摘要
目的:探讨视知觉学习疗法治疗3～8岁儿童屈光不正性弱视的疗效及其影响因素。方法:运用视知觉学习疗法治疗3～8岁儿童屈光不正性弱视611例,双眼视力相差两行者辅以遮盖疗法,观察治疗效果及其相关因素。结果:视知觉学习治疗对3～8岁儿童弱视的治愈率为72.3%,有效率为88.4%;3～8岁儿童各年龄段疗效比较差异有统计学意义(P<0.05),有效率随年龄增长而下降;不同性别疗效差异无统计学意义(P>0.05);混合散光型弱视疗效最好,其次为远视性,而近视性弱视最差;轻度弱视疗效最好,中度弱视次之,重度弱视最差;中心注视弱视眼疗效优于旁中心注视弱视眼(P<0.05)。结论:视知觉学习治疗3～8岁儿童屈光不正性弱视有效;年龄、屈光类型、弱视程度和注视性质与视知觉学习疗效密切相关;弱视儿童应尽早发现、尽早治疗。
Objective：To explore the clinic efficacy of visual perception learning in treatment of children aged 38 years old with ametropic amblyopia and its effect factors. Methods：611 children aged 38 years old with ametropic amblyopia were treated with visual perception learning,the children with difference of binocular visual acuity less than two lines were treated with occlusive therapy,the clinical efficacy and related factors were observed. Results：The curative rate and effective rate of visual perception learning in children aged 38 years old with ametropic amblyopia were 72.3% and 88.4%,respectively.There was significant difference among different age groups（P〈0.05）,but the effective rate decreased with age;there was no significant difference in clinic efficacy between boys and girls（P〉0.05）.The clinical efficacy of mixed astigmatism type amblyopia was the best,followed by hyperopic amblyopia,the clinical efficacy of myopic amblyopia was the worst;the clinical efficacy of mild amblyopia was the best,followed by moderate amblyopia,the clinical efficacy of severe amblyopia was the worst;the clinical efficacy of central vision amblyopia eyes was better than that of paracentral vision amblyopia eyes（P〈0.05）. Conclusion：The clinical efficacy of visual perception learning in treatment of children aged 38 years old with ametropic amblyopia is good;age,refractive type,degree of amblyopia and properties of eye fixation are related to the clinical efficacy of visual perception learning;for the children with amblyopia,early detection and early treatment are recommended
出处
《中国妇幼保健》
CAS
北大核心
2011年第11期1634-1636,共3页
Maternal and Child Health Care of China
基金
广西医疗卫生重点科研课题(重200956)
关键词
视知觉学习
屈光不正性弱视
疗效观察
Visual perception learning
Ametropic amblyopia
Observation on the clinical efficacy
