斜视术后康复训练的实施要点及效果

Implementation points and effects of postoperative rehabilitation training after strabismus surgery

目的探讨斜视术后康复训练的实施要点和效果。方法60例接受斜视手术治疗的患者,以手术后康复训练方法不同将患者分成对照组(n=30)和试验组(n=30)。对照组术后接受TSJ-3同视机视功能训练,试验组术后接受双眼视觉康复训练。对比两组视功能、斜视情况及眼位情况。结果训练后7 d,试验组与对照组患者的立体视、同时视及融合功能对比较为接近,不存在统计学价值(P>0.05)。训练后3个月,试验组患者的立体视、同时视及融合功能正常的比例均较训练后7 d增高,且试验组患者的同时视、立体视及融合功能正常的比例分别为93.33%、63.33%、86.67%,均高于对照组的50.00%、30.00%、60.00%,差异存在统计学价值(P<0.05)。训练后3个月,与对照组的46.67%相比,试验组患者斜视度数≤30△的比例90.00%明显较高,差异存在统计学价值(P<0.05)。训练后3个月,试验组患者的欠矫、正位、过矫发比例分别为6.67%、90.00%、3.33%,对照组患者分别为26.67%、53.33%、20.00%。训练后3个月,与对照组相比,试验组患者的正位比例较高,过矫、欠矫发比例较低,差异存在统计学价值(P<0.05)。结论对斜视患者术后实施康复训练,有助于改善患者视功能和斜视情况,且过矫、欠矫情况较少,安全性较高,因此可在斜视治疗后训练中应用推广。

Objective To explore the implementation points and effects of postoperative rehabilitation training after strabismus surgery.Methods 60 patients after strabismus surgery were divided into a control group(n=30)and an experimental group(n=30)according to different methods of postoperative rehabilitation training.The control group received TSJ-3 synoptic motor visual function training after surgery,while the experimental group received binocular visual rehabilitation training after surgery.The visual function,strabismus and eye position were compared between the two groups.Results At 7 d after training,the comparison data of stereoscopic,simultaneous,and fusion functions between the experimental group and the control group were relatively close,and there was no statistical value(P>0.05).At 3 months after surgery,the percentage of stereoscopic,simultaneous,and fusion functions in the experimental group increased compared with that at 7 d after the training,and the percentage of stereoscopic,simultaneous,and fusion functions were 93.33%,63.33%,and 86.67%in the experimental group,which were higher than 50.00%,30.00%,and 60.00%in the control group,and there was a statistical value(P<0.05).△At 3 months after training,the percentage of strabismus≤30 was 90.00%in the experimental group,which was significantly higher than 46.67%in the control group,and there was statistical value(P<0.05).At 3 months after training,the incidence of undercorrection,orthosis and overcorrection in the experimental group were 6.67%,90.00%and 3.33%,and those in the control group were 26.67%,53.33%and 20.00%.At 3 months after training,compared with the control group,the incidence of orthosis in the experimental group was higher,while the incidence of overcorrection and undercorrection was lower,and there was statistical value(P<0.05).Conclusion Implementing rehabilitation training for patients after strabismus surgery can help improve their visual function and strabismus,with fewer cases of overcorrection and undercorrection and higher safety.Therefore,it can be applied and promoted in training after strabismus treatment.