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目的探讨大龄儿童单眼弱视的疗效及其相关影响因素。方法10~15岁大龄儿童单眼弱视患儿67例(67眼),经综合疗法治疗弱视,观察其治疗效果,并对弱视类型、弱视程度、注视性质等相关影响因素进行分析。结果大龄儿童单眼弱视67例(67眼)治愈率(包括基本治愈+治愈率)为58.21%(39/67),进步26.87%(18/67),无效14.92%(10/67),总有效率为85.07%(57/67)。屈光参差性弱视、斜视性弱视和形觉剥夺性弱视的治愈率分别为71.74%、33.33%和0%,不同类型弱视之间的疗效差异有统计学意义(P<0.01)。轻度弱视、中度弱视和重度弱视的治愈率分别为85.71%、57.14%和27.27%,不同程度弱视之间的疗效差异有统计学意义(P<0.01)。结论大龄儿童单眼弱视疗效较好,应予积极治疗,其疗效与弱视类型、弱视程度、注视性质密切相关,屈光参差性弱视、弱视程度轻及中心注视者疗效好。
Objective To investigate the curative effect and related factors of monocular amblyopia in older children. Methods A total of 67 children (67 eyes) with monocular amblyopia from 10 to 15 years old were treated with comprehensive therapy for amblyopia. The therapeutic effects were observed and the related factors such as the type of amblyopia, the degree of amblyopia and the nature of gaze were analyzed. Results 67 eyes (67 eyes) with monocular amblyopia in older children had a cure rate of 58.21% (39/67), an improvement of 26.87% (18/67), and a cure rate of 14.92% (10/67) The efficiency is 85.07% (57/67). The cure rates of anisometropic amblyopia, strabismic amblyopia and form deprivation amblyopia were 71.74%, 33.33% and 0%, respectively. There were significant differences in curative effect between different types of amblyopia (P <0.01). The cure rates of mild amblyopia, moderate amblyopia and severe amblyopia were 85.71%, 57.14% and 27.27%, respectively. There were significant differences in the therapeutic effect between amblyopia and other groups (P <0.01). Conclusions Monocular amblyopia in older children is better and should be actively treated. The therapeutic effect is closely related to the type of amblyopia, the degree of amblyopia and the nature of gaze. The anisometropic amblyopia, mild amblyopia and central attention are good.