综合疗法对小儿微小度数斜视性弱视的效果观察

Effects of comprehensive therapy in treatment of children with microtropia amblyopia

目的:观察综合疗法对小儿微小度数斜视性弱视的临床效果。方法:选取收治的微小度数斜视性弱视患儿110例为研究对象,采用随机数字表法分为观察组和对照组,每组55例。对照组予常规方法治疗,观察组予综合疗法,比较两组患儿临床疗效,治疗前后视力水平,以及观察组不同弱视程度、注视性质、屈光度患儿的临床总有效率。结果:观察组患儿总有效率为94.55%,高于对照组的74.55%,差异有统计学意义(P<0.05);治疗后,两组视力水平均高于治疗前,且观察组高于对照组,差异有统计学意义(P<0.05);轻度弱视患儿总有效率高于重度患儿,差异有统计学意义(P<0.05);中心注视患儿临床总有效率为100.00%,高于旁中心注视患儿的85.00%,差异有统计学意义(P<0.05);屈光度2.25~2.50 D的患儿临床总有效率为100.00%,高于2.50 D患儿的88.46%,差异无统计学意义(P>0.05)。结论:综合疗法对微小度数斜视性弱视患儿治疗效果较好,可提高视力水平,特别是对于轻度弱视、中心注视、屈光度较小的患儿效果更为理想,临床指导价值较大。

Objective: To observe of clinical effects of comprehensive therapy in treatment of children with microtropia amblyopia. Methods: 110 admitted children with microtropia amblyopia were selected as the research subjects, and were divided into control group(n=55) and observation group(n=55) according to the random number table method. The control group was given conventional therapy, while the observation group was given comprehensive therapy. The clinical efficacy and visual acuity levels before and after treatment were compared between the two groups. Further, the total clinical effective rate, degrees of amblyopia, central fixation and diopter were observed. Results: The total effective rate in the observation group was 94.55%, which was higher than 74.55% in the control group, and the difference was statistically significant(P<0.05). After the treatment, the visual acuity levels in the two groups were higher than those before the treatment, those of observation group were higher than those of the control group, and the differences were statistically significant(P<0.05). The total effective rate of the children with mild amblyopia were higher than that of the severe amblyopia children, and the difference was statistically significant(P<0.05). The total clinical effective rate of the children with central fixation was 100.00%, which was higher than that of 85.00% of the children with lateral fixation, and the difference was statistically significant(P<0.05). The total clinical effective rate of the children with a diopter from 2.25 to 1.00 was 100.00%, which was higher than 88.46% of the children with the diopter≥2.50, and the difference was not statistically significant(P>0.05). Conclusions: Comprehensive therapy is effective in the treatment of the children with microtropia amblyopia, and can improve the visual acuity, especially for the children with mild amblyopia, central fixation, and small diopters. Therefore, it has greater clinical guidance value.