多媒体训练与传统训练治疗儿童弱视的疗效比较

唐作翼+韦柳丹+黄晓棠+陆兰芬+黄晓学+谭丽桃��

【摘要】目的探讨多媒体训练和传统弱视训练对儿童弱视的治疗效果。

方法将弱视患儿94例（132眼）按随机数字表分为观察组和传统组，观察组采用多媒体训练治疗，传统组采用传统弱视综合治疗，比较两组患儿的治疗效果。

结果治疗3个月后两组总有效率比较差异无统计学意义（P>0.05）；治疗6个月后，观察组总有效率明显高于传统组（P<0.05），且观察组的轻度、中度患儿总有效率明显高于重度患儿（P<0.05）；治疗6个月后两组患儿视力及视觉诱发电位均较治疗前明显改善（P<0.01），观察组改善程度更为明显（P<0.001）。

结论多媒体训练治疗儿童弱视效果明显优于传统弱视训练方法，尤其是对于轻、中度弱视患儿效果更佳。

【关键词】儿童弱视；多媒体训练；传统弱视训练

中图分类号：R777.4+4文献标识码：ADOI：10.3969/j.issn.10031383.2017.02.026

【Abstract】ObjectiveTo investigate effects of multimedia training and traditional training for children amblyopia.

MethodsA total of 94 amblyopia children（132 eyes） were randomly divided into observation group and traditional group.The observation group were treated with multimedia training，and the traditional group with conventional integrated therapy.And then clinical effects were compared between the two groups.

Results3 months after treatment，difference of total effectiveness rate was not statistically significant between the two groups（P>0.05）.6 months after treatment，the total effectiveness rate of the observation group was significantly higher than that of the traditional group（P<0.05），and that of mild amblyopia and moderate amblyopia in the observation group was significantly higher than that of severe amblyopia （P<0.05）.In addition，6 months after treatment，vision and visual evoked potential of both groups significantly improved while comparing with those before treatment（P<0.01），those of the observation group improved more significantly（P<0.001）.

ConclusionThe efficacy of multimedia visual training is superior to that of the traditional treatment，especially for mild amblyopia and moderate amblyopia.

【Key words】children amblyopia；multimedia visual training；traditional amblyopia training

弱視是由于视觉发育关键时期异常视觉经验引起的单眼或双眼最佳矫正视力低于相应年龄视力，通常伴有斜视及双眼视功能障碍。弱视是幼儿最常见的视功能障碍，它不仅影响幼儿的身心健康和学习，而且对整个家庭造成严重影响。儿童弱视可通过合理的治疗来提高视力甚至恢复正常视力，多媒体视功能训练是近年发展起来的儿童弱视治疗方法，其将电脑动画与弱视治疗结合，具有较强的趣味性，对提高患儿治疗依从性及治疗效果具有积极的意义[1]。本研究分别采用多媒体训练和传统弱视训练治疗儿童弱视，对两种治疗方法的临床效果进行比较，现报告如下。……