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目的:研究弱视患儿针灸合并综合疗法的视力改善情况以及立体视觉变化。方法:将65例130眼患者随机分为两组,治疗组33例66眼,采用针灸及弱视综合疗法治疗,对照组32例64眼,予以综合疗法治疗,观察两组的临床疗效。采用中医针灸结合传统遮盖法治疗。结果:经8个月治疗后,患眼视力均明显提高,轻中度患眼患儿的立体视均有较明显的变化。部分患儿获得正常立体视。重度弱视患者的立体视改变无明显变化。不同类型弱视患儿斜视性弱视的立体视觉恢复最差(P>0.1),屈光不正性弱视的立体视恢复有统计学意义(P<0.01)。结论:中医针灸联合遮盖为主综合疗法对儿童弱视立体视恢复有较好的疗效,立体视可以作为检测弱视眼视力好转的有力证据。
Objective: To study the improvement of visual acuity and stereoscopic vision of acupuncture and moxibustion combined with comprehensive therapy in children with amblyopia. Methods: One hundred and sixty-five patients (130 eyes) were randomly divided into two groups. 33 cases (66 eyes) were treated by acupuncture combined with amblyopia. The control group (32 eyes) and 64 eyes (64 eyes) were treated by combined therapy. The clinical curative effect was observed. Acupuncture combined with traditional Chinese medicine cover treatment. Results: After 8 months of treatment, visual acuity was significantly improved in children with mild to moderate stereopsis have more obvious changes. Some children receive normal stereopsis. Stereoscopic changes in patients with severe amblyopia did not change significantly. Stereoscopic visual acuity was the worst in children with different types of amblyopia (P> 0.1), and stereopsis of ametropia amblyopia was statistically significant (P <0.01). Conclusion: The combination therapy of acupuncture and moxibustion with traditional Chinese medicine has a good curative effect on stereopsis of amblyopia in children, stereopsis can be used as a strong evidence to detect the improvement of visual acuity in amblyopic eyes.