双眼视力调节训练对儿童近视的疗效及对视功能的影响

The Efficacy of Binocular Vision Adjustment Training onMyopia in Children and the Effect on Visual Function

目的:探究双眼视力调节训练对儿童近视的疗效及对视功能的影响。方法:前瞻性选取本院2019年11月至2021年11月收治的180例近视儿童作为研究对象,采用简单随机分组、掷硬币法分为A、B组,最终纳入A组98例、B组82例,B组患儿佩戴单光眼镜,A组患儿在此基础上进行双眼视力调节训练,两组均进行6个月的治疗。对比两组患儿临床疗效,比较两组治疗前、治疗6个月后视力情况(平均屈光度、集合近点值、调节性集合与调节比率)及双眼调节功能(调节幅度、调节灵敏度、调节反应)的差异,采用美国眼科学会视功能调查问卷评价患儿治疗前、治疗6个月后生活质量。结果:A组患儿治疗总有效率90.82%(89/98)显著高于B组79.27%(65/82),P<0.05;治疗6个月后,两组患儿平均屈光度、集合近点值均下降且A组治疗前后差值大于B组,调节性集合与调节比率提升且A组治疗前后差值大于B组,P<0.05;治疗6个月后,两组患儿调节幅度、调节灵敏度、调节反应水平均提升且A组治疗前后差值大于B组,P<0.05;治疗6个月后,两组患儿生活质量各评分均提升且A组治疗前后差值大于B组,P<0.05。结论:对近视儿童采取双眼视力调节训练效果显著,能够明显改善患儿视力、调节视功能,有效提高其生活质量水平,值得临床参考借鉴。

Objective:To explore the effect of binocular vision adjustment training on children's myopia and visual function.Methods:A total of 180 myopic children who were admitted to our hospital from November 2019 to November 2021 were prospectively selected as the research subjects.They were divided into groups A and B by simple random coin toss method.Finally,98 cases were included into group A and 82 cases in group B.Children in group B wore single vision glasses,and children in group A received binocular vision adjustment training on this basis,and both groups were treated for 6 months.The clinical efficacy of the two groups of children was compared,and the differences in visual acuity(mean refraction,pooled near point value,regulated pool to regulation ratio)and binocular regulation function(regulation amplitude,regulation sensitivity,regulation response)between the two groups before and after 6 months of treatment were compared.The American Academy of Ophthalmology questionnaire was used to evaluate the quality of life of the children before treatment and after 6 months of treatment.Results:The total effective rate of treatment for children in group A was 90.82%(89/98)significantly higher than that of group B,79.27%(65/82),P<0.05;After 6 months of treatment,the mean refractive error and pooling near point values decreased in both groups and the difference before and after treatment was greater in group A than in group B.The ratio of adjusted pooling to adjustment increased and the difference before and after treatment was greater in group A than in group B.P<0.05;After 6 months of treatment,the amplitude of regulation,the sensitivity of regulation,and the level of regulation response increased in both groups and the difference before and after treatment was greater in group A than in group B.P<0.05;After 6 months of treatment,the quality of life scores of children in both groups improved and the difference before and after treatment was greater in group A than in group B.P<0.05.Conclusion:Binocular vision adjustment training for myopic children has a significant effect,can significantly improve children's vision,adjust visual function,and effectively improve their quality of life,which is worthy of clinical reference.