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[摘要]
目的:探讨脑力影像网络训练对共同性斜视术后患儿双眼视觉功能恢复的影响。
方法:选取2013-03/2017-03本院收治的共同性斜视术后患儿100例,依据随机数字表法分为脑力组和对照组,每组各50例。脑力组患者给予脑力影像网络训练,常规组患者不进行训练。比较两组患者双眼视觉功能、近立体视锐度、眼位情况。
结果:在同视机视觉功能Ⅰ级、Ⅱ级、Ⅲ级占比方面,脑力组和对照组治疗后均明显高于治疗前,脑力组治疗后明显高于对照组,差异均有统计学意义(P<0.05)。在Titmus近立体视锐度无立体视占比方面,脑力组和对照组治疗后均明显低于治疗前,脑力组治疗后明显低于对照组,而在Titmus近立体视锐度中心凹、黄斑孔、周边立体视占比方面,脑力组和对照组治疗后均明显高于治疗前,脑力组治疗后均明显高于对照组,差异均有统计学意义(P<0.05)。训练6mo后,脑力组眼位维持正位率明显高于对照组,差异有统计学意义(P<0.05)。
结论:脑力影像网络训练可有效促进共同性斜视术后患儿双眼视觉功能恢复,有利于维持眼位正位。
[Key word]
[Abstract]
AIM: To discuss the effect of mental image network training on binocular visual function recovery in children with concomitant strabismus.
METHODS: Totally 100 children with concomitant strabismus were selected from March 2013 to March 2017 in our Hospital. According to the random distribution, they were divided into mental group and control group, 50 cases in each group. Mental group was given the mental image network training, control group was given no training. The visual function of the two groups of binocular vision, the near stereoscopic visual acuity and the eye position of the two groups were compared.
RESULTS: The proportion of patients with vision function by synoptophore at Ⅰ, Ⅱ, Ⅲ after treatment of mental group and control group were significantly higher than those before treatment, the after treatment of mental group was significantly higher than that of control group, the difference was statistically significant(P<0.05). In the aspect of rate of ceses without stereovision by Titmus near stereoacuity, that after treatment of mental group and control group were significantly lower than those of the before treatment, that after treatment of mental group was significantly lower than control group; in the aspect of central fovea, macular hole, peripheral stereoscopic vision, those after treatment of mental group and control group were significantly higher than those of the before treatment, those after treatment of mental group was significantly higher than that of control group, the difference was statistically significant(P<0.05). During the follow-up for 6mo, the ocular position maintenance rate of mental group was significantly higher than that of control group, the difference was statistically significant(P<0.05).
CONCLUSION: Mental image network training can effectively promote the recovery of visual function in children after concomitant strabismus surgery. It is beneficial to maintain the position of the eye of children.
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