乒乓球运动疗法在儿童近视性弱视中的疗效分析

The effect of Table Tennis Motortherapy in myopic amblyopia

目的:探讨用乒乓球运动疗法对儿童近视性弱视患者的治疗效果。方法:86例164眼6-9岁近视性弱视患儿(包括单纯近视、单性近视散光、复性近视散光引起的弱视),男46例,女40例,平均年龄7.04岁,随机分为对照组和试验组,每组病例数为43例,两组病例均用阿托品眼膏散瞳验光,复查佩戴校正眼镜,同时行传统遮盖,红闪治疗以及精细目力训练,3-6月复查一次,根据比例调整遮盖比例和戴镜度数。观察组除上述治疗外,坚持放学后进行乒乓球训练1h/次,每周四次。观察期2年,并分为轻中重度弱视3组进行疗效比较。结果:轻度弱视组中对照组基本痊愈率61.5%,试验组基本痊愈率92%,中度弱视组中对照组基本痊愈率39.1%,试验组基本痊愈率72%,两组之间疗效均有显著差异性.而重度弱视组中对照组基本痊愈率0%,试验组基本痊愈率22.2%,P>0.05,疗效无明显差异性。结论:在近视性弱视儿童患者(轻中度患者)的传统治疗上辅助乒乓球运动训练,既可以防治近视加深,又是一次有效的目力训练过程,疗效安全可靠。儿童患者易于接受,有效降低治疗成本,有着良好的社会效益。对重度近视性弱视患者的治疗方式还有待进一步探讨。

Objective：To investigate the effect of Table Tennis Motortherapy in myopic amblyopia Methods：Eighty-six cases of children with myopic amblyopia（including Analysis、simple myopic astigmatism、compound myopic astigmatism amblyopia）that selected based on mydriatic retinosopy and eye tests amony amblyopic childrens were divided into two groups：the trial grouphad 43 cases,and the control group had 43 cases.two groups have the traditional therapy,the control group will go to play pingpong 1 hour after school,four a week.All cases were followed up for two years,and they were also placed into low,medium and high grade groups.The refrac-tion change and the effectiveness of the therapy was observed and compared.Results：In the low grade control group there are 16eyes（61.5%）were basically cured,the trial group had 23eyes（92.%）were basically cured,In the medium grade control group there are 18eyes（39.1%）were basically cured,the trial group had 36eyes（72.%）were basically cured,There were significant differences herapy in both the two groups（P 0.05）.In the high grade control group there are 0 eye（0%）were ba-sically cured,the trial group had 2eyes（22.2%）were basically cured,The therapy was unsignificant（P 0.05）.Conclusion：The comprehensive therapy with glasses,covering,colour break-up,and Table Tennis Motortherapy is an effective method in treating low and medium grade myopic amblyopia.The high grade groups should ex-plore the new therapy.