【摘要】 目的探讨综合疗法治疗儿童弱视的疗效。方法对188例(280眼)弱视患儿进行戴镜、遮盖疗法、弱视训练及精细作业等弱视综合治疗,分别从弱视的类型、程度、初诊年龄和注视性质评价和疗效的关系。结果治疗总有效率为97.14%,基本治愈率为77.86%。其中屈光不正性弱视疗效最好,与屈光参差性、斜视性弱视比较差异有显著性(P<0.01)。初诊年龄越小,疗效越好。3岁～6岁年龄组基本治愈率与7岁～9岁年龄组、10岁～12岁年龄组比较差异有显著性(P<0.01)。弱视程度越轻,疗效越好。轻度弱视与中度弱视、重度弱视比较差异均有显著性(P<0.01)。中心注视性弱视基本治愈率和旁中心注视性弱视比较差异有显著性(P<0.01)。结论综合疗法治疗儿童弱视疗效肯定,其疗效与弱视类型、程度、初诊年龄和注视性质等因素相关。更多还原

【Abstract】 Objective To research the effect of children amblyopia by applying combined therapy.Method 188 asthenopic children(280 eyes) were given combined therapy,such as wearing glasses,occlusion therapy,amblyopia curing training and overhaul,etc.The relation between the therapy response and amblyopia type,amblyopia level,the age of first visit to doctor or stare characteristic was evaluated respectively.Results The totally response rate was 97.14%.The basic cure probability was 77.86%.Among the 188 asthenopic children,the best response was ametroic amblyopia,the rate was 88.32%.Comparing with anisometropy and strabismic amblyopia,the difference was remarkable(P<0.01).However,the difference between anisometropy and strabismic amblyopia had no difference.The first visiting doctor earlier,the effect was better.The basic effect was variant according to age groups.Among 3-6 years old group,the response rate was 89.32%,among 7-9 years old group,the percentage was 75.63%,among 10-12 years old group the rate is 62.07%.The difference was significant(P<0.01).The basic cure rate to the low-grade amblyopia was 95.83%,to middle-grade amblyopia was 76.07%,to high-grade amblyopia was 55.56%.The difference between any two groups among the three ones was remarkable(P<0.01).The cure rate to the centre concentration amblyopia was 86.31%.The difference from side concentration amblyopia was remarkable(P<0.01).Conclusion Combined therapy had positive effect to cure children amblyopia.The curing effect was related to amblyopia type,amblyopia level,the first visit to doctor age,and stare characteristic,etc..更多还原