中华眼视光学与视觉科学杂志
中華眼視光學與視覺科學雜誌
중화안시광학여시각과학잡지
CHINESE JOURNAL OF OPTOMETRY OPHTHALMOLOGY AND VISUAL SCIENCE
2011年
5期
391-394
,共4页
林小铭%宋少劼%丁坤%陈绮文%叶雪莲
林小銘%宋少劼%丁坤%陳綺文%葉雪蓮
림소명%송소할%정곤%진기문%협설련
弱视%儿童%诱发电位,视觉%弱视治疗系统
弱視%兒童%誘髮電位,視覺%弱視治療繫統
약시%인동%유발전위,시각%약시치료계통
Amblyopia%Children%Evoked potentials,visual%Amblyopia treatment system
目的 探讨一种电脑软件弱视治疗系统治疗儿童弱视的可行性并观察其疗效.方法 前瞻性病例对照研究.51例(86眼)弱视儿童纳入本研究,分为实验组(24例44眼)和对照组(27例42眼).实验组采用一套根据现有弱视治疗理论设计的电脑软件弱视治疗系统进行治疗.对照组采用传统的门诊弱视治疗方法——氦氖激光照射以及海丁格光刷进行治疗.治疗1个疗程后随诊观察3个月到半年,对两组的有效率及实验组治疗前后弱视眼图形视觉诱发电位(PVEP)检查结果进行比较.相关数据采用独立样本t检验,x2检验和Fisher确切概率法进行统计分析.结果 实验组总有效率为73％,对照组为57％,两组总有效率差异无统计学意义.对于中度弱视患儿,实验组治疗有效率为77％,对照组为42％,差异有统计学意义(x2=5.662,P＜0.05).对于屈光不正性弱视患儿,实验组的治疗有效率为74％,对照组为44％,差异有统计学意义(x2=4.337,P＜0.05).实验组患儿治疗1个疗程后,PVEP检查以1°、30′及15′视角刺激时,平均潜伏期均较治疗前缩短,但治疗前后差异无统计学意义.平均振幅均较治疗前上升,治疗前后差异有统计学意义(t=2.11、2.47、2.34,P＜0.05).结论 该电脑软件弱视治疗系统功能全面,可作为儿童弱视治疗的一种有效辅助手段.
目的 探討一種電腦軟件弱視治療繫統治療兒童弱視的可行性併觀察其療效.方法 前瞻性病例對照研究.51例(86眼)弱視兒童納入本研究,分為實驗組(24例44眼)和對照組(27例42眼).實驗組採用一套根據現有弱視治療理論設計的電腦軟件弱視治療繫統進行治療.對照組採用傳統的門診弱視治療方法——氦氖激光照射以及海丁格光刷進行治療.治療1箇療程後隨診觀察3箇月到半年,對兩組的有效率及實驗組治療前後弱視眼圖形視覺誘髮電位(PVEP)檢查結果進行比較.相關數據採用獨立樣本t檢驗,x2檢驗和Fisher確切概率法進行統計分析.結果 實驗組總有效率為73％,對照組為57％,兩組總有效率差異無統計學意義.對于中度弱視患兒,實驗組治療有效率為77％,對照組為42％,差異有統計學意義(x2=5.662,P＜0.05).對于屈光不正性弱視患兒,實驗組的治療有效率為74％,對照組為44％,差異有統計學意義(x2=4.337,P＜0.05).實驗組患兒治療1箇療程後,PVEP檢查以1°、30′及15′視角刺激時,平均潛伏期均較治療前縮短,但治療前後差異無統計學意義.平均振幅均較治療前上升,治療前後差異有統計學意義(t=2.11、2.47、2.34,P＜0.05).結論 該電腦軟件弱視治療繫統功能全麵,可作為兒童弱視治療的一種有效輔助手段.
목적 탐토일충전뇌연건약시치료계통치료인동약시적가행성병관찰기료효.방법 전첨성병례대조연구.51례(86안)약시인동납입본연구,분위실험조(24례44안)화대조조(27례42안).실험조채용일투근거현유약시치료이론설계적전뇌연건약시치료계통진행치료.대조조채용전통적문진약시치료방법——양내격광조사이급해정격광쇄진행치료.치료1개료정후수진관찰3개월도반년,대량조적유효솔급실험조치료전후약시안도형시각유발전위(PVEP)검사결과진행비교.상관수거채용독립양본t검험,x2검험화Fisher학절개솔법진행통계분석.결과 실험조총유효솔위73％,대조조위57％,량조총유효솔차이무통계학의의.대우중도약시환인,실험조치료유효솔위77％,대조조위42％,차이유통계학의의(x2=5.662,P＜0.05).대우굴광불정성약시환인,실험조적치료유효솔위74％,대조조위44％,차이유통계학의의(x2=4.337,P＜0.05).실험조환인치료1개료정후,PVEP검사이1°、30′급15′시각자격시,평균잠복기균교치료전축단,단치료전후차이무통계학의의.평균진폭균교치료전상승,치료전후차이유통계학의의(t=2.11、2.47、2.34,P＜0.05).결론 해전뇌연건약시치료계통공능전면,가작위인동약시치료적일충유효보조수단.
Objective To evaluate the efficacy of a software-based system for treating amblyopia in children.Methods This was a prospective case control study.A software program was created based on the contemporary theory for the treatment of amblyopia.Fifty-one patients (86 eyes) were recruited for the study and they were randomly divided into two groups.The software program was used for the treatment group (44 eyes of 24 patients),while He-Ne laser exposure and Haidinger's brush were used for the control group (42 eyes of 27 patients).All patients were followed up for 3-6 months after one course of treatment.The effective rate between the two groups was compared,and pattern visual evoked potentials before and after the treatment in treatment group were recorded.An independent samples t test,chi-square test and Fisher test were used to analyze the data.Results The overall effective rate was 73％ in the treatment group and 57％ in the control group,the differences were insignificant.However,the differences between the rates of effectiveness were statistically significant in moderate amblyopic children (77％ in the treatment group,42％ in the control group,x2=5.662,P＜0.05) and ametropic amblyopes (74％ in the treatment group and 44％ in the control group,x2=4.337,P＜0.05).The mean P100 latency of the treatment group was slightly shortened after the therapy,but the differences were not statistically significant.The mean amplitudes after treatment showed definite increases and the differences were statistically significant (t=2.11,2.47,2.34,P＜0.05).Conclusion The function of the software-based amblyopia treatment system is comprehensive,and it is an effective device for amblyopia treatment.
