两种训练方法在眼眶骨折术后患者康复训练中的应用比较

Comparison of two training methods in rehabilitation training for postoperative patients with orbital fracture

目的探讨头盔式眼球运动训练系统在眼眶骨折患者康复训练中的应用效果。方法采用便利抽样法,选取2018年4—12月在首都医科大学附属北京同仁医院眼科由同一名医生行眼眶骨折修复手术治疗的60例患者为研究对象。将患者随机分为试验组和对照组,每组各30例。对照组以患者的手指做视标进行眼球运动训练,试验组采用头盔式眼球运动训练系统进行训练。分别于训练前、训练后1周、1个月以及3个月分别比较两组患者复视分级和双眼立体视功能。结果训练后1、3个月试验组患者复视分级和静态/动态立体视功能均优于对照组,差异均有统计学意义(P<0.05)。结论头盔式眼球运动训练系统可以提高患者的训练效果,帮助患者恢复立体视觉。

Objective To explore the effects of helmet-eyeball movement training system in rehabilitation training among orbital fracture patients.Methods From April to December 2018,we selected 60 patients with orbital fracture surgeries by the same doctor in the Ophthalmology Department,Beijing Tongren Hospital,Capital Medical University,with the method of convenience sampling as the research objects.All patients were randomly divided into experimental group and control group,30 cases in each group.Control group carried out the eyeball movement training with the fingers of patients as visual markers,while experimental group implemented the training with the helmet-eyeball movement training system.Diplopia rating and binocular stereoscopic vision function of patients of two groups were compared before training,one week,one month and three months after training.Results At one and three months after training,the diplopia rating and static/dynamic stereoscopic vision function of patients in experimental group were better than those in control group with statistical differences(P<0.05).Conclusions Helmet-eyeball movement training system can improve the training effect of patients and help them restore stereoscopic vision.