智能化多维训练系统在大龄弱视儿童中的疗效观察

目的:通过对增视能智能化多维训练系统(简称增视能)和综合治疗方法治疗大龄弱视儿童(10～14岁)的疗效进行对比观察,探索大龄儿童弱视有效的治疗方法。方法:应用增视能和综合治疗对196例300眼(各150眼)大龄儿童弱视进行随机分组治疗,增视能组给予视觉刺激、视觉精细等不同训练方案;综合治疗组采用遮盖、精细目力训练、CAM视觉刺激、红光闪烁、后像、光刷等治疗。对比两种方法在弱视治疗1a后的最佳矫正视力。对最佳矫正视力达0.6时无双眼视的患儿增视能组行多维三级功能训练,综合训练组行视加-400型弱视治疗仪附加的三级功能训练,观察6mo后双眼视功能变化情况。结果:轻度弱视大龄儿童增视组和综合治疗组治愈率相近,差异无统计学意义(P>0.05),中、重度弱视大龄儿童增视能组的弱视治疗总有效率明显高于综合疗法组,两组差异有统计学意义(P<0.05)。在最佳矫正视力达0.6时没有双眼视觉功能的患儿,三级视功能训练6mo后,增视能组获得近立体视有效率高于综合治疗组,差异有统计学意义(P<0.05)。结论:增视能智能化多维训练系统是治疗中、重度大龄儿童弱视的有效方法。

Therapeutic efficacy of intelligent multi-dimensional training in older children with amblyopia

AIM:To explore the effective method for the treatment of older children with amblyopia(10-14 years old),through observing and comparing the efficacy of Zengshineng intelligent multi-dimensional training system(referred to as Zengshineng) with comprehensive treatment.METHODS:Zengshineng and comprehensive treatment methods were applied on 196 cases of 300(150 each) eyes in older children with amblyopia.Zengshineng group was given different visual training programmes such as visual stimulation,fine visual training.Comprehensive treatment group was given treatments such as cover,fine visual training,CAM visual stimulation,lights flashing,ocular spectrum,light brush.The best-corrected visual acuity of two groups in the treatment of amblyopia after 1 year was compared.The older children with amblyopia without binocular visual function began to train their three-level visual function after the best-corrected visual acuity reaching 0.6,Zengshineng group by multidimensional three-level function training and comprehensive treatment group by Shi-Jia amblyopia therapy instrument 400 additional three-level function training,observing the binocular visual function changes after 6 months.RESULTS:Mild amblyopia efficiency of Zengshineng group and comprehensive treatment group was close and no statistically significant difference between the two groups(P>0.05).Moderate amblyopia and severe amblyopia efficient difference between the two groups had statistically significant difference(P<0.05).Zengshineng group had significantly higher efficiency than comprehensive treatment group.Zengshineng group obtained near stereopsis with a higher efficiency than the comprehensive treatment group among the children with amblyopia when best-corrected visual acuity reached 0.6 and no binocular visual function after three-level visual function training for 6 months(P<0.05).CONCLUSION:Zengshineng intelligent multi-dimensional training system is an effective method to treat moderate and severe amblyopia for older children.