1006例弱视集中治疗的疗效分析

Observation and analysis of the treatment of 1006 patients with amblyopia

目的观察弱视患者集中式综合治疗的疗效，探讨提高弱视治疗效果的方法。方法收集2006年2月至2008年2月间在我院就诊并集中进行弱视综合治疗的患者1006例（1870眼），年龄3-18岁，进行遮盖、精细目力训练及增视仪、同视机、多媒体等综合治疗，每个疗程15d，定期复查（1年到3年不等）。按弱视程度、性质以及注视性质等进行分组，对各组的治疗效果行x2检验。结果经过弱视集中式训练后，总有效率为81．0％。轻、中度弱视及弱视中的屈光不正性患者治疗效果明显优于其他类型弱视（P〈0．05）。不同年龄段患者的治疗有效率不一致，14岁及以下患者明显比14岁以上者高（P〈0．05）。结论集中式综合治疗是弱视患者提高视力的有效方法，需要早期发现和早期治疗。

Objective To observe the effectiveness of a combined treatment approach for amblyopia and discuss ways to improve the efficiency of the treatment. Methods One thousand and six amblyopic children （1870 eyes） were treated with combined therapy in the hospital for at least 15 days. The treatment included optometric visual training using cycloplegia, eye patch, fine work, synoptophore exercise and multimedia, et al. Data were collected from medical records from Februal7 2006 to February 2008. Review time was from 1 to 3 years. Results In the 1870 cases overall, 199 eyes （10.6%） recovered fully, 1318 eyes （70.4%） improved, and 353 eyes （19.0%） failed to respond to treatment. The treatment effect for light-to-moderate amblyopia and ametropic amblyopia was superior to that for other types of amblyopia （P〈0.05）. Conclusion Combined treatment is an effective approach to improve visual acuity in amblyopic children. The earlier the treatment for amblyopia begins, the better the results.