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[摘要]
目的:探讨双眼视觉训练对儿童共同性斜视术后立体视建立和视功能的影响。
方法:选取共同性斜视患儿93例,随机分为两组,使其有可比性。对照组(n=46)给予常规手术和护理; 观察组(n=47)在对照组常规护理基础上,术后给予双眼视觉训练。分别采用同视机和Titmus立体视图对患者的立体视功能进行检查。
结果:经过治疗,观察组患者具有同时视、视融合以及立体视者分别占77%,62%和40%,对照组分别占48%,35%和18%,观察组明显多于对照组,两组比较差异有统计学意义(P<0.05)。观察组患儿经过治疗,具有中心凹立体视、黄斑立体视者分别占32%和26%,对照组分别占18%和11%,观察组明显多于对照组; 观察组无立体视者占23%,对照组占54%,观察组明显少于对照组。上述比较两组差异有统计学意义(P<0.05)。
结论:双眼视觉训练可以有效帮助共同性斜视患儿术后建立立体视,对于斜视患儿术后应给予常规视觉训练,以改善患儿视功能,提高患儿的生活质量。
[Key word]
[Abstract]
AIM: To investigate the effect of binocular vision training on stereopsis establish and visual function in child concomitant strabismus after surgery
METHODS:Ninety-three cases of strabismus children were randomly divided into two groups, making it comparable. The control group(n=46)were treated with conventional surgery and care; the observation group(n=47)on the basis of routine care as control group, were given binocular vision training. Synoptophore and Titmus stereoscopic view were used to check the function of stereoscopic.
RESULTS:After treatment, simultaneous perception, visual fusion and stereopsis of trail patient were 77%, 62% and 40%, respectively, those of control group were 48%, 35% and 18%, the difference was statistically significant(P<0.05). After treatment, fovea stereopsis and macular stereopsis children in observation group were accounted for 32% and 26%, respectively, in the control group those were accounted for 18% and 11%, respectively. Those in the observation group were significantly more than the control group. No stereoscopic patients in observation group were 23%, and that was 54% in the control group. That in the observation group was significantly less than the control group. The difference comparison between the two groups was statistically significant(P<0.05).
CONCLUSION: Binocular vision training can effectively help children to build concomitant strabismus after surgery, for children with strabismus should be treated with conventional visual training to improve visual function and improve the life quality.
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