强化后像综合疗法治疗儿童弱视488例观察

Efficacy of strengthened afterimage therapy of comprehensive treatment of 488 cases of children＇s amblyopia

目的 探讨强化后像综合疗法治疗儿童弱视的疗效.方法 对确诊为弱视的488例598只眼门诊儿童患者,按不同原因引起的弱视,分别给予以强化后像为主的综合治疗,对弱视的年龄、弱视的类型、弱视的程度、弱视的性质以及弱视治疗的时间与疗效的关系分别进行分析.结果 通过强化后 像为主的综合治疗,随访1-2年,488例598只眼：基本治愈378只眼,有效170只眼,无效50只眼.弱视治疗的总有效率91.64%,其中治愈率63.21%,进步28.43,无效8.36%,3～6岁年龄组、屈光不正性弱视、轻度弱视、中心性注视治疗治愈率最高,治疗时间坚持越长治疗效果越好.结论 弱视的疗效与患儿的年龄、弱视的类型、弱视的性质、弱视的程度及弱视的治疗时间密切相关,强化后像综合疗法治疗儿童弱视疗效显著,值得临床推广.

Objective To investigate the efficacy of strengthened afterimage therapy as comprehensive treatment in children＇s amblyopia. Methods A total of 488 cases diagnosed as visually impaired in 598 out-patient pediatric patients, according to the different causes of amblyopia, were given to strengthen afterimage therapy as the main comprehensive treatment for amblyopia age, amblyopia type, degree of amblyopia,amblyopia the nature of the as well as the efficacy of amblyopia treatment time and the relationship between the respective analysis. Results By strengthened afterimage therapy as the main comprehensive treatment, followed-up of 1-2 years, 488 cases of 598 eyes： Basic cured 378, valid 170 and invalid 50. The total effective treatment of amblyopia 91.64%, of which 63.21% cure rate, progressive 28.43%, invalid 8.36%, 3-6 year age group, ametropia amblyopia, mild amblyopia, central monitor the treatment of the highest cure rate, treatment time, adhere to the longer the treatment the better. Conclusions The efficacy ofamblyopia and the children＇s age, the type of amblyopia, amblyopia nature, extent and amblyopia, amblyopia treatment time is closely related to, and strengthened afterimage therapy as comprehensive treatment with amblyopia therapy curative effect is significant, worthy to be popularized.