儿童弱视集中治疗与分散治疗的疗效分析

目的：观察儿童弱视在医院集中综合治疗与家庭分散单个治疗的疗效分析。方法2005年1月至2012年6月，病例资料齐全按时复诊的儿童弱视1347例（2160眼），其中605例（914眼）在医院集中治疗为甲组；在家中单个治疗742例（1246眼）为乙组。全部患儿进行散瞳验光、配镜矫正屈光不正，用遮盖、红闪、精细作业、后像或光刷等方法治疗弱视。结果医院集中综合治疗基本治愈率为81.6%，总有效率97.7%。家庭分散单一治疗治愈率为46.7%，总有效率为84.2%。结论儿童弱视在医院集中综合治疗疗效明显优于家庭分散单个治疗，疗效好，治愈率高，可以推广。

A analysis of the curative effect of amblyopic treatment centralized in hospital and decentralized at home

Objective To observe and compare the curative effect of amblyopic treatment centralized in hospital and decentralized at home. Methods 1347 children （2160 eyes ） who accepted amblyopia treatment from January 2005 to June 2012 were retrospectively investigated. All children had complete clinical files and were divided into two groups. Group A included 605 patients （914 eyes） who accepted centralized amblyopic treatment in hospital. Group B included 742 patients （1246 eyes） who accepted decentralized amblyopic treatment at home. Optometry, re-fractive error correction, occlusion therapy, sight improvement instrument training were performed in all eyes. Re-sults The basic cure rate in group A was 81.6%, and that in group B was 46.7%. The difference between the two groups was statistically significant.Conclusions Centralized amblyopic treatment in hospital is worth to recommend be-cause it has better curative effect than decentralized amblyopia treatment at home.