115例儿童弱视综合治疗情况分析

A Study of 115 Comprehensive Treatment Cases of Children with Amblyopia

目的探讨儿童弱视综合治疗效果。方法选取2012年11月至2014年8月于我院眼科弱视治疗室行弱视治疗的220例患儿中的115例（185眼）为研究对象,回顾性分析其弱视治疗经过及疗效。结果 （1）治疗后,4岁以上不满6岁患儿、6岁以上不满8岁患儿、8-12岁患儿治疗总有效率为98.00%、96.40%、86.00%,3组间对比无统计学差异（F=2.742,P〉0.05）,但前者治愈率显著性高于后两组,组间两两比较差异显著（χ^2=4.23、8.42,P〈0.05）;（2）屈光不正性弱视患儿、屈光参差性弱视患儿、斜视性弱视患儿总治疗有效率为100.00%、95.20%、77.30%,3组间比较差异不显著（F=3.47,P〉0.05）,但屈光不正性弱视患儿、屈光参差性弱视患儿治愈率均显著性高于斜视性弱视患儿,组间比较差异显著（χ^2=14.16、7.93,P〈0.05）。结论对弱视儿童予以综合治疗方案,临床疗效显著,在患儿能配合的情况下,年龄越小则疗效越显著,屈光不正性弱视的治疗效果优于其他类型弱视。

Objective To explore the effects of comprehensive treatment among children with amblyopia. Methods Of 220 children, 115 children with 185 eyes treated at the amblyopia therapeutic room in Department of Ophthalmology of the hospital from November 2012 to August 2014 were chosen as the objects of the study. A retrospective analysis was made for the treatment process and curative effects of amblyopia. Results （ 1 ） After treatment, the total effective rates of the children from 4 to 6 years old, from 6 to 8 years old, from 8 to 12 years old were 98.00%, 96.40% and 86. 00% respectively. There was no significant difference in the comparison among the three groups （ F = 2. 742, P 〉 0.05 ） , but the cure rate of the former was significantly higher than the latter two groups. The differences between every two groups were obvious （ χ^2= 4. 23, 8. 42, P 〈 0. 05 ）. （2） The total treatment effective rates of children with ametropie amblyopia, children with anisometropia amblyopia and children with strabismus amblyopia were 100. 00% , 95.20% and 77. 30% respectively. The differences among the three groups were not significant （ F = 3.47, P 〉 0. 05 ） , but the cure rates of children with ametropic amblyopia and children with anisometropic amblyopia were significantly higher than those of children with strabismus amblyopia, with significant difference （ χ^2= 14. 16, 7.93, P 〈 0.05 ）. Conclusion There are remarkable clinical curative effects in treating children with amblyopia by using comprehensive treatment programs. Under the condition of the children＇s cooperation, the younger the children are, the more significant the effect is. The curative effects of ametropic amblyopia are better than other types of amblyopia.