弱视在院内综合治疗的效果观察

Treatment of amblyopia for children while hospitalized

目的:观察弱视儿童在院综合训练与家庭训练效果差异。方法:选取2011-04沈阳市部分幼儿园检查出的弱视儿童,在院治疗患者90例114眼为治疗组,选择家庭训练患者90例108眼为对照组,所有研究对象1%阿托品药膏睫状肌麻痹验光后,配戴眼镜。视力相差两行以上,遮盖优势眼。治疗组来我院弱视训练中心进行综合训练。对照组在家按医嘱自行弱视训练。每个月复诊,进行视力观察和疗效评价,随访观察6mo。结果:在院弱视治疗组6mo时无效0例,进步18例23眼(20%),基本痊愈72例91眼(80%)。家庭治疗组6mo时无效9例11眼(10%),其中2例放弃训练;进步66例79眼(73%);基本痊愈15例18眼(17%),两组差异有统计学意义(χ2=73.77,P<0.05)。结论:弱视儿童在院综合训练治疗效果明显优于家庭训练。

AIM： To observe the difference of treatment of amblyopia while children were kept in hospital or training in family. METHODS： The amblyopia children from nursery were examined, 90 patients （114 eyes） were randomly selected for the treatment group, and 90 patients （108 eyes） were selected as control in April 2011 in Shenyang City. All of the subjects refracted with 1% atropine, then wear glasses. The dominant eye was covered if both eyes differ by more than two lines. Amblyopia patients from the hospital group were treated in hospital, while the control group in family. Visual acuity was observed and the efficacy was evaluated monthly. The follow-up lasted for 6 months. RESULTS： After 6 months＇ treatment, for the hospital treatment group, invalid in 0 case, improvement in 18 cases （20%）, almost recovery in 72 patients （80%）. For the family treatment group at 6 months invalid 9 cases （10%） （2 cases gave up training）, improvement in 22 cases （73%）, almost recovery in 15 cases （17%）. There was a significant difference （X2 = 73.77, P〈0. 005）. CONCLUSION ： For the treatment of amblyopia, children kept in the hospital for treatment is better than treated in family.