两种压抑疗法治疗学龄期儿童单眼弱视的疗效比较

The effects of two-suppression therapy compared for school-age children with monocular amblyopia

目的观察比较远视镜过矫和阿托品散瞳两种压抑疗法治疗学龄期儿童单眼弱视的效果。方法观察年龄在7—12岁不同类型的单眼弱视患儿167例，随机分成两组，分别采用远视镜过矫和阿托品散瞳方法抑制正常眼的视力，同时对弱视眼进行综合训练，随访3年。结果采用远视镜过矫和阿托品散瞳两种疗法有效率分别为90．7％（78／86）和91．4％（74／81），差异无统计学意义（P〉0．05）。结论对于学龄期单眼弱视儿童，可以采用远视镜过矫的方式抑制正常眼的视力，其效果等同于阿托品散瞳的压抑疗法。

Objective To compare the effectiveness of two-suppression therapy with over-plus hyperopia lens and atropine mydriasis for school-age children with monocular amblyopia. Method One hundred and sixty-seven cases of children with monocular amblyopia in the age of 7-12 years old were observed, who were randomly divided into two groups, using over-plus hyperopia lens or atropine mydriasis to suppress the normal eye, and the amblyopia eye was comprehensive trained, followed-up of 3 years. Results The effect rate was similar between over-plus hyperopia lens and atropine mydriasis [ 90.7% （78/86） and 91.4% （74/81 ）, respectively ]. There was no significant difference （P 〉 0.05 ）. Conclusions For school-age children with monocular amblyopia, you can use over-plus hyperopia lens inhibit the normal eye sight, its effect is similar with the atropine mydriasis.