4～10岁单眼弱视儿童90例综合治疗效果分析

Analysis on effect of comprehensive treatment on 90 children aged 4～10 years old with single-eye amblyopia

目的:探讨90例4～10岁单眼弱视儿童的综合治疗效果,为制定弱视防治干预措施提供资料。方法:随机收集2002年～2007年4～10岁单眼弱视儿童90例,对综合治疗时间1～2年的治疗效果进行回顾性分析。结果:儿童单眼弱视90例,基本痊愈18例,占20.00%,进步46例,占51.11%,无效26例,占28.89%;治疗效果女性比男性好,差异有统计学意义;治疗开始年龄越小,治疗效果越好,左眼的治疗效果比右眼好,但差异均无统计学意义;单眼弱视左眼占57.78%,左眼的患病率比右眼高。结论:4～10岁儿童单眼弱视综合治疗1年后无效者比例高达28.89%,应加强儿童弱视的防治工作。

Objective：To explore the effect of comprehensive treatment on 90 children aged 4～10 years old with single-eye amblyopia,provide data for making prevention,treatment and intervention measures of amblyopia.Methods：90 children aged 4～10 years old with single-eye amblyopia from 2002 to 2007 were selected randomly,the therapeutic effect after comprehensive treatment for 1～2 years was analyzed retrospectively.Results：Among 90 children with single-eye amblyopia,18 children were cured,accounting for 20.00%;46 children were improved,accounting for 51.11%;26 children were ineffective,accounting for 28.89%;the therapeutic effect of girls was better than that of boys,there was significant difference;the young the childen was,the better treatment effect was;the therapeutic effect of left eye was better than that of right eye,but there was no significant difference;the incidence of amblyopia in left eye was 57.78%,which was higher than that in right eye.Conclusion：The ineffective rate of children aged 4～10 years old after comprehensive treatment of single-eye amblyopia for one year reaches as high as 28.89%,the prevention and treatment of amblyopia among children should be enhanced.