| 金海霞.不同遮盖时间对单眼轻中度儿童屈光参差性弱视的疗效观察[J].安徽医药,2017,21(9):1637-1639. |
| 不同遮盖时间对单眼轻中度儿童屈光参差性弱视的疗效观察 |
| Effect of different occlusion therapy time on the treatment of mild and moderate anisometropia amblyopia in childrenJIN Haixia (Department of Ophthalmology,Anhui Provincial Hospital of Traditional Chinese Medicine,Hefei,Anhui 230031,China)Abstract:Objective |
| 投稿时间：2017-03-31 |
| DOI： |
| 中文关键词: 弱视 屈光参差 遮盖疗法 |
| 英文关键词: Amblyopia Anisometropia Occlusion therapy |
| 基金项目: |
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| 摘要点击次数: 2783 |
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| 中文摘要: |
| 目的 探讨2 h·d-1与4 h·d-1遮盖治疗儿童单眼轻中度屈光参差性弱视的临床效果。 方法 将单眼轻中度屈光参差性弱视患儿77例,按随机数字表法分成A组和B组,年龄2.5～6岁,均门诊进行精确验光矫正配镜；A组采用矫正镜与2 h·d-1遮盖+目力训练治疗；B组采用矫正镜与4 h·d-1遮盖+目力训练治疗。比较两组在为期6个月的治疗过程中弱视眼最佳矫正视力(BCVA)改善情况。 结果 A组与B组在治疗1个月时弱视眼BCVA差异有统计学意义(P<0.01),而在治疗3个月时两组间弱视眼BCVA差异性缩小,但仍差异有统计学意义(P<0.05),6个月后两组弱视眼BCVA比较差异无统计学意义 (P>0.05)。 结论 单眼轻中度儿童屈光参差性弱视治疗早期遮盖时间越长,视力提高越快,6个月后视力提高和遮盖时间无相关性。对此类患儿短时小遮盖治疗效果肯定,依从性好。 |
| 英文摘要: |
| Objective To investigate the clinical effect of different daily transient occlusion in the treatment of mild and moderate monocular amblyopia of children. Methods Seventy-seven children with mild and moderate anisometropia amblyopia prescribed accurate optometry plus correction glasses in the Outpatient Department,aged 2.5-6 years,were randomized into two groups.Group Areceived 2 h·d-1 occlusion therapy and eyesight training treatment while group Breceived 4 h·d-1 occlusion therapy and eyesight training treatment.The best corrected visual acuities (BCVA) of two groups were analyzed in the first,third and sixth months after treatment. Results There was significant difference in BCVA between two groups in the first month after treatment (P<0.01) and the difference in BCVA between two groups was narrowed in the third month after treatment,but the difference was still statistically significant (P <0.05)；After 6 months of treatment,there was no significant difference in BCVA between the two groups (P>0.05). Conclusions In the treatment of mild and moderate children with anisometropia amblyopia,the longer the occlusion therapy time,the better the improvement of BCVA at the beginning of occlusion therapy,but there was no correlation between the improvement of BCVA and the occlusion time after six months.Therefore,shorter occlusion therapy may have the advantages of better compliance if used long-term. |
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