遮盖加同视机疗法治疗中心注视性儿童弱视的疗效分析

目的:寻找有效治疗中心注视性弱视的方法。方法:对165例中心注视性弱视患儿按弱视程度分别采用遮盖疗法、同视机疗法、遮盖加同视机疗法治疗。结果:6个月后,遮盖加同视机疗法治疗双眼弱视,轻度弱视治愈率为100.00%,与遮盖疗法比较差异有统计学意义(χ2=8.250,P<0.01),与同视机治疗法比较差异有统计学意义(χ2=4.889,P<0.05);中度弱视治愈率为90.91%,与遮盖疗法和同视机治疗法分别比较差异均有统计学意义(χ2=7.071,P<0.01;χ2=5.238,P<0.05)。轻、中度弱视遮盖疗法与同视机治疗法比较差异无统计学意义(χ2=0.733,P>0.05;χ2=0.188,P>0.05),但同视机疗法轻、中度弱视治愈率(63.64%、45.45%)均较遮盖疗法(45.45、36.36%)高。遮盖加同视机疗法治疗单眼弱视治愈率分别是轻度90.91%、中度81.82%、重度63.64%,与遮盖疗法和同视机治疗法分别比较差异均有统计学意义(χ2=5.238,P<0.05;χ2=7.071,P<0.01;χ2=4.701,P<0.05;χ2=6.60,P<0.05;χ2=7.071,P<0.01;χ2=4.701,P<0.05)。结论:同视机疗法与遮盖疗法比较,治疗双眼弱视时疗效好;遮盖加同视机疗法能显著提高单眼和双眼弱视眼视力。

Analysis on the curative effect of occlusive therapy combined with synoptophore therapy in treatment of children with amblyopia of central fixation

Objective:To find out effective therapies for the children with amblyopia of central fixation.Methods:A total of 165 children with amblyopia of central fixation were treated with simple occlusive therapy,simple synoptophore therapy,and occlusive therapy combined with synoptophore therapy according to the degree of amblyopia.Results:The children with binocular amblyopia were treated with occlusive therapy combined with synoptophore therapy for six months,the curative rate of mild amblyopia was 100.00%,compared with simple occlusive therapy and simple synoptophore therapy,respectively,there were significant differences(χ2=8.250,P<0.01;χ2=4.889,P<0.05).The curative rate of moderate amblyopia was 90.91%,compared with simple occlusive therapy and simple synoptophore therapy,respectively,there were significant differences(χ2=7.071,P<0.01;χ2=5.238,P<0.05).There was no significant difference in the curative rates of mild and moderate amblyopia between simple occlusive therapy and simple synoptophore therapy(χ2=0.733,P>0.05;χ2=0.188,P>0.05),but the curative rates of mild and moderate amblyopia treated with simple synoptophore therapy(63.64%,45.45%) were higher than those treated with simple occlusive therapy(45.45%,36.36%).The curative rates of mild,moderate,and severe monocular amblyopia treated with occlusive therapy combined with synoptophore therapy were 90.91%,81.82%,and 63.64%,respectively,compared with simple occlusive therapy and simple synoptophore therapy,respectively,there were significant differences(χ2=5.238,P<0.05;χ2=7.071,P<0.01;χ2=4.701,P<0.05;χ2=6.60,P<0.05;χ2=7.071,P<0.01;χ2=4.701,P<0.05).Conclusion:Compared with occlusive therapy,the curative effect of synoptophore therapy in treatment of binocular amblyopia is good;occlusive therapy combined with synoptophore therapy can increase eyesight of children with monocular and binocular amblyopia.