 months after treatment,and the difference was statistically significant(P<0.05).The visual acuity level of VTS 4 treatment group was higher than that of traditional treatment group at 3months and 6 months after treatment,and the difference was statistically significant(P<0.05).Compared with before treatment,after 6 months after treatment,the VTS 4 treatment group and the traditional treatment group were 10%[VTS 4 treatment group:(0.81±0.16)vs.(0.64±0.14),the traditional treatment group:(0.70±0.12)vs.(0.63±0.13)],25%At 25%contrast,the VTS 4 tre

关 键 词：视觉训练系统4治疗 传统屈光矫正 屈光不正性弱视患儿 视力 视神经功能 

分 类 号：R771[医药卫生—眼科]