学龄期儿童弱视集体干预治疗效果观察.docVIP

学龄期儿童弱视集体干预治疗效果观察【摘要】 目的 探讨集体干预治疗对学龄期儿童弱视综合治疗效果的影响，为提高弱视儿童视力提供依据。方法 随机将122例弱视患者(164眼)分为2组，弱视综合治疗组69例89眼，集体干预治疗组53例75眼，观察起效时间、顺应性及疗效。 结果　1月内起效例数2组差异有统计学意义(χ2=6.888，P＜0.05)，3个月内起效例数2组差异无统计学意义(χ2=2.035，P0.05)，集体干预治疗起效时间短于综合治疗组，治疗3个月后，集体干预治疗的顺应性好于综合治疗组，差异有统计学意义(χ2=5.802，P＜0.05)。治疗后6个月随访，集体干预治疗的有效率与综合治疗组差异无统计学意义(χ2=1.816，P＞0.05)；集体干预治疗的治愈率高于综合治疗组，差异有统计学意义(χ2=5.435，P＜0.05)。 结论 集体干预治疗可以提高学龄期儿童弱视治疗效果，缩短疗程，提高治愈率。 【关键词】 视力，低；干预性研究；治疗结果；儿童 【中图分类号】 R 777.4?+4 【文献标识码】 A 【文章编号】 1000-9817(2007)02-0145-02 Efficacy of Collective Intervention with Combined Therapy on Amblyopia Among School-aged Children/ ZHAO Yong-jie. The First Affiliated Hospital, Henan University of Science and Technology, Luoyang(471003), Henan Province, China 【Abstract】 Objective To explore efficacy of the treatment of collective intervention with combined therapy among children with amblyopia, and to provide evidence for eyesight improvement. Methods Totally 164 eyes of 122 children with amplyopia were randomly divided into two groups: 89 eyes of combined therapy and 75 eyes of collective intervention. The onset time, compliance and efficacy were followed up. ResultsThere were statistical significance of efficacy cases in one month between the two groups(χ2=6.888,P＜0.05), but no statistical significance was found in three months(χ2=2.035, P＞0.05). The onset time was shorter in collective intervention group and the compliance was better(χ2=5.802, P＜0.05). Both the efficacy rate and the cure rate were higher in collective intervention group than in combined therapy. ConclusionCollective intervention can improve the treatment efficacy and cure rate of children’s amblyopia and shorten the course of treatment. 【Key words】 Vision,low;Intervention studies;Treatment outcome;Child 【作者简介】 赵勇洁(1968-)，女，河南三门峡人，在读硕士研究生，主治医师，主要从事眼科临床工作。 【作者单位】 河南科技大学第一附属医院，洛阳 471003。 弱视是造成儿童视力低下的主要原因。弱视的综合治疗由于治疗时间长，见效慢，往往不能坚持，导致治疗效果不良或失败。如何使儿童自觉地坚持治疗，并保证每一次治疗的最大效果，必须做好儿童的解释工作并让他们减少孤独感，看到治疗效果，确立治疗信心。因此，笔者利用假期将集体干预治疗用于初