国际眼科杂志
國際眼科雜誌
국제안과잡지
INTERNATIONAL JOURNAL OF OPHTHALMOLOGY
2014年
6期
1026-1029
,共4页
远视%弱视%全矫%欠矫%渐变镜%治疗
遠視%弱視%全矯%欠矯%漸變鏡%治療
원시%약시%전교%흠교%점변경%치료
hyperopia%amblyopia%full corrected%under corrected%progressive addition glass%therapy
目的：探讨规范验光配镜处方,观察远视引起的双眼屈光不正性弱视的治疗效果。<br> 方法：在规范的验光条件下配镜,矫正处方分渐变镜组、欠矫组、全矫组,戴镜治疗弱视。收入随访期满24mo,资料完整病例270例540眼。观察低度远视、中度远视、高度远视引起的双眼屈光不正性弱视的治愈率与平均治愈时间。<br> 结果：低度远视引起的弱视,三种矫正方法2a治愈率无统计学意义。三种矫正方法平均治愈时间分别为渐变镜组(7.33±2.11mo)；欠矫组(9.0±3.71mo)；全矫组(12.5±5-17mo)。三组样本经t检验显示：渐变镜组与欠矫组( t=1-66,P>0.05)无统计学意义；渐变镜组与全矫组( t=3-92,P<0.01)有统计学意义；欠矫组与全矫组( t=2.33, P<0.05)有统计学意义。中度远视引起的弱视,三种矫正方法2a治愈率,三组比较差异有统计学意义(χ2=6.75；P<0.05),渐变镜组与欠矫组,渐变镜组与全矫组的比较,差异有统计学意义(χ2=6.3,P<0.01；χ2=8.1,P<0.05)。三种矫正方法的疗效治愈时间分别为渐变镜组(14.0±4-87 mo )；欠矫组(16.93±4.58 mo )；全矫组(17.93±4-42mo)。经t检验显示：渐变镜组与欠矫组( t=2.88,P<0.01)﹑渐变镜组与全矫组(t=3.9,P<0.01)有统计学意义,欠矫组与全矫组(t=1.01,P>0.05)无统计学意义。高度远视引起的弱视,三种矫正方法2a治愈率无统计学意义(χ2=2.43,P>0.05)。三组治愈时间比较差异无统计学意义( t=1.49, P>0.05；t=1.46, P>0.05；t=1.11, P>0-05)。<br> 结论：在规范的验光条件下,渐变多焦镜的应用,为弱视患儿的治疗,提供了一种全新有效的治疗方式,弥补了全矫与欠矫在临床治疗上的不足。
目的：探討規範驗光配鏡處方,觀察遠視引起的雙眼屈光不正性弱視的治療效果。<br> 方法：在規範的驗光條件下配鏡,矯正處方分漸變鏡組、欠矯組、全矯組,戴鏡治療弱視。收入隨訪期滿24mo,資料完整病例270例540眼。觀察低度遠視、中度遠視、高度遠視引起的雙眼屈光不正性弱視的治愈率與平均治愈時間。<br> 結果：低度遠視引起的弱視,三種矯正方法2a治愈率無統計學意義。三種矯正方法平均治愈時間分彆為漸變鏡組(7.33±2.11mo)；欠矯組(9.0±3.71mo)；全矯組(12.5±5-17mo)。三組樣本經t檢驗顯示：漸變鏡組與欠矯組( t=1-66,P>0.05)無統計學意義；漸變鏡組與全矯組( t=3-92,P<0.01)有統計學意義；欠矯組與全矯組( t=2.33, P<0.05)有統計學意義。中度遠視引起的弱視,三種矯正方法2a治愈率,三組比較差異有統計學意義(χ2=6.75；P<0.05),漸變鏡組與欠矯組,漸變鏡組與全矯組的比較,差異有統計學意義(χ2=6.3,P<0.01；χ2=8.1,P<0.05)。三種矯正方法的療效治愈時間分彆為漸變鏡組(14.0±4-87 mo )；欠矯組(16.93±4.58 mo )；全矯組(17.93±4-42mo)。經t檢驗顯示：漸變鏡組與欠矯組( t=2.88,P<0.01)﹑漸變鏡組與全矯組(t=3.9,P<0.01)有統計學意義,欠矯組與全矯組(t=1.01,P>0.05)無統計學意義。高度遠視引起的弱視,三種矯正方法2a治愈率無統計學意義(χ2=2.43,P>0.05)。三組治愈時間比較差異無統計學意義( t=1.49, P>0.05；t=1.46, P>0.05；t=1.11, P>0-05)。<br> 結論：在規範的驗光條件下,漸變多焦鏡的應用,為弱視患兒的治療,提供瞭一種全新有效的治療方式,瀰補瞭全矯與欠矯在臨床治療上的不足。
목적：탐토규범험광배경처방,관찰원시인기적쌍안굴광불정성약시적치료효과。<br> 방법：재규범적험광조건하배경,교정처방분점변경조、흠교조、전교조,대경치료약시。수입수방기만24mo,자료완정병례270례540안。관찰저도원시、중도원시、고도원시인기적쌍안굴광불정성약시적치유솔여평균치유시간。<br> 결과：저도원시인기적약시,삼충교정방법2a치유솔무통계학의의。삼충교정방법평균치유시간분별위점변경조(7.33±2.11mo)；흠교조(9.0±3.71mo)；전교조(12.5±5-17mo)。삼조양본경t검험현시：점변경조여흠교조( t=1-66,P>0.05)무통계학의의；점변경조여전교조( t=3-92,P<0.01)유통계학의의；흠교조여전교조( t=2.33, P<0.05)유통계학의의。중도원시인기적약시,삼충교정방법2a치유솔,삼조비교차이유통계학의의(χ2=6.75；P<0.05),점변경조여흠교조,점변경조여전교조적비교,차이유통계학의의(χ2=6.3,P<0.01；χ2=8.1,P<0.05)。삼충교정방법적료효치유시간분별위점변경조(14.0±4-87 mo )；흠교조(16.93±4.58 mo )；전교조(17.93±4-42mo)。경t검험현시：점변경조여흠교조( t=2.88,P<0.01)﹑점변경조여전교조(t=3.9,P<0.01)유통계학의의,흠교조여전교조(t=1.01,P>0.05)무통계학의의。고도원시인기적약시,삼충교정방법2a치유솔무통계학의의(χ2=2.43,P>0.05)。삼조치유시간비교차이무통계학의의( t=1.49, P>0.05；t=1.46, P>0.05；t=1.11, P>0-05)。<br> 결론：재규범적험광조건하,점변다초경적응용,위약시환인적치료,제공료일충전신유효적치료방식,미보료전교여흠교재림상치료상적불족。
AIM: To observe the therapy effect of standard prescription on ametrop amblyopia in hyperopic children. <br> METHODS: This study included 270 cases ( 54 eyes ) with complete data, and followed up 24mo. All the amblyopic children were given standard prescription and were divided into progressive addition glass group, under corrected group and full corrected group. And all were observed for their therapy effect and the average healing time in low hyperopic, moderate hyperopic and high hyperopic children with ametropic amblyopia respectively. <br> RESULTS: In low hyperopic children, the difference of the therapy effect of the three corrected methods were insignificant in two years. The meam cure time of the three corrected methods were ( 7. 33 ± 2. 11 ) mo in progressive addition glass group;(9. 0±3. 71)mo in under corrected grope;(12. 5±5. 17) mo in full corrected group. Three groups of independent samples by paired t-test showed: the difference between progressive addition glass group and under corrected grope (t=1. 66, P>0. 05) was statistically insignificant; the difference between progressive addition glass group and full corrected grope ( t = 3. 92, P < 0. 01 ) was statistically significant; the difference between under corrected grope and full corrected grope ( t = 2. 33, P < 0. 05 ) was statistically significant. In moderate hyperopic chileren, the differences of the therapy effect of the three corrected methods were significant in two years (χ2=6. 75;P<0. 05). The difference between progressive addition glass group and under corrected grope (χ2 = 6. 3; P < 0. 01 ) was statistically significant; the difference between progressive addition glass group and full corrected grope (χ2=8. 1;P<0. 005) was statistically significant. The mean cure time of the three corrected methods were ( 14. 0±4-87) mo in progressive addition glass group; ( 16. 93±4-58)mo in under corrected grope; (17. 93±4. 42) mo in full corrected group. Three groups of independent samples by paired t-test showed: the difference between progressive addition glass group and under corrected grope (t=2. 88, P<0. 01) was statistically significant; the difference between progressive addition glass group and full corrected grope ( t= 3. 9, P<0. 01 ) was statistically significant;the difference between under corrected grope and full corrected grope ( t = 1. 01, P > 0. 05 ) was statistically insignificant. In high hyperopic amblyopic children, the difference of the therapy effect and the healing time of the three corrected methods were insignificant in two years. (χ2=2. 43, P>0. 05. t=1. 49, P>0. 05;t=1. 46,P>0. 05;t=1. 11, P>0. 05). <br> CONCLUSION:Under standard prescription, application of progressive multifocal glasses provides a new effective treatment for ametropic amblyopia in hyperopic children, and makes up the deficiency of the whole straightening and under correction in clinical treatment.
