屈光参差性弱视患儿综合治疗效果的相关因素研究

Related factors of comprehensive treatment effect on anisometropic amblyopia children

目的：探究影响屈光参差性患儿综合治疗效果的相关因素，为临床干预提供理论依据。 方法：选取我院2013-10/2014-10间收治的100例屈光参差性弱视患儿，经过6~18 mo的治疗后根据治疗效果分为A、B、C三组， A 组54例，治疗效果判定为治愈；B 组34例，治疗效果判定为进步；C组12例，治疗效果判定为无效。对其年龄、依从性、屈光参差程度、屈光参差类型、弱视程度、注视性质进行分析。 结果：三组患者之间屈光参差类型差异无统计学意义（P〉0.05），而三组患者之间年龄、治疗依从性、屈光参差程度、弱视程度、注视性质相比差异有统计学意义（P〈0.05）。通过回归方程分析各因素对综合治疗效果影响程度依次为弱视程度、屈光参差程度、注视性质、年龄、依从性。 结论：屈光参差性患儿综合治疗效果与年龄、治疗的依从性、屈光参差程度、弱视程度、注视性质密切相关，而与患儿的屈光参差类型无明显的相关性。

AIM： To study the related factors of comprehensive treatment effect on anisometropic amblyopia children, and to provide a theoretical basis for clinical intervention. METHODS： Totally 100 cases of anisometropic amblyopia children in our hospital from October 2013 to October 2014 were selected and were divided into groups A, B and C according to curative effect after 6 ~ 18mo＇s treatment. Fifty-four cases of group A were judged to be cured, 34 cases of group B were judged to be improved, and 12 cases of group C was invalid. The age, compliance, anisometropia degree, anisometropia type, amblyopia degree and fixation behavior were analyzed. RESULTS：Anisometropia type among the three groups of patients showed no significant difference （P〉0. 05）. While the age, compliance, anisometropia degree, amblyopia degree and fixation behavior among three groups of patients had statistically significant differences （P〈0. 05）. By regression equation analysis, the influence level of various factors on comprehensive treatment effect was in sequence of amblyopia degree, anisometropia degree, fixation behavior, age, compliance. CONCLUSION： There are closed relationship between comprehensive treatment effect and age, compliance, anisometropia degree, amblyopia degree, fixation behavior, but there is no significant correlation between anisometropia type and comprehensive treatment effect.