团队认知及调节功能训练在弱视治疗中的应用
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摘要
目的:探究团队认知联合调节功能训练在弱视治疗中的效果。方法:选取2014年1月-2015年12月在我院接受治疗的弱视患者86例,将患者分为观察组和对照组各43例。对照组采取传统弱视治疗方法,观察组采取团队认知联合调节功能训练治疗弱视,对两组患者一般资料进行分析,比较两组患者弱视治疗效果,对比分析患者3个月、6个月以及1年后视力以及屈光状态的变化情况。结果:两组患者一般资料比较结果显示,患者的年龄、性别、病情等资料无统计学意义,具有可比性;3个月后随访观察组总有效率为81.40%,对照组为65.12%;6个月随访观察组总有效率为88.37%,对照组为72.09%;1年后随访观察组为95.35%,对照组为83.72%,观察组均略高于对照组,但差异无统计学意义;对治疗3个月、6个月以及1年后患者VAS评分比较,观察组评分低于对照组(t=-4.036,-5.153,-6.794;P<0.05)。结论:团队认知联合调节功能治疗弱视效果较好,有益患者健康的恢复。
Objective:To explore the effect of group cognitive training in the treatment of amblyopia.Methods:86 patients with amblyopia treated in our hospital from January 2014 to December 2015 were randomly divided into observation group and control group(n=43).The control group were received traditional amblyopia treatment,The observation group were received group cognition joint regulation function training to treat amblyopia,The general data of the two groups of patients were analyzed to compare the two groups of patients with amblyopia treatment,comparative analysis of patients 3 months,6 months and 1 year after the visual acuity and refractive status changes.Results:The data of the two groups showed that the age,sex and condition of the patients were not statistically significant.After 3 months follow-up,the total effective rate of observation group was 81.40%,and of control group was 65.12%.After 6 months follow-up,the total effective rate of observation group was 88.37% and of control group was 72.09%.After 12 months follow-up,the total effective rate of observation group was 95.35% and of control group was 83.72%,The observation group was little higher than the control group,but the difference was not statistical significant.The VAS scores of the observation group in 3 Month,6 months and 1 year were lower than those of the control group(t=-4.036,-5.153,-6.794;P<0.05).Conclusion:The combined effect of group cognition on the treatment of amblyopia is better and the safety is beneficial to the recovery of the patients' health.
Objective:To explore the effect of group cognitive training in the treatment of amblyopia.Methods:86 patients with amblyopia treated in our hospital from January 2014 to December 2015 were randomly divided into observation group and control group(n=43).The control group were received traditional amblyopia treatment,The observation group were received group cognition joint regulation function training to treat amblyopia,The general data of the two groups of patients were analyzed to compare the two groups of patients with amblyopia treatment,comparative analysis of patients 3 months,6 months and 1 year after the visual acuity and refractive status changes.Results:The data of the two groups showed that the age,sex and condition of the patients were not statistically significant.After 3 months follow-up,the total effective rate of observation group was 81.40%,and of control group was 65.12%.After 6 months follow-up,the total effective rate of observation group was 88.37% and of control group was 72.09%.After 12 months follow-up,the total effective rate of observation group was 95.35% and of control group was 83.72%,The observation group was little higher than the control group,but the difference was not statistical significant.The VAS scores of the observation group in 3 Month,6 months and 1 year were lower than those of the control group(t=-4.036,-5.153,-6.794;P<0.05).Conclusion:The combined effect of group cognition on the treatment of amblyopia is better and the safety is beneficial to the recovery of the patients' health.
引文
[1]李丽华,南莉,江洋琳,等.对症视觉训练对双眼视功能参数的影响[J].中华眼视光学与视觉科学杂志,2013,15(3):178-180
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[11]余雪梅,黄一涛.系统化健康教育对弱视患儿、家长疾病认知及治疗依从性的影响[J].国际护理学杂志,2015,34(6):787-789
[12]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[J].中国斜视与小儿眼科杂志,2013,21(4):12-15
[13]Zhai J,Chen M,Liu L,et al.Perceptual learning treatment in patients with anisometropic amblyopia:A neuroimaging study[J].Br J Ophthalmol,2013,97(11):1420-1424
[14]肖强.青少年屈光不正性弱视在同量综合弱视治疗下眼调节微波动的变化及主视眼疗效[J].国际眼科杂志,2016,16(5):844-847
[15]程子昂,谢祥勇.屈光参差性弱视治疗后期加入视功能训练的临床观察[J].国际眼科杂志,2016,16(12):2359-2361
[16]单宏.弱视治疗后双眼立体视功能的临床研究[J].现代中西医结合杂志,2013,22(3):276-277
[17]任骁方,肖林.视觉感知训练应用于弱视治疗的研究进展[J].中国康复理论与实践,2015,21(6):662-665
[18]Sachdeva V,Mittal V,Kekunnaya R,et al.Efficacy of split hours part-time patching versus continuous hours part-time patching for treatment of anisometropic amblyopia in children:A pilot study[J].Br J Ophthalmol,2013,97(7):874-878
[19]陈伟文,吴春凤.儿童弱视治疗效果影响因素的研究[J].中国妇幼保健,2014,29(8):1214-1216
[20]贾趁霞,胡俊喜,闫义涛,等.弱视治疗前后对比敏感度的分析[J].中国斜视与小儿眼科杂志,2014,22(3):26-31
[21]Carlton J.Identifying potential themes for the Child Amblyopia Treatment Questionnaire[J].Optom Vis Sci,2013,90(8):867-873
[22]Fronius M,Cirina L,Ackermann H,et al.Efficiency of electronically monitored amblyopia treatment between 5and 16years of age:new insight into declining susceptibility of the visual system[J].Vision Res,2014,103(10):11-19
[23]陈少芳,周瑾,刘恬,等.屈光参差性弱视治疗过程中视力和立体视觉的对比研究[J].实用医学杂志,2015,31(12):2007-2009
[24]汤玮玮,王潇潇,陶黎明.基于云服务技术的视知觉训练与传统综合训练对改善弱视患儿视力和立体视功能的疗效比较[J].中华实验眼科杂志,2016,34(5):426-431
[25]Agervi P,Kugelberg U,Kugelberg M,et al.Two-year followup of a randomized trial of spectacles plus alternate-day patching to treat strabismic amblyopia[J].Acta Ophthalmol,2013,91(7):678-684
[26]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[J].中国斜视与小儿眼科杂志,2013,21(4):12-15
[27]姚帮桃,赵孝贵,董照阳,等.阿托品压抑疗法和遮盖疗法在小儿弱视治疗中比较[J].临床眼科杂志,2013,21(6):537-538
[2]刘斐.视觉功能训练对弱视及斜视的治疗效果分析[J].中国社区医师,2016,32(26):75-76
[3]马莉莉.视觉功能训练在弱视治疗中的应用价值研究[J].中华眼科医学杂志(电子版),2015,5(5):263-267
[4]王闰.视觉功能训练在弱视及斜视治疗中的应用[J].中国医药指南,2016,14(6):150-150+151
[5]Borodin Y,Petrov V,Lapchuk A.Echelette optical low-pass filter as a Bangerter filter for diagnosis and treatment of amblyopia and diplopia[J].J Opt Soc Am A Opt Image Sci Vis,2013,30(7):1441-1447
[6]李科毅,温杏芳,褚薇,等.视功能训练对不同程度儿童弱视治疗的巩固作用[C].2016全国慢性病诊疗论坛论文集,2016:224-224
[7]杨莎莎,高宗银,杨为中,等.远视性弱视儿童屈光状态演变的连续观察[J].中国实用眼科杂志,2016,34(1):20-23
[8]陈少芳,周瑾,刘恬,等.屈光参差性弱视治疗过程中视力和立体视觉的对比研究[J].实用医学杂志,2015,31(12):2007-2009
[9]Chen W,Chen J,Huang J,et al.Comparison of macular and retinal nerve fiber layer thickness in untreated and treated binocular amblyopia[J].Curr Eye Res,2013,38(12):1248-1254
[10]时颖,郑曰忠.儿童屈光不正性弱视治疗效果相关因素分析[J].中国实用眼科杂志,2015,33(6):654-656
[11]余雪梅,黄一涛.系统化健康教育对弱视患儿、家长疾病认知及治疗依从性的影响[J].国际护理学杂志,2015,34(6):787-789
[12]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[J].中国斜视与小儿眼科杂志,2013,21(4):12-15
[13]Zhai J,Chen M,Liu L,et al.Perceptual learning treatment in patients with anisometropic amblyopia:A neuroimaging study[J].Br J Ophthalmol,2013,97(11):1420-1424
[14]肖强.青少年屈光不正性弱视在同量综合弱视治疗下眼调节微波动的变化及主视眼疗效[J].国际眼科杂志,2016,16(5):844-847
[15]程子昂,谢祥勇.屈光参差性弱视治疗后期加入视功能训练的临床观察[J].国际眼科杂志,2016,16(12):2359-2361
[16]单宏.弱视治疗后双眼立体视功能的临床研究[J].现代中西医结合杂志,2013,22(3):276-277
[17]任骁方,肖林.视觉感知训练应用于弱视治疗的研究进展[J].中国康复理论与实践,2015,21(6):662-665
[18]Sachdeva V,Mittal V,Kekunnaya R,et al.Efficacy of split hours part-time patching versus continuous hours part-time patching for treatment of anisometropic amblyopia in children:A pilot study[J].Br J Ophthalmol,2013,97(7):874-878
[19]陈伟文,吴春凤.儿童弱视治疗效果影响因素的研究[J].中国妇幼保健,2014,29(8):1214-1216
[20]贾趁霞,胡俊喜,闫义涛,等.弱视治疗前后对比敏感度的分析[J].中国斜视与小儿眼科杂志,2014,22(3):26-31
[21]Carlton J.Identifying potential themes for the Child Amblyopia Treatment Questionnaire[J].Optom Vis Sci,2013,90(8):867-873
[22]Fronius M,Cirina L,Ackermann H,et al.Efficiency of electronically monitored amblyopia treatment between 5and 16years of age:new insight into declining susceptibility of the visual system[J].Vision Res,2014,103(10):11-19
[23]陈少芳,周瑾,刘恬,等.屈光参差性弱视治疗过程中视力和立体视觉的对比研究[J].实用医学杂志,2015,31(12):2007-2009
[24]汤玮玮,王潇潇,陶黎明.基于云服务技术的视知觉训练与传统综合训练对改善弱视患儿视力和立体视功能的疗效比较[J].中华实验眼科杂志,2016,34(5):426-431
[25]Agervi P,Kugelberg U,Kugelberg M,et al.Two-year followup of a randomized trial of spectacles plus alternate-day patching to treat strabismic amblyopia[J].Acta Ophthalmol,2013,91(7):678-684
[26]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[J].中国斜视与小儿眼科杂志,2013,21(4):12-15
[27]姚帮桃,赵孝贵,董照阳,等.阿托品压抑疗法和遮盖疗法在小儿弱视治疗中比较[J].临床眼科杂志,2013,21(6):537-538