【摘要】 目的探讨综合治疗在小儿弱视治疗中的应用效果。方法将我院接诊的135例弱视患儿(243眼)作为研究对象,所有患儿均行综合治疗,观察本组患儿的治疗效果,并分析临床疗效与患儿年龄、注视性质、弱视程度的关系。结果本组患儿治愈191眼,好转51眼,无效1眼,治疗总有效率为99.59%(242/243)。其中2~6岁患儿的治愈率为92.98%,显著高于7~10岁和11~13岁患儿,7~10岁患儿的治愈率又显著高于11~13岁患儿,P<0.05。轻度弱视患儿的治愈率显著高于中度和重度弱视组,中度弱视患儿的治愈率也显著高于重度弱视组,P<0.05。中心注视患儿的治愈率为91.13%,旁中心注视患儿的治愈率为15.00%,组间比较有显著性差异(P<0.05)。结论综合治疗小儿弱视具有较高的治愈率,但临床疗效会受到患儿年龄、注视性质、弱视程度的影响,年龄越小、弱视程度越轻及中心注视者的治疗效果更好。更多还原

【Abstract】 Objective To explore the clinical effect of comprehensive therapy on pediatric amblyopia. Methods 135 cases(243 eyes)of pediatric amblyopia admitted to our hospital were selected. All cases were given comprehensive therapy. The curative effect was observed,and the relationships with age, classification of fixation and degree of amblyopia were analyzed. Results 191 eyes were cured, 51 eyes were improved and one eye was ineffective, with the total effective rate of 99.59%(242/243). The curative rates of children aged from 2 to 6,children aged from 7 to 10, and children aged from 11 to 13 were 92.98%, 77.14% and 16.67% respectively, with statistically significant difference between different age groups(P <0.05). The curative rates of mild amblyopia, moderate amblyopia and severe amblyopia were94.59%, 78.77% and 26.09% respectively, with statistically significant difference between different degrees of amblyopia(P <0.05). The curative rate of centric fixation was 91.13%, significantly higher than 15.00% of eccentric fixation(P <0.05). Conclusions Comprehensive therapy for pediatric amblyopia has higher curative rate, but the efficacy is affected by children’s age, classification of fixation and degree of amblyopia. Those who have smaller age, lighter degree of amblyopia or centric fixation have better curative effect.更多还原