综合视觉训练治疗弱视患者的依从性和疗效及相关性

目的：分析综合视觉训练治疗弱视患者的依从性及疗效。

方法：前瞻性研究。选取我院2018-07/2019-08诊治的弱视患者200例294眼，按数字表法随机分为对照组98例140眼予以传统综合视觉训练，试验组102例154眼予以智能化多维综合视觉训练，观察两组患者疗效和患者依从性及相关性。

结果：试验组患者总有效率和高依从性(93.5%、45.1%)均高于对照组(80.0%、35.7%)(均P<0.05)。不同年龄、弱视类型、弱视程度、注视性质以及依从性患者疗效比较均有差异(均P<0.001)。患者年龄、弱视程度与疗效呈负相关(r=-0.342、-0.459，均P<0.001)； 依从性与疗效呈正相关(r=0.378，P<0.001)。 3～6岁患者依从性更好，其次为7～10岁患者(P<0.05)； 患者年龄与治疗依从性呈负相关(r=-0.398，P<0.001)。

结论：智能化多维综合视觉训练能够提高弱视患者依从性，获得更好疗效。弱视患者疗效与患者年龄、弱视类型、弱视程度、注视性质及依从性密切相关，依从性又与年龄相关，临床应针对这些特征，尽早予以治疗。

Compliance and curative effect and their correlation of comprehensive vision training in patients with amblyopia

AIM:To analyze the compliance and curative effect of comprehensive vision training in patients with amblyopia.

METHODS:A prospective study was conducted among 200 patients(294 eyes)with amblyopia who were treated in the hospital from July 2018 to August 2019. The patients were divided into a control group(98 patients, 140 eyes, traditional comprehensive vision training)and an experimental group(102 patients, 154 eyes, intelligent multi-dimensional comprehensive vision training)according to the random number table method. Curative effect, compliance, and the correlation between the two groups were observed.

RESULTS:The overall response rate and compliance rate in the experimental group(93.5%, 45.1%)were higher than those in the control group(80.0%, 35.7%, all P<0.05). The curative effect was different in patients of different age, with different types and severity of amblyopia, different nature of fixation, and different compliance(all P<0.001). Age and the severity of amblyopia were negatively correlated with the curative effect(r=-0.342, -0.459, P<0.001), while compliance was positively correlated with the curative effect(r=0.378, P<0.001). Patients aged 3-6 had significantly better compliance, followed by those aged 7-10(P<0.05). Age was negatively correlated with treatment compliance(r=-0.398, P<0.001).

CONCLUSION:Intelligent multi-dimensional comprehensive vision training can improve the compliance of patients with amblyopia, thereby achieving better curative effect. The curative effect is closely related to age, the type and severity of amblyopia, the nature of fixation and compliance. Compliance is related to age. Clinically, early treatment should be conducted bases on these features.