屈光不正性儿童弱视不同阶段性治疗效果比较研究

Comparative Effects of Different Stages in Treatment of Refractive Errors Amblyopia

目的比较屈光不正性儿童弱视不同阶段性治疗效果。方法选择自2012年4月—2013年4月在该院诊治的126例屈光不正性弱视患儿,予以矫正视力后结合近距离眼部精细作业,以3个月为1个治疗阶段,4个阶段后进行疗效评价。结果与男性患儿比较,在T2、T3、T4治疗阶段女性患儿的有效率分别为72.41%、82.76%、91.38%,均有所升高,但差异无统计学意义(P>0.05)。与幼儿期比较,在T2、T3、T4治疗阶段学龄前期(72.06%、75.00%、85.29%)、学龄期(62.50%、70.00%、80.00%)的疗效均降低明显,差异有统计学意义(P<0.05);与学龄前期比较,学龄期各阶段的疗效均有所降低,但差异无统计学意义(P>0.05)。与近视性比较,在T1、T2、T3、T4治疗阶段远视性(53.49%、65.12%、76.74%、90.70%)、混合型(45.45%、63.64%、72.73%、86.36%)的疗效均升高明显,差异有统计学意义(P<0.05);与混合型比较,远视性各阶段的疗效均有所升高,差异有统计学意义(P<0.05)。与重度患儿比较,在T1、T2、T3、T4治疗阶段轻度(57.14%、66.67%、85.71%、97.62%)与中度患儿(58.97%、64.10%、78.21%、89.74%)的疗效均增加明显,差异有统计学意义(P<0.05);与轻度比较,中度患儿在T3、T4治疗阶段的疗效均有所降低,差异有统计学意义(P<0.05)。结论屈光不正性弱视患儿应及早、全程进行治疗,但是对于近视性屈光不正患儿应适当减少近距离眼部精细作业。

Objective To compare the effects of different stages in treatment of refractive errors amblyopia. Methods 126 eases refractive errors amblyopia children in our hospital underwent the corrected visual acuity combined with short distance eye fine job treatment from April 2012 to April 2013,3month treatment as a phase, efficacy evaluation had been done after 4 phases. Results Compared with male children, the effective rates in T2, T3, T4 was 72.41%, 82.76%,91.38%,phase had increased in female children, but there had no significant differences（P〉0.05）. Compared with the early childhood, the effective rates in T2, T3, and T4 was 72.06%,75.00% ,85.29%, and 62.50%,70.00%, 80.00%, the difference was statistically signifieant（P〈0.05）,phase had decreased in school-age, but there had no signif- icant differences（P〉0.05）. Compared with the myopic, the effective rates in T1,T2, T3, and T4 was 53.49%,65.12%, 76.74%,90.70%,and 45.45%,63.64%,72.73%,86.36%, phase had increased in hyperopia and hybrid （P〈0.05）.Compared with the hybrid, the effective rates in T1,T2, T3, and T4 was57.14%,66.67%,85.71%,97.62%,phase had increased in the hyperopia（P〈0.05）. Compared with the severe, the effective rates in T1,T2,T3, and T4 was 58.97%,64.10%,78.21%, 89.74% phase had increased in the mild and moderate （P〈0.05）. Compared with mild, the effective rates in T3, and T4phase had increased in the moderate（P〈0.05）. Conclusion The refractive errors amblyopia in children should accept an early and full treatment. For refractive errors amblyopia children should reduce short distance eye fine job.