视功能训练辅助治疗儿童屈光性弱视的效果分析

目的探讨在屈光性弱视儿童视功能训练的效果。方法将92例屈光性弱视儿童随机分为常规组（46例）和研究组（46例）。2组均给予常规治疗（阿托品+遮盖疗法），研究组另联合给予视功能训练。对比治疗前后视力水平，治疗后正常集合融合范围、正常分开融合范围、正常立体视构成比，治疗效果和安全性。结果治疗前，2组患儿视力差异无统计学意义（P>0.05），治疗6个月后，2组视力均增加，且研究组视力明显高于常规组（P < 0.01）；研究组治疗6个月后正常集合融合范围、正常分开融合范围、正常立体视率均明显高于常规组（P < 0.01）；治疗6个月后，研究组总有效率明显高于常规组（P < 0.01），2组不良事件发生率差异无统计学意义（P>0.05）。结论对屈光性弱视儿童采用视功能训练治疗能显著提升视力，改善融合功能和立体视，效果理想且不会显著增多不良事件。

Effect of visual function training in the treatment of refractive amblyopia in children

ObjectiveTo explore the effects of visual function training in the treatment of refractive amblyopia in children.MethodsNinety-two children with refractive amblyopia were randomly divided into the routine group(46 cases) and research group(46 cases).Two groups were treated with routine method(atropine combined with covering therapy), and the research group were additionally treated with visual function training.The visual acuity before and after treatment, and normal fusion range, normal separation fusion range, normal stereoscopic composition ratio, effects and safety after treatment were compared between two groups.ResultsBefore treatment, the difference of the visual acuity between two groups was not statistically significant(P>0.05).After 6 months of treatment, the visual acuity in two groups increased significantly, and which in research group was significantly higher than that in routine group(P < 0.01).After 6 months of treatment, the normal fusion range, normal separation fusion range and normal stereoscopic vision rate in research group were significantly higher than those in routine group(P < 0.01).After 6 months of treatment, the total effective rate in research group was significantly higher than that in routine group(P < 0.01), and the difference of incidence rate adverse events between two groups was not statistically significant(P>0.05).ConclusionsThe visual function training in the treatment of refractive amblyopia in children can significantly improve the vision, fusion function and stereopsis, which has good effects, and does not increase the adverse events.