红光闪烁治疗仪联合红色视力表远距离视功能训练对儿童近视性弱视的影响
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摘要
目的:探讨红光闪烁治疗仪联合红色视力表远距离视功能训练对儿童近视性弱视的影响。方法:将我院收治的112例近视性弱视患儿分组,对照组予短小遮盖+近距离功能性视力训练,观察组在此基础上予红光闪烁治疗仪联合红色视力表远距离视功能训练。比较两组患儿临床疗效和治疗前后屈光动态变化、BCVA、弱视复发率。结果:观察组的临床总有效率高于对照组(P<0.05)。治疗后,观察组近视性屈光度与治疗前对比无差异(P>0.05),而对照组随时间延长逐渐升高(P<0.05);观察组治疗1a后的近视性屈光度、年均屈光度变化值和弱视复发率低于对照组(P<0.05)。两组患儿治疗后BCVA优于治疗前,治疗1a时优于治疗6mo(P<0.05)。结论:红光闪烁治疗仪联合红色视力表远距离视功能训练治疗儿童近视性弱视可有效降低年平均屈光度变化值,矫正最佳视力,降低弱视复发率。
?AIM: To explore the effects of red light flashing therapeutic instrument combined with distance visual training through reading red visual acuity chart on myopic amblyopia in children.?METHODS: Totally 112 cases of children patients with myopic amblyopia treated in our hospital were assigned to the control group and the observation group. The control group was given short covering method and short-range visual function training, and the observation group was given red light flashing therapeutic instrument combined with distance visual training through reading red visual acuity chart on the basis of the above treatment. The clinical efficacy, refractive dynamic changes, the BCVA and amblyopia recurrence rate were compared between the two groups. ?RESULTS: The total clinical effective rate in the observation group was significantly higher than that in the control group(P<0.05). Before and after treatment, the myopic diopter was no significant difference in the observation group(P>0.05), the control group gradually increased myopic diopter with time(P<0.05). The myopic refraction, the change value of average annual refraction and the recurrence rate of amblyopia after 1 y of treatment in the observation group was lower than that in the control group(P<0.05). The BCVA after 1 y of treatment was significantly higher than that after 6 mo of treatment(P<0.05).?CONCLUSION: Red light flashing therapeutic instrument combined with distance visual training through reading red visual acuity chart for children patients with myopic amblyopia can effectively reduce the change value of average annual refraction, correct the best visual acuity, and reduce the risk of amblyopia recurrence.
?AIM: To explore the effects of red light flashing therapeutic instrument combined with distance visual training through reading red visual acuity chart on myopic amblyopia in children.?METHODS: Totally 112 cases of children patients with myopic amblyopia treated in our hospital were assigned to the control group and the observation group. The control group was given short covering method and short-range visual function training, and the observation group was given red light flashing therapeutic instrument combined with distance visual training through reading red visual acuity chart on the basis of the above treatment. The clinical efficacy, refractive dynamic changes, the BCVA and amblyopia recurrence rate were compared between the two groups. ?RESULTS: The total clinical effective rate in the observation group was significantly higher than that in the control group(P<0.05). Before and after treatment, the myopic diopter was no significant difference in the observation group(P>0.05), the control group gradually increased myopic diopter with time(P<0.05). The myopic refraction, the change value of average annual refraction and the recurrence rate of amblyopia after 1 y of treatment in the observation group was lower than that in the control group(P<0.05). The BCVA after 1 y of treatment was significantly higher than that after 6 mo of treatment(P<0.05).?CONCLUSION: Red light flashing therapeutic instrument combined with distance visual training through reading red visual acuity chart for children patients with myopic amblyopia can effectively reduce the change value of average annual refraction, correct the best visual acuity, and reduce the risk of amblyopia recurrence.
引文
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2郭长峰,施维,李巧娴,等.视感知觉疗法联合调节功能训练治疗近视性弱视的临床观察.中国斜视与小儿眼科杂志 2016;24(1):30-33
3王雨蒙,刘虎.儿童近视性弱视的治疗进展.国际眼科杂志 2015;15(8):1370-1374
4吴伟福,玄园园,李素惠,等.640nm红光频闪治疗仪联合调节集合训练控制眼轴长度治疗近视的研究.潍坊医学院学报 2015;37(3):240-241
5宋晶,魏春惠.近距离视功能训练对儿童近视性弱视的影响.现代医学 2010;38(2):159-162
6王坤.红色视力表远距离视功能训练对近视性弱视的治疗效果.中国处方药2016;14(10):128-129
7汪芳润.视力与屈光的关系.中国实用眼科杂志 2000;10(18):579-583
8中华眼科学会全国儿童弱视斜视防治学组.弱视的定义、分类及疗效评价标准.中国斜视与小儿眼科杂志 1996;4(3):97
9陈娟,梅芳,陈志钧.弱视治疗仪治疗392例弱视患儿的疗效及影响因素分析.南京医科大学学报:自然科学版 2017;37(10):1347-1348
10赵奎卿,赵丽,高向红,等.阿托品压抑疗法和遮盖疗法治疗学龄儿童单眼弱视的临床效果.现代生物医学进展 2017;17(7):1339-1341
11黄玲华,任兵,刘秀琴,等.近视弱视两种综合治疗方法疗效对比分析.中国斜视与小儿眼科杂志 2012;20(1):8-10,38
12乔诗凝.自适应治疗仪与传统BS-5Y治疗仪应用于弱视治疗的疗效观察.临床眼科杂志2017;25(5):459-461
13黄玲华,任兵,高晓唯,等.红色视力表远距离视功能训练在近视性弱视治疗中的疗效分析.中国斜视与小儿眼科杂志 2013;21(4):12-15
14黄玲华,任兵,曹小鹏,等.近视性弱视综合治疗方法及疗效对比.国际眼科杂志2012;12(10):1966-1968
15杜春宇.视知觉学习疗法治疗近视性弱视儿童屈光动态分析.湖南中医药大学学报2016;36(2):1026
2郭长峰,施维,李巧娴,等.视感知觉疗法联合调节功能训练治疗近视性弱视的临床观察.中国斜视与小儿眼科杂志 2016;24(1):30-33
3王雨蒙,刘虎.儿童近视性弱视的治疗进展.国际眼科杂志 2015;15(8):1370-1374
4吴伟福,玄园园,李素惠,等.640nm红光频闪治疗仪联合调节集合训练控制眼轴长度治疗近视的研究.潍坊医学院学报 2015;37(3):240-241
5宋晶,魏春惠.近距离视功能训练对儿童近视性弱视的影响.现代医学 2010;38(2):159-162
6王坤.红色视力表远距离视功能训练对近视性弱视的治疗效果.中国处方药2016;14(10):128-129
7汪芳润.视力与屈光的关系.中国实用眼科杂志 2000;10(18):579-583
8中华眼科学会全国儿童弱视斜视防治学组.弱视的定义、分类及疗效评价标准.中国斜视与小儿眼科杂志 1996;4(3):97
9陈娟,梅芳,陈志钧.弱视治疗仪治疗392例弱视患儿的疗效及影响因素分析.南京医科大学学报:自然科学版 2017;37(10):1347-1348
10赵奎卿,赵丽,高向红,等.阿托品压抑疗法和遮盖疗法治疗学龄儿童单眼弱视的临床效果.现代生物医学进展 2017;17(7):1339-1341
11黄玲华,任兵,刘秀琴,等.近视弱视两种综合治疗方法疗效对比分析.中国斜视与小儿眼科杂志 2012;20(1):8-10,38
12乔诗凝.自适应治疗仪与传统BS-5Y治疗仪应用于弱视治疗的疗效观察.临床眼科杂志2017;25(5):459-461
13黄玲华,任兵,高晓唯,等.红色视力表远距离视功能训练在近视性弱视治疗中的疗效分析.中国斜视与小儿眼科杂志 2013;21(4):12-15
14黄玲华,任兵,曹小鹏,等.近视性弱视综合治疗方法及疗效对比.国际眼科杂志2012;12(10):1966-1968
15杜春宇.视知觉学习疗法治疗近视性弱视儿童屈光动态分析.湖南中医药大学学报2016;36(2):1026