健康教育路径干预下大龄儿童远视性屈光参差性弱视的远期疗效

Forward curative effect on hyperopia anisometropia amblyopia of older children with health education path

目的探讨健康教育路径干预下大龄儿童远视性屈光参差性弱视的远期疗效。方法对106例(106只眼)远视性屈光参差性弱视的大龄儿童分别按年龄分成10~12岁组和13~15岁组,按弱视程度分为轻、中、重度三组,在健康教育路径干预下采取中西医结合综合治疗,评价疗效及其影响因素。结果观察3年以上,全部病例总有效率83.02%,基本痊愈率73.58%,总痊愈率64.15%;10~12岁组总有效率93.75%,13~15岁组总有效率66.67%,两组总有效率比较差异有统计学意义(P<0.05);轻度弱视、中度弱视、重度弱视组总有效率分别为100%、83.33%、57.69%,各组总有效率比较差异有统计学意义(P<0.05);基本痊愈病例中视力回退率12.82%,各组回退率差异无统计学意义(P>0.05)。结论健康教育路径干预下大龄儿童远视性屈光参差性弱视的远期疗效稳定,影响因素主要有初诊年龄、弱视程度或屈光参差程度。

OBJECTIVE To explore the forward curative effect on hyperopia anisometropia amblyopia of older children with health education path.METHODS 106 older children patients of hyperopia anisometropia amblyopia were divided into 10 to 12 years old group and 13 to 15 years old group.And they were divided into mild group,mod-erate group and severe group according to the extent of amblyopia.All patients were treated with combined therapy of Chinese and western medicine with health education path.To evaluate the curative effect and influencing factors of this treatment.RESULTS The total effective rate was 83.02%,the essential cure rate was 73.58%,the total cure rate was 64.15% afrer cured by more than 3 years.The total effective rate of 10 to 12 years old group was 93.75%,it of 13 to 15 years old group was 66.67%.There were statistically significant between two groups（P〈0.05）.The total effective rate of the mild amblyopia group,the moderate amblyopia gyoup and the severe amblyopia group were 100%, 83.33%and 57.69% respectively.There was a significant difference among three groups（P〈0.05）.The recurrence rate of visual acuity in essential cure patients was 12.82%.There was no significant difference among three groups（ P〈0.05）.CONCLUSIONS The forward effect on hyperopia anisometropia amblyopia of older children with health education path is stable.The major influencing factors of this treatment were the first outpatient age,extent of amblypoia and degree of anisometropia.