弱视集中训练模式与家庭训练模式的比较

letJ

Ophthalmol,V01.10,No.1,Jan.2010嗍.UO.m

83085628

Tel:029-82245172Email:UO.2000@163.com

临床论著

弱视集中训练模式与家庭训练模式的比较

金小琴1,徐峰1,吴

夕2

作者单位:1(433000)中国湖北省仙桃市中医院眼科;2(100044)中围北京市,北京大学人民医院眼科

作者简介:金小琴,女,主治医师,研究方向:斜视与d'JL眼科。通讯作者:徐峰,男,副主任医师,研究方向:综合眼科.fengy

in6ingxu@163.com

收稿日期:2009—09.14

修回日期:2009—12-24

Comparisonofhospitalintensivetraining

andfamilytrainingforamplyopiaXiao.QinJinl,FengXul,Xi

Wu2

Departmentof

Ophthalmology,Traditional

Chinese

Medicine

Hospital

of

Xiantao.Xiantao433000。Hubei

Province.China;

Departmentof

Ophthalmology,the

People’s

Hospital,Beijing

University。Beijing100044。China

Correspondence

to:Feng

Xu.Department

of

Ophthalmology,

TraditionalChineseMedicineHospitalofXiantao,Xiantao433000.Hubei

Province,China.fengyingjingxu@163.com

Received:2009.09.14

Accepted:2009-12埘

Abstract

AlM:Tovalidatethecomplianceandefficacyinhospital

intensivetrainingbycomparinghospitalintensivetraining

and

familytraining.

METHODS:Outpatients,agingfrom3to”,diagnosedandsortedaccordingtothestandardsmadebyChineseMedicalAssociationChildrenAmplyopiaandStrabismusPreventionandCureGroupreceivedmydriaticoptometry

and

wereremediedrefractiveerroras

routine,then

randomlyunitedintohospitalintensivetraininggroupandfamilytraininggroup.Wecomparedtheefficacyafterfine

eyesighttraining,circularactivatemachine(CAM)stimalatorandpleopticstherapies.The

patientsweretreatedfor3—6

months.foIlowedby2years.

RESULTS:Wechose173eyesfrom100

cases

forthe

hospital

intensive

training

group,of

which136

eyes

recovered,33eyesimproved,no

efficacyfor

7eyes,thetotaIe仟ectiveratewas97.7%.Therewere90eyesfrom50

cases

forthe

familytraininggroup,of

which35eyes

recovered.37eyesimproved,noefficacyfor18eyes,thetotaIeffectiveratewas80.0%.Therewassignificantdifferencebetweenthe

two

group(P<0.01).(1)Relations

betweenseverityandefficacy:theefficacybetweenthemildandmoderateamplyopicsubjectsofthetwogroupswere

bothsignificantly

different(P<0.01);Theefficacyforthe

severe

amplyopic

subjectsof

the

two

groups

had

no

significantdifference.(2)Relationsbetweendifierentsortsofamplyopiaandefficacy:Theefficacyoftherefractiveamplyopia

and

strabismic

amplyopia

had

significant

differenceforbothgroups(P<0。们);Therewasdifference

万 

方数据forthe

anisometropic

amplyopiaofthetwogroups(P<

0.05),andhospitalintensivetraininggroupwasbetter.(3)

Relationsbeft、/veenageandefficacy:Therewassignificantdifferenceforthe3-6yearsoldsubjectsand7—11yearsold

subjectsof

the

twoteams(P<0.05),hospitaI

intensive

training

hadmoreadvantages.

CONCLUSION:Givenamplyopic

severity,sortsandage,hospital

intensive

training

is

more

effective

than

familytrainingandhasmoreadvantages.Itishelpfulinimprovingcomplianceofamplyopiatraining.

KEYWORDS:amplyopia:hospitalintensivetraining;

compliance

JinXQ,XuF,WuX.Comparisonofhospitalintensivetrainingand

familytrainingfor

amplyopia.mJOp删讪澍(Guoji

Yanke磁i)

2010;10(1):85-87

摘要

目的:通过医院集中弱视训练与传统家庭弱视训练方法

的比较,探讨医院集中训练模式对提高弱视训练的依从性

和疗效的作用。

方法:将3一ll岁的门诊弱视儿童,根据中华医学会眼科学会儿童弱视斜视防治学组制定的弱视诊断、分类标准,经常规散瞳验光和矫正屈光不正,随机分为医院集中训练组和传统家庭训练组,采用精细目力训练、视觉刺激疗法(circularactivatemachine,CAM)、后像疗法等,比较两组疗效。平均治疗3—6too,随访2a。

结果:医院集中训练组100例173眼中,基本治愈136眼,

进步33眼,无效4眼,总有效率97.7%。传统家庭训练组

有效率80.0%。两组总疗效比较(P<0.01),差异有极显著性。(1)弱视程度与疗效的比较:两组轻度、中度弱视之间的疗效比较(P<0.01),差异均有极显著性;医院集

中训练组优于传统家庭训练组。两组重度弱视之间的疗

效比较,差异无显著性。(2)弱视性质与疗效的比较:两组屈光不正性弱视的疗效比较、两组斜视性弱视的疗效比较(P<0.01),差异均有极显著性;两组屈光参差性弱视的疗效比较(P<0.05),差异有显著性,集中训练组比家

庭训练组疗效突出。(3)年龄与疗效的比较:两组3—6岁弱视的疗效比较、7一11岁弱视的疗效比较(尸<0.05),

差异均有极显著性,集中训练组比家庭训练组疗效突出。

结论:医院集中训练模式对于治疗儿童弱视具有一定的

优势,特别是从弱视程度,性质以及年龄上显示比传统家庭训练模式更为有效,这有助于提高弱视训练的依

从性。

关键词:弱视;医院集中训练;依从性

DOI:10.3969/j.issn.1672-5123.2010.01.027

金小琴,徐峰,吴夕.弱视集中训练模式与家庭训练模式的比较.国际眼科杂志2010;10(1):85-87

85

50例90眼中,基本治愈35眼,进步37眼,无效18眼,总

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