方法：选择2010-01-01以来在济南军区总医院进行弱视治疗、随访资料完整的弱视患儿共78 例129 眼，其中男31例53 眼，女47例76眼，初始就诊年龄3～12岁，进行以准确验光、合理配镜和优势眼恰当遮盖为基础的综合治疗，并对家长和患儿进行依从性培训。治疗时间为12～36mo，随访3a，观察最终疗效，比较依从性好、一般、差3个等级患儿的阶段性疗效差别。

结果：在治疗36mo时，痊愈106眼，基本痊愈21眼，总治愈率98.4%，提高2眼(1.6%)，无效0 眼，总有效率100%。治疗6mo时，总治愈率为69.0%，三种不同依从性患儿的治愈率之间，差异有统计学意义(整体比较P<0.001，两两比较P<0.017)。治疗12mo时，总治愈率为89.1%，依从性一般的患儿治愈率与依从性好者比较，差异具有统计学意义(P<0.05)。

结论：对弱视患儿的综合治疗可以取得理想的临床疗效，依从性是影响治疗效果和治疗进程的重要因素，对家长和患儿的依从性培训可以缩短疗程、提高疗效。

METHODS:The children with amblyopia treatment since January 1^st 2010 in General Hospital of Jinan Military Area, were selected and completed follow-up for a total of 129 eyes of 78 patients, including 53 eyes of male in 31 cases and 76 eyes of female in 47 cases, the initial age of 3 to 12 years, the treatment were performed with accurate optometry, reasonable glasses and appropriate to cover the dominant eye based comprehensive therapy and compliance training of the parents and children. The treatment time was 12-36mo, followed up for 3a. The final therapeutic effect was observed and the difference of the stage curative effect between the children with different grade of compliance(good, moderate and poor grade)was compared.

RESULTS:In the treatment of 36mo, 106 eyes were cured, 21 eyes were essentially recovered and the total cure rate was 98.4%, which was improved in 2 eyes(1.6%)and was ineffective in 0 eyes(0%); the total effective rate were 100%. The total cure rate was 69% in the treatment of 6mo and there was a significant difference in the cure rate among children with different compliance(overall comparison P<0.001, each comparison P<0.017). In the treatment of 12mo, the total cure rate was 89.1% and the cure rate were significantly different between children with the moderate compliance and the children with good compliance(P<0.05).

CONCLUSION:Comprehensive treatment of children with amblyopia can achieve an ideal clinical efficacy. Compliance is an important factor influencing the treatment effect and the treatment process. The parents and children's compliance training can shorten the course of treatment and improve the curative effect.