[1]赵 莹.间歇性外斜视儿童术后应用双眼视觉训练对双眼视功能重建的影响[J].医学信息,2021,34(03):136-138.[doi:10.3969/j.issn.1006-1959.2021.03.038]
　ZHAO Ying.Effect of Binocular Visual Training on Reconstruction of Binocular Visual Function in Children with Intermittent Exotropia After Operation[J].Medical Information,2021,34(03):136-138.[doi:10.3969/j.issn.1006-1959.2021.03.038]
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间歇性外斜视儿童术后应用双眼视觉训练对双眼视功能重建的影响()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
34卷
期数:
2021年03期
页码:
136-138
栏目:
临床研究
出版日期:
2021-02-01

文章信息/Info

Title:
Effect of Binocular Visual Training on Reconstruction of Binocular Visual Function in Children with Intermittent Exotropia After Operation
文章编号:
1006-1959（2021）03-0136-03
作者:
赵 莹
（盘锦市中心医院眼科，辽宁 盘锦 124000）
Author(s):
ZHAO Ying
(Department of Ophthalmology,Panjin Central Hospital,Panjin 124000,Liaoning,China)
关键词:
间歇性外斜视; 儿童; 视觉训练; 视功能重建
Keywords:
Intermittent exotropia; Children; Visual training; Visual function reconstruction
分类号:
R777.4；R770.42+5
DOI:
10.3969/j.issn.1006-1959.2021.03.038
文献标志码:
A
摘要:
目的 探究间歇性外斜视儿童术后应用双眼视觉训练对双眼视功能重建的影响。方法 选取2017年10月~2019年10月在我院进行手术治疗的134例间歇性外斜视儿童为研究对象，采用随机数字表法分为对照组和观察组，各67例。对照组术后不进行干预，观察组术后给予双眼视觉训练，比较两组眼位矫正总有效率、双眼视功能（同时视、视觉融合、立体视）、眼位回退率及平均手术前后斜视度数。结果 观察组总治疗有效率为92.53%，高于对照组的83.58%（P＜0.05）；术后观察组患儿同时视（77.61%）、视觉融合（62.68%）、立体视（40.29%）占比均高于对照组的43.28%、34.32%、16.41%（P＜0.05）；术后随访6个月，观察组眼位回退率为17.91%，低于对照组的49.25%，差异有统计学意义（P＜0.05）；术后观察组斜视度数为（3.67±2.71）△，小于对照组的（7.20±3.10）△（P＜0.05）。结论 间歇性外斜视儿童术后给予双眼视觉训练可提高手术效果，有效预防眼位回退，减少斜视度数，对患者双眼视功能重建具有积极的促进作用。
Abstract:
Objective To explore the effect of binocular vision training on the reconstruction of binocular vision in children with intermittent exotropia. Methods A total of 134 children with intermittent exotropia who underwent surgical treatment in our hospital from October 2017 to October 2019 were selected as the research objects. They were divided into control group and observation group by random number table, with 67 cases in each group.The control group did not intervene after the operation, and the observation group was given binocular vision training after the operation. The total effective rate of eye position correction, binocular vision function (simultaneous vision, visual fusion, stereo vision), eye position regression rate and average before and after operation were compared between the two groups degree of strabismus.Results The total effective rate of treatment in the observation group was 92.53%, which was higher than 83.58% in the control group (P＜0.05);The proportions of simultaneous vision (77.61%), vision fusion (62.68%), and stereo vision (40.29%) in the observation group were higher than those in the control group by 43.28%, 34.32%, 16.41%(P＜0.05);After 6 months of follow-up, the eye position regression rate of the observation group was 17.91%, which was lower than that of the control group 49.25%(P＜0.05);The average degree of strabismus in the observation group after operation was (3.67±2.71)△, which was smaller than (7.20±3.10)△ in the control group(P＜0.05).Conclusion Postoperative binocular vision training for children with intermittent exotropia can improve the surgical effect, effectively prevent eye position regression, reduce the degree of strabismus, and have a positive effect on the reconstruction of binocular vision in patients.

参考文献/References:

[1]杨莹莹,陶利娟,袁东坡,等.不同年龄段的间歇性外斜视术后应用数字化多媒体训练的效果[J].中国斜视与小儿眼科杂志,2016,24(1):38-40. [2]陈果.双眼视觉训练对儿童共同性斜视术后立体视建立的影响[J].国际眼科杂志,2015,15(4):737-739. [3]黎宗汉,柯毅,谭思敏,等.视觉训练对间斜视术后单视恢复的临床效果研究[J].中国医药科学,2016,6(19):32-35. [4]巴哈尔古丽·赛依提,刘淑媛,克拉拉·乌甫尔,等.视觉训练在治疗弱视及斜视方面的应用价值探讨[J].医药前沿,2017,7(19):140-141. [5]刘香,李京,褚航,等.儿童间歇性外斜视术后行视觉短塑性训练对立体视功能恢复的临床研究[J].中国斜视与小儿眼科杂志,2016,24(4):30-33. [6]闫玉梅.双眼视觉训练对共同性外斜视术后立体视建立的疗效观察[J].中外医疗,2016,35(17):97-99. [7]邵庆,梁平.儿童间歇性外斜视手术75例临床分析[J].临床眼科杂志,2015,13(5):449. [8]赵琪,邵彦,杨朝晖.儿童间歇性外斜视手术前后双眼单视功能的临床分析[J].中国斜视与小儿眼科杂志2014,22(1):34-35. [9]严槟,洪剑威,马海智,等.测量眼轴长度对共同性外斜视手术量的影响[J].白求恩医学杂志,2017,15(3):300-302. [10]刘彦芳,林萍.双眼外直肌后徙术治疗儿童间歇性外斜视的临床观察[J].中国妇幼健康研究,2016,27(8):1002-1004. [11]黎莞萍.视觉训练在治疗弱视及斜视方面的应用价值综述[J].中外医疗,2014,12(3):65-66. [12]满滕滕,杨先,田巧霞,等.不同方式直肌手术治疗间歇性外斜视术后眼位的观察[J].青岛大学医学院学报,2014,57(4):425-426. [13]徐强,刘虎,马琳丽.基本型间歇性外斜视两种术式疗效比较[J].南京医科大学学报:自然科学版,2017,61(10):1344-1346. [14]罗秀梅,周晓东,瞿小妹.间歇性外斜视患者的远近立体视功能研究进展[J].中国眼耳鼻喉科杂志,2016,16(4):289-291. [15]石东风,曹嵘.不同分型间歇性外斜视患者眼位控制能力的对比研究[J].国际眼科杂志,2017,17(2):382-383.

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更新日期/Last Update: 1900-01-01