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目的:探讨综合治疗法对不同程度、不同年龄、不同类型的弱视患儿的临床疗效。方法:选取2012年1月~2014年1月在我院接受治疗的弱视患儿393例(671眼),根据弱视程度分为轻度组(299眼)、中度组(293眼)和重度组(79眼),3组患者均采用遮盖、精细目力训练、仪器训练及压抑疗法进行治疗,均治疗6~12个月,比较不同程度、不同年龄、不同类型的弱视患儿治疗后临床疗效。结果:治疗后,轻度、中度和重度组患儿的治愈率分别为90.97%、72.35%和17.72%,总有效率分别为100.00%、96.93%和84.81%,组间比较差异具有统计学意义(P<0.05)。3~5岁、6~8岁和9~11岁患儿的治愈率分别为77.08%、74.72%和71.03%,总有效率分别为99.48%、97.36%和93.93%,3~5岁患儿总有效率显著高于9~11岁患儿(P<0.05),但三个年龄段患儿治愈率差异不显著(P>0.05)。屈光不正性弱视患儿、斜视性弱视患儿、屈光参差性弱视患儿的治愈率分别为85.65%、45.75%和61.54%,总有效率分别为99.34%、90.20%和95.38%,其中,屈光不正性弱视患儿经治疗的总有效率和治愈率均显著高于其他两种类型(P<0.05)。结论:综合治疗法对弱视患儿的临床疗效与弱视程度、弱视类型和年龄密切相关,结合儿童弱视类型提早治疗是提高预后的关键。
Objective: To investigate the clinical curative effect of comprehensive treatment on amblyopia children with different degrees, different ages and different types. Methods: A total of 393 cases (671 eyes) with amblyopia treated in our hospital from January 2012 to January 2014 were selected and divided into mild group (299 eyes), moderate group (293 eyes) and severe (79 eyes). All the patients in the three groups were treated by masking, meticulous eyesight training, instrumental training and repressive therapy. All patients were treated for 6 to 12 months. The clinical effects of different degrees, different ages and different types of amblyopia children were compared . Results: After treatment, the cure rates were 90.97%, 72.35% and 17.72% in the mild, moderate and severe groups, respectively. The total effective rates were 100.00%, 96.93% and 84.81%, respectively. The difference between the two groups was statistically significant Significance (P <0.05). The cure rates of children aged 3 ~ 5 years, 6 ~ 8 years and 9 ~ 11 years were 77.08%, 74.72% and 71.03%, respectively. The total effective rates were 99.48%, 97.36% and 93.93% The total effective rate was significantly higher than that of children aged 9 to 11 (P <0.05), but there was no significant difference in the cure rate between the three age groups (P> 0.05). The cure rates of children with ametropia amblyopia, strabismic amblyopia and anisometropic amblyopia were 85.65%, 45.75% and 61.54%, respectively, with the total effective rates of 99.34%, 90.20% and 95.38%, respectively , The total effective rate and cure rate of children with ametropia amblyopia were significantly higher than the other two types (P <0.05). Conclusion: The comprehensive treatment of amblyopic children with clinical efficacy and the degree of amblyopia, amblyopia type and age are closely related to children with amblyopia type early treatment is to improve the prognosis of the key.