| 刘俐,董宝莹,李志辉.双眼视觉训练对间歇性外斜视儿童术后立体视觉恢复的影响[J].安徽医药,2023,27(2):307-310. |
| 双眼视觉训练对间歇性外斜视儿童术后立体视觉恢复的影响 |
| Effects of binocular vision training on postoperative stereopsis recovery in children with intermittent exotropia |
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| DOI：10.3969/j.issn.1009-6469.2023.02.021 |
| 中文关键词: 外斜视 双眼视觉训练 立体视觉 儿童 |
| 英文关键词: Exotropia Binocular vision training Stereoscopic vision Child |
| 基金项目:佛山市科学技术局项目( 2018AB002313) |
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| 摘要点击次数: 728 |
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| 中文摘要: |
| 目的探讨双眼视觉训练对间歇性外斜视儿童术后立体视觉恢复的影响。方法选取 2019年 8月至 2020年 8月在南方医科大学顺德医院接受治疗的间歇性外斜视病儿 140例( 280眼)作为研究对象，参照随机数字表法将入组病儿分为对照组、观察组各 70例。两组病儿均于全麻下行眼位矫正手术治疗，对照组病儿术后未行针对性视觉训练，观察组病儿术后 2周开始进行双眼视觉训练、持续训练 6个月。术后 6个月，对比两组病儿的术后眼位情况、立体视觉情况，使用多因素 logistics回归模型分析间歇性外斜视儿童术后立体视觉恢复的影响因素。结果术后 6月，观察组病儿的术后眼正位 63例，多于对照组病儿的 45例( P<0.05)；观察组病儿的无立体视觉比例为 12.86%，低于对照组病儿的 27.14%(P<0.05)。术后无立体视觉、术后有立体视觉病儿的性别、家族史、术前斜视度、术前立体视觉的分布差异无统计学意义( P>0.05)；年龄、病程时间、术后双眼视觉训练的分布差异有统计学意义( P<0.05)。多因素 logistics回归分析结果显示:年龄 <9周岁、病程 ≥1年是间歇性外斜视病儿术后无立体视觉的独立危险因素，术后双眼视觉训练是间歇性外斜视病儿术后无立体视觉的保护性因素， OR值分别为 2.17、1.98、1.73(P<0.05)。结论双眼视觉训练有助于间歇性外斜视儿童术后立体视觉恢复、减少无立体视觉病儿比例，可能对后续同类病儿的治疗探索有益。 |
| 英文摘要: |
| Objective To investigate the effect of binocular vision training on postoperative stereopsis recovery in children with in-termittent exotropia.Methods A total of 140 children with intermittent exotropia (140 eyes) who received treatment at Shunde Hospi-tal of Southern Medical University from August 2019 to August 2020 were selected as the study subjects. According to the random num-ber table method, the enrolled children were divided into a control group and an observation group with 70 cases each. Children in bothgroups were treated with eye position correction surgery under general anesthesia, and no postoperative visual training was performed inthe control group, while those in the observation group received binocular vision training 2 weeks after surgery and continued trainingfor 6 months. At 6 months after surgery, the postoperative eye position and stereo vision of the two groups were compared, and the fac-tors influencing the postoperative recovery of stereo vision in children with intermittent exotropia were analyzed by a multivariate logis-tic regression model.Results At 6 months after surgery, there were 63 postoperative orthoptic eyes in the observation group and more than 45 in the control group (P<0.05). The proportion of children without stereopsis in the observation group was 12.86%, which waslower than that in the control group (27.14%) (P<0.05). There was no statistically significant difference in the distribution of sex, familyhistory, preoperative strabismus or preoperative stereovision among children without or with postoperative stereovision (P > 0.05). Thedifferences in the distribution of age, duration of disease and postoperative binocular visual training were statistically significant (P< 0.05). Multivariate logistic regression analysis showed that age < 9 years old and duration of disease ≥ 1 year were independent risk fac-tors for postoperative nonstereoscopic vision in children with intermittent extropia, and postoperative binocular vision training was aprotective factor for postoperative nonstereoscopic vision in children with intermittent exotropia with ORs of 2.17, 1.98, and 1.73, re-spectively (P<0.05).Conclusion Binocular vision training helps to restore stereo vision in children with intermittent exotropia aftersurgery and reduces the proportion of children without stereovision, which may be beneficial to the subsequent treatment exploration ofchildren with the same type of disease. |
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