眼眶爆裂性骨折术后眼球运动训练辅助牵拉试验效果观察

Effect of Eye Movement Training Combined with Traction Test on Diplopia after Orbital Blowout Fracture

目的观察单纯眼球运动训练和眼球运动训练辅助牵拉试验在眼眶爆裂性骨折术后患者眼肌力训练中的应用及对患者视功能的改善作用。方法143例眼眶爆裂性骨折修复术后患者分为试验组63例和对照组80例，试验组在术后第1-3天给予眼球运动训练辅助被动牵拉试验；对照组单纯给予眼球运动训练。观察两组患者的复视改善情况。结果试验组有效率为93．6％（59／63），明显优于对照组的72．5％（58／80，P＜0．01）。结论眼球运动训练辅助牵拉试验可促进眼眶爆裂性骨折术后患者视功能的改善。

Objective To compare the effects of simple eye movement training and eye movement training combined with traction test on the vision after orbital blowout fracture. Methods 143 cases with orbital blowout fracture after operation were divided into the experimental group （63 cases） and control group （80 cases）. The experimental group was treated with eye movement training and passive traction test within 3 days after operation, while the control group was treated with eye movement training alone. The changes of diplopias of all patients were observed. Results The efficient rate in the experimental group was 93.6% （59/63）, that of the control group was 72.5% （58/80）. The effect of the experimental group was superior to that of the control group （P〈0.01）. Conclusion The eye movement training combined with traction test can improve the diplopia of the patients with orbital blowout fracture after operation.