视知觉学习联合间断遮盖治疗对小儿弱视临床疗效与遵医行为的影响(1)
【摘要】 目的：探讨视知觉学习联合间断遮盖治疗对小儿弱视临床疗效与遵医行为的影响。方法：选取本院2010年1月-2013年8月本院眼科门诊收治的小儿弱视患者115例(204眼)作为研究对象，采用随机数字表法将其分为两组，对照组57例采用戴镜联合间断遮盖治疗，观察组58例在对照组基础上采用视知觉学习，比较两组临床疗效与遵医行为等的差异。结果：观察组治疗有效率及遵医率均明显高于对照组，比较差异均有统计学意义(P>0.05)；治疗后，观察组BCVA明显高于对照组，散光程度明显低于对照组，比较差异均有统计学意义(P<0.05)。治疗后，观察组潜伏期、M振幅明显低于对照组，波幅密度、B/M明显高于对照组，比较差异均有统计学意义(P<0.05)。结论：视知觉学习联合间断遮盖治疗对小儿弱视临床疗效显著，可提高遵医行为，值得临床推广应用。
【关键词】 视知觉学习； 间断遮盖； 小儿； 弱视； 遵医行为
【Abstract】 Objective：To study the effect of visual perceptual learning combined with intercostal patching treatment in children with amblyopia on the clinical curative effect and medical behavior.Method：115 children(204 eyes) with amblyopia in the ophthalmology clinic of our hospital from January 2010 to August 2013 were selected and randomly divided into two groups.The control group(57 cases) was given the treatment of wearing mirror and intercostal patching.The observation group was given visual perceptual learning on the basis of the control group.The clinical curative effect and medical behavior were compared between the two groups.Result：The treatment efficient rate and the compliance rate of the observation group were obviously higher than those of the control group，the differences were statistically significant(P<0.05).After treatment，the BCVA of the observation group was obviously higher than that of the control group，the degree of astigmatism was significantly lower than that of the control group，the differences were statistically significant(P<0.05).After treatment，the incubation period and M amplitude of the observation group were obviously lower than those of the control group，the amplitude density and B/M were significantly higher than those of the control group，the differences were statistically significant(P<0.05).Conclusion：Visual perceptual learning combined with intercostal patching treatment in children with amblyopia has distinct clinical curative effect，it can improve the medical behavior.It is worthy of clinical popularization and application.
, 百拇医药
【Key words】 Visual perceptual learning； Intercostal patching； Children； Amblyopia； Medical behavior
First-author’s address：Chenghai District People’s Hospital of Shantou City，Shantou 515800，China
doi：10.3969/j.issn.1674-4985.2015.35.015
弱视是指眼球无明显器质性病变导致单眼或双眼矫正视力仍达不到0.8，临床表现主要为视力降低，无立体视觉，严重影响小儿视力功能[1-3]。本研究探讨视知觉学习联合间断遮盖治疗对小儿弱视临床疗效与遵医行为的影响，现报道如下。
1 资料与方法
, 百拇医药
1.1 一般资料 选取本院2010年1月-2013年8月眼科门诊部收治的小儿弱视患者115例(204眼)作为研究对象。本研究经本院伦理委员会批准。纳入标准：(1)全部患儿均符合中华眼科学会全国儿童弱视斜视防治学组制定的关于小儿弱视的诊断标准[4]。其中轻度弱视，矫正视力0.6～0.8；中度弱视，矫正视力0.2～0.5；重度弱视，矫正视力≤0.1。(2)随访资料完整。排除标准：合并眼部功能性病变，眼部器质性病变，眼部相邻部位占位性病变与精神性疾病患儿，戴镜治疗4个月后达正常视力1.0。采用随机数字表法将其分为观察组与对照组，观察组58例，104眼，其中男31例，女27例，年龄2～9岁，平均(5.61±0.61)岁，轻度弱视24眼，中度弱视40眼，重度弱视40例；对照组57例，100眼，其中男32例，女25例，年龄2～10岁，平均(5.72±0.65)岁，轻度弱视25眼，中度弱视41眼，重度弱视34例；两组患者的性别、年龄及病情程度等一般资料比较，差异均无统计学意义(P>0.05)，具有可比性。, 百拇医药(王锡波 观志强 王霞)
【关键词】 视知觉学习； 间断遮盖； 小儿； 弱视； 遵医行为
【Abstract】 Objective：To study the effect of visual perceptual learning combined with intercostal patching treatment in children with amblyopia on the clinical curative effect and medical behavior.Method：115 children(204 eyes) with amblyopia in the ophthalmology clinic of our hospital from January 2010 to August 2013 were selected and randomly divided into two groups.The control group(57 cases) was given the treatment of wearing mirror and intercostal patching.The observation group was given visual perceptual learning on the basis of the control group.The clinical curative effect and medical behavior were compared between the two groups.Result：The treatment efficient rate and the compliance rate of the observation group were obviously higher than those of the control group，the differences were statistically significant(P<0.05).After treatment，the BCVA of the observation group was obviously higher than that of the control group，the degree of astigmatism was significantly lower than that of the control group，the differences were statistically significant(P<0.05).After treatment，the incubation period and M amplitude of the observation group were obviously lower than those of the control group，the amplitude density and B/M were significantly higher than those of the control group，the differences were statistically significant(P<0.05).Conclusion：Visual perceptual learning combined with intercostal patching treatment in children with amblyopia has distinct clinical curative effect，it can improve the medical behavior.It is worthy of clinical popularization and application.
, 百拇医药
【Key words】 Visual perceptual learning； Intercostal patching； Children； Amblyopia； Medical behavior
First-author’s address：Chenghai District People’s Hospital of Shantou City，Shantou 515800，China
doi：10.3969/j.issn.1674-4985.2015.35.015
弱视是指眼球无明显器质性病变导致单眼或双眼矫正视力仍达不到0.8，临床表现主要为视力降低，无立体视觉，严重影响小儿视力功能[1-3]。本研究探讨视知觉学习联合间断遮盖治疗对小儿弱视临床疗效与遵医行为的影响，现报道如下。
1 资料与方法
, 百拇医药
1.1 一般资料 选取本院2010年1月-2013年8月眼科门诊部收治的小儿弱视患者115例(204眼)作为研究对象。本研究经本院伦理委员会批准。纳入标准：(1)全部患儿均符合中华眼科学会全国儿童弱视斜视防治学组制定的关于小儿弱视的诊断标准[4]。其中轻度弱视，矫正视力0.6～0.8；中度弱视，矫正视力0.2～0.5；重度弱视，矫正视力≤0.1。(2)随访资料完整。排除标准：合并眼部功能性病变，眼部器质性病变，眼部相邻部位占位性病变与精神性疾病患儿，戴镜治疗4个月后达正常视力1.0。采用随机数字表法将其分为观察组与对照组，观察组58例，104眼，其中男31例，女27例，年龄2～9岁，平均(5.61±0.61)岁，轻度弱视24眼，中度弱视40眼，重度弱视40例；对照组57例，100眼，其中男32例，女25例，年龄2～10岁，平均(5.72±0.65)岁，轻度弱视25眼，中度弱视41眼，重度弱视34例；两组患者的性别、年龄及病情程度等一般资料比较，差异均无统计学意义(P>0.05)，具有可比性。, 百拇医药(王锡波 观志强 王霞)