多媒体训练与传统遮盖疗法治疗儿童弱视的效果比较
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摘要
目的对多媒体训练与传统遮盖疗法治疗儿童弱视的效果进行观察比较。方法 90例(共154只患眼)弱视患儿,随机分为参照组(43例, 77只患眼)和研讨组(47例, 77只患眼)。参照组采用传统遮盖疗法治疗,研讨组采用多媒体训练治疗。观察比较两组治疗前后视力水平和视觉诱发电位振幅、潜时以及临床疗效。结果治疗前,两组的视力水平及视觉诱发电位振幅、潜时比较差异无统计学意义(P>0.05);治疗后,两组的诱发电位潜时、振幅及视力水平均优于治疗前,且研讨组诱发电位潜时、振幅及视力水平均优于参照组,差异具有统计学意义(P<0.05)。研讨组治疗总有效率94.81%(73/77)显著高于参照组的77.92%(60/77),差异具有统计学意义(P<0.05)。结论多媒体训练相较于传统遮盖疗法治疗儿童弱视,更容易被患儿所接受,能够获得更为理想的效果。
Objective To observe and compare the effect of multimedia training and traditional occlusion therapy on the treatment of amblyopia in children. Methods A total of 90 amblyopia children(154 involved eyes) were randomly divided into control group(43 cases, 77 involved eyes) and study group(47 cases, 77 involved eyes). The control group received traditional occlusion therapy, and the study group received multimedia training. Observation and comparison were made on visual acuity and visual evoked potential amplitude, latent time and clinical efficacy before and after treatment between the two groups. Results Before treatment, both groups had no statistically significant difference in visual acuity and visual evoked potential amplitude, latent time(P>0.05). After treatment, both groups had better evoked potential latent time, amplitude, and visual acuity was better than those before treatment, and the study group had better evoked potential latent time, amplitude, and visual acuity than the control group. Their difference was statistically significant(P<0.05). The study group had significantly higher total treatment effective rate as 94.81%(73/77) than 77.92%(60/77) in the control group, and the difference was statistically significant(P<0.05). Conclusion Compared with traditional occlusion therapy, multimedia training therapy is more acceptable to children with amblyopia, and can achieve more ideal effect.
Objective To observe and compare the effect of multimedia training and traditional occlusion therapy on the treatment of amblyopia in children. Methods A total of 90 amblyopia children(154 involved eyes) were randomly divided into control group(43 cases, 77 involved eyes) and study group(47 cases, 77 involved eyes). The control group received traditional occlusion therapy, and the study group received multimedia training. Observation and comparison were made on visual acuity and visual evoked potential amplitude, latent time and clinical efficacy before and after treatment between the two groups. Results Before treatment, both groups had no statistically significant difference in visual acuity and visual evoked potential amplitude, latent time(P>0.05). After treatment, both groups had better evoked potential latent time, amplitude, and visual acuity was better than those before treatment, and the study group had better evoked potential latent time, amplitude, and visual acuity than the control group. Their difference was statistically significant(P<0.05). The study group had significantly higher total treatment effective rate as 94.81%(73/77) than 77.92%(60/77) in the control group, and the difference was statistically significant(P<0.05). Conclusion Compared with traditional occlusion therapy, multimedia training therapy is more acceptable to children with amblyopia, and can achieve more ideal effect.
引文
[1]尹峥,夏旭光,黄慕贞,等.视觉生理刺激联合立体视觉训练治疗儿童弱视临床观察.国际眼科杂志,2016,16(5):927-929.
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[7]杨丽萍,毛治平,谢桂军.多媒体训练治疗与传统遮盖疗法治疗儿童弱视临床疗效比较.现代中西医结合杂志,2013,22(26):2906-2908.
[8]周立娜.多媒体训练治疗与传统遮盖疗法治疗儿童弱视的临床疗效比较.中国医药指南,2014(23):111-112.
[9]钟国文.多媒体训练和传统遮盖法治疗儿童弱视治的临床观察.现代医院,2015,15(5):69-70.
[10]赵艳霞.多媒体视觉训练系统与传统方法治疗儿童弱视的临床效果比较.中国基层医药,2017,24(11):1681.
[11]韦玮.多媒体训练治疗儿童弱视78例疗效观察.中国现代药物应用,2015,9(13):262-264.
[12]张鑫,马琳,陈晨,等.多媒体视觉训练治疗儿童弱视对照观察.临床心身疾病杂志,2011,17(6):555-556.
[13]徐芳,李云龙,陈忠飞,等.多媒体视觉训练系统治疗儿童弱视效果分析.河北医药,2014(22):3416-3418.
[14]李爱军,布娟,王乐今.多媒体视觉训练系统与传统方法治疗儿童弱视的对比研究.眼科新进展,2014,34(9):834-837.
[2]任骁方,肖林,颜少明,等.视觉感知训练在儿童弱视治疗中的应用.中华眼视光学与视觉科学杂志,2017,19(7):394-401.
[3]马荣庆.传统遮盖联合综合训练治疗大龄儿童屈光参差性弱视的临床研究.山东医学高等专科学校学报,2016,38(1):17-18.
[4]许立华.增视能视觉训练系统对弱视儿童的疗效分析.中国妇幼健康研究,2016,27(11):1359-1361.
[5]唐作翼,韦柳丹,黄晓棠,等.多媒体训练与传统训练治疗儿童弱视的疗效比较.右江医学,2017,45(2):223-226.
[6]段小莉,刘学仁,穆云霞.多媒体训练治疗与传统遮盖疗法治疗儿童弱视的临床研究.中国斜视与小儿眼科杂志,2012,20(2):80-84.
[7]杨丽萍,毛治平,谢桂军.多媒体训练治疗与传统遮盖疗法治疗儿童弱视临床疗效比较.现代中西医结合杂志,2013,22(26):2906-2908.
[8]周立娜.多媒体训练治疗与传统遮盖疗法治疗儿童弱视的临床疗效比较.中国医药指南,2014(23):111-112.
[9]钟国文.多媒体训练和传统遮盖法治疗儿童弱视治的临床观察.现代医院,2015,15(5):69-70.
[10]赵艳霞.多媒体视觉训练系统与传统方法治疗儿童弱视的临床效果比较.中国基层医药,2017,24(11):1681.
[11]韦玮.多媒体训练治疗儿童弱视78例疗效观察.中国现代药物应用,2015,9(13):262-264.
[12]张鑫,马琳,陈晨,等.多媒体视觉训练治疗儿童弱视对照观察.临床心身疾病杂志,2011,17(6):555-556.
[13]徐芳,李云龙,陈忠飞,等.多媒体视觉训练系统治疗儿童弱视效果分析.河北医药,2014(22):3416-3418.
[14]李爱军,布娟,王乐今.多媒体视觉训练系统与传统方法治疗儿童弱视的对比研究.眼科新进展,2014,34(9):834-837.