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目的:观察息宁(左旋多巴/ 卡比多巴)对难治性屈光参差性弱视患儿视力的影响,探讨左旋多巴用药时间和治疗机理。方法:给32 例(5~15 岁) 经传统疗法治疗至少6 个月无效的屈光参差性弱视患儿口服息宁1mg/0.25mg/kg,一日三次,连续60 天。观察服药前及服药后第3、6、9 、30、60 天单字E 视力的变化。结果:弱视眼和优势眼的单字视力服药后第3 天提高,差异有极显著性( P<0 .01) ,继续服药无进一步改善。结论:短期服用左旋多巴对改善难治性屈光参差性弱视的视力有一定作用。
Objective: To observe the effect of Xining (levodopa / carbidopa) on visual acuity in children with refractory anisometropic amblyopia and to explore the levodopa treatment time and therapeutic mechanism. Methods: 32 patients (5-15 years old) who were treated with traditional therapy for atypical anisometropic amblyopia for at least 6 months were treated with oral Xining 1mg / 0.25mg / kg three times a day for 60 consecutive days. Observation of medication before and after taking the 3rd, 6th, 9th, 30th and 60th days of single word E vision changes. Results: The visual acuity of amblyopic eye and dominant eye increased 3 days after taking the medicine, the difference was significant (P <0.01). No further improvement was continued after taking the medicine. Conclusion: Short-term administration of levodopa has some effect on improving visual acuity in refractory and anisometropic amblyopia.