视功能训练联合角膜塑形镜对近视患者裸眼视力及屈光度的作用

Effects of vision training combined with orthokeratology on visual acuity and refractive error in patients with myopic

目的:探讨视功能训练联合角膜塑形镜对近视患者裸眼视力及屈光度的作用。方法:选取2021年2月至2022年9月收治的93例近视患者,按随机数字表法分为对照组(47例)和研究组(46例)。两组均予常规治疗,在此基础上,对照组采用角膜塑形镜治疗,研究组采用视功能训练联合角膜塑形镜治疗。分析两组治疗效果、裸眼视力、屈光度、瞳孔直径及眼调节灵敏度。结果:研究组治疗总有效率为89.13%,高于对照组的68.09%,差异有统计学意义(P<0.05)。治疗3个月后,研究组裸眼视力、眼调节灵敏度均高于对照组,屈光度低于对照组(P<0.05);两组治疗前与治疗后的瞳孔直径对比,差异无统计学意义(P>0.05)。结论:近视患者采用视功能训练联合角膜塑形镜治疗可降低屈光度,提高眼调节灵敏度和裸眼视力,治疗效果更好。

Objective:To investigate the effects of vision training combined with orthokeratology on visual acuity and refractive error in patients with myopic.Methods:93 patients with myopic admitted between February 2021 and September 2022 were randomly divided into the control group(47 cases)and study group(46 cases)using a random number table.Both groups were received conventional treatment.In addition,the control group underwent orthokeratology treatment,while the study group underwent vision training combined with orthokeratology treatment.The treatment effects,visual acuity,refractive error,pupil diameter,and ocular accommodation sensitivity were analyzed in both groups.Results:The total effective rate of treatment in the study group was 89.13%,significantly higher than that of the control group(68.09%),and the difference was statistically significant(P<0.05).After 3 months of treatment,the study group showed higher visual acuity and ocular accommodation sensitivity,and lower refractive error compared with the control group(P<0.05).There was no statistically significant difference in pupil diameter before and after treatment in both groups(P>0.05).Conclusion:Vision training combined with orthokeratology can effectively reduce refractive error and improve ocular accommodation sensitivity and visual acuity in myopic patients,resulting in better treatment outcomes.