短时遮盖法配合阿托品在小儿弱视治疗中的应用效果分析

Application effect analysis of short duration occlusion combined with Atropine in the treatment of children with diatric amblyopia

目的探讨短时遮盖法配合阿托品治疗在小儿弱视的临床效果。方法选取2015年2月~2016年7月于我院就诊的91例弱视患儿作为研究对象,根据治疗方法不同将其分为两组。对照组40例患儿采用短时遮盖法治疗,观察组51例患儿采用短时遮盖法联合阿托品治疗。比较两组患儿的治疗效果、视力变化及治疗依从性。结果观察组患儿的治疗总有效率为92.16%,明显高于对照组的75.00%,差异有统计学意义(P<0.05)。治疗前,两组患儿的视力水平比较,差异无统计学意义(P>0.05),治疗后6、9、12个月,观察组患儿的视力水平均优于对照组,差异有统计学意义(P<0.05)。观察组患儿的治疗依从性为94.12%,高于对照组的77.50%,差异有统计学意义(P<0.05)。结论短时遮盖法联合阿托品治疗小儿弱视的效果优于单用短时遮盖法,该方法可促进患儿视力改善,患儿的依从性高,值得临床推广。

Objective To investigate the clinical effect of short duration occlusion combined with Atropine in the treatment of children with diatric amblyopia.nethods 91 cases of children with amblyopia who treated in our hospital from February 2015 to July 2016 were selected as the research subjects,and were devided into two groups according to different treatment methods.The control group （40 cases） were treated with shorterm occlusion,while the observation group （51 cases） were treated with short-term occlusion combined with Atropine.The treatment effect,vlsual acuity and treatment compliance of two groups were compared.Results The total effective rate in the observation group was 92.16%, which was higher than that in the control group of 75.00%,and the difference was statistically significant （P〈0.05）.Before the treatment,there was no significant difference in visual acuity between the two groups （P〉0.05）.After treatment for 6,9 and 12 months,the visual acuity in the observation group were better than those in the control group,the differences were statistically significant （P〈0.05）.The treatment compliance in the observation group was 94.12%,compared with the control group of 77.50%,the difference was statistically significant （P〈0.05）.Conclusion The short-term occlusion combined with Atropine are better than that the short-term duration occlusion in the treatment of children with amblyopia,~hich can promote the improvement of vision of children,and it have high compliance of children,thus it is worthy to be promoted in the clinical.