多媒体训练系统用于不同年龄、不同类型儿童弱视的疗效比较

Effect of multimedia training system on amblyopia in children of different ages and types

目的比较多媒体训练用于不同年龄、类型的儿童弱视的治疗疗效。方法回顾性分析了2014年3月至2017年4月在晋城市眼科医院眼科门诊采用多媒体视觉训练的弱视儿童128例的临床资料,并分析不同年龄组、不同弱视类型、不同弱视程度患儿的治疗疗效。结果3~5岁组、>5~8岁组、>8~12岁组的治疗总有效率分别为73.17%、95.45%、52.38%,>5~8岁组治疗总有效率显著高于3~5岁组、>8~12岁组,差异均有统计学意义(χ^2=6.623、19.423,均P<0.05),3~5岁组高于>8~12岁组,差异有统计学意义(χ^2=6.387,P<0.05)。屈光不正组、屈光参差组、斜视组治疗总有效率分别为92.06%、70.00%、68.00%,屈光不正组高于屈光参差组和斜视组,差异均有统计学意义(χ^2=8.643、8.231,均P<0.05)。中心注视组、旁中心注视组患儿治疗总有效率分别为86.17%、67.65%,差异有统计学意义(χ^2=5.623,P<0.05)。轻度弱视组、中度弱视组、重度弱视组患儿治疗总有效率分别为98.15%、75.81%、0.00%,差异均有统计学意义(χ^2=12.116、56.795,均P<0.05)。结论多媒体视觉训练治疗年龄小、屈光程度轻、屈光不正和中心注视儿童效果显著,而对年龄偏大、重度弱视、屈光参差及旁中心注视弱视患儿疗效欠佳。

Objective To explore the effect of multimedia training on amblyopia in children of different ages and types. Methods From March 2014 to April 2017, the clinical data of 128 amblyopia children with multimedia visual training in the ophthalmology outpatient department of Jincheng Ophthalmology Hospital were analyzed retrospectively. The therapeutic effects of different age groups, different amblyopia types and different amblyopia children were analyzed. Results The total effective rates of the 3-5 years old group,>5-8 years old group and >8-12 years old group were 73.17%, 95.45% and 52.38%, respectively. The total effective rate of the >5-8 years old group was significantly higher than that of the 3-5 years old group and >8-12 years old group, the differences was statistically significant (χ^2=6.623, 19.423, all P<0.05). The total effective rate of the 3-5 years old group was significantly higher than that of the >8-12 years old group (χ^2=6.387, P<0.05). The total effective rates of the ametropia group, anisometropic group and strabismus group were 92.06%, 70.00% and 68.00%, respectively. The total effective rate of the ametropia group was higher than that of the anisometropia group and strabismus group, the difference was statistically significant (χ^2=8.643, 8.231, all P<0.05). The total effective rates of the central fixation group and side center gaze group were 86.17% and 67.65%, respectively, and the difference between the two groups was statistically significant (χ^2=5.623, P<0.05). The total effective rates of the mild amblyopia group, the moderate amblyopia group and the severe amblyopia group were 98.15%, 75.81% and 0.00%, respectively, the difference among the three groups was statistically significant (χ^2=12.116, 56.795, all P<0.05). Conclusion The effect of multimedia visual training on children with small age, light refraction, ametropia and central gaze is significant, but the effect is not good for older, severe amblyopia, anisometropia and parametropic amblyopia.