传统综合训练与智能化多维视觉训练对屈光不正性弱视的疗效对比及其影响因素研究

目的　研究传统综合训练与智能化多维视觉训练治疗屈光不正性儿童弱视的疗效差异以及相关影响因素。方法　选取２０１０年７月至２０１２年９月在我院眼科治疗的弱视儿童患者２００例，根据治疗方法的不同分为观察组（智能化多维视觉训练组，１００例）和对照组（传统综合训练治疗组，１００例），分别给予智能化多维视觉训练和传统综合训练治疗，比较两组患儿的疗效及相关影响因素。结果　观察组治愈７０例，进步２７例，无效３例；对照组治愈３５例，进步４５例，无效２０例；观察组患儿的疗效显著优于对照组，差异有显著统计学意义（χ２＝２８．７３，Ｐ＜０．０１）。在远视患儿中，观察组的疗效显著优于对照组，差异有显著统计学意义（χ２＝１１．４３，Ｐ＜０．０１），而２组近视和散光患儿疗效差异均无统计学意义（χ２＝０．１５９、０．５８３，均为Ｐ＞０．０５）。在３－６岁（χ２＝１０．３０，Ｐ＜０．０１）、＞６－９岁（χ２＝６．６６５，Ｐ＝０．０３６）两个年龄段，观察组患儿的疗效优于对照组，而２组＞９－１５岁患儿疗效差异并无统计学意义（χ２＝１．８９５，Ｐ＞０．０５）。在不同治疗时间内，观察组患儿治愈率显著高于对照组，差异有显著统计学意义（χ２＝２０．１４，Ｐ＜０．０１）。结论　智能化多维训练相对于传统综合疗法，治疗屈光不正性弱视患儿疗效更佳，且患儿屈光不正类型、发病年龄及治疗时间明显影响疗效。

Efficacy of traditional combination therapy and intelligent multi-dimensional training for ametropic amblyopia and its influencing factors

Objective To analyze the efficacy of traditional combination therapy and intelligent multi-dimensional training for ametropic amblyopia and its influencing factors. Methods Clinical data of 200 children with ametropic amblyopia received treatment at our hospital from July 2010 to September 2012 was retrospectively analyzed. Patients were divided into two groups according to the treatment: Observation group ( intelligent multi-dimensional training) and control group ( traditional combination therapy) ,100 cases in each group. The efficacy of different treatments and influencing factors of therapeutic effect between two groups was analyzed. Results The efficacy of children in observation group were cured in 70 cases ,improved in 27 cases . uneffective in 3 cases.which in control group were 35 cases .45 cases and 20 cases, respectively , there was significant difference (X2 = 28. 73 ,P < 0. 01 ) . For the children with hyperopia, the therapeutic effect of the observation group was significantly better than the control group (x2 = 11. 43 ,P < 0. 01) , but no difference was found in children with myopia and astigmatism between two groups (X2 = 0. 159,0. 583 ,all P > 0. 05 ) . For the children aged from 3 years t0 6 years (X2 = 10. 30,P < 0. 01 ) ,6 years t0 9 years (X2 = 6. 665 ,P = 0. 036 ) . the efficacy in observed therapy group was significantly better than the control group ,but no difference was found in children aged from 9 years t0 15 years between two groups(X2 = 1. 895 ,P > 0. 05 ) . The efficacy in observed therapy group was sigruficantly better than the control group with the same time of treatment (X2 = 20. 14 .P < 0. 01 ) . Conclusion Intelligent multi-dimensional training is sigruficantly better than traditional combination therapy for children with ametropic amblyopia , and the efficacy are influenced by the factors such as the type of ametropia, age of onset and duration of treatment.