转化医学电子杂志
轉化醫學電子雜誌
전화의학전자잡지
2015年
3期
37-39
,共3页
视觉训练%青少年近视%初发期老视
視覺訓練%青少年近視%初髮期老視
시각훈련%청소년근시%초발기로시
visual training%adolescent myopia%onset of presby-opia
目的：探究视觉训练治疗青少年近视及初发期老视的临床疗效．方法：选取我院眼科中心在2011-06／2013-12收治的110例青少年近视及62例初发期老视患者，将青少年近视眼随机分为观察组1和对照组1，将初发期老视眼患者随机分为观察组2和对照组2．分别进行针对性检查之后，观察组患者采用红色视力表远距离视觉训练加短小遮盖的方法，对照组采用近距离视觉训练加短小遮盖的方法．随访17个月后分析对比近视眼视力改善情况、老视眼平均裸眼远视力以及观察组与对照组的临床疗效．结果：治疗后观察组轻度、中度及高度近视眼分别有27眼、67眼、9眼；对照组则分别为22眼、68眼、15眼；两组轻度近视和高度近视比较，差异具有统计学意义（P＜0．05）．治疗后不同时间段老视眼平均裸眼远视力比较均明显高于治疗前，差异具有统计学意义（P ＜0．05）．治疗后观察组总有效率为83．09％，无效率为16．91％；对照组总有效率为83．82％，无效率为16．18％；两组有效率与无效率比较，差异均不具有统计学意义（P＞0．05）．结论：视觉训练治疗青少年近视及初发期老视的临床疗效较好，其中红色视力表远距离视觉训练加短小遮盖可显著改善青少年近视和初发期老视眼患者的视力，具有较高临床应用价值．
目的：探究視覺訓練治療青少年近視及初髮期老視的臨床療效．方法：選取我院眼科中心在2011-06／2013-12收治的110例青少年近視及62例初髮期老視患者，將青少年近視眼隨機分為觀察組1和對照組1，將初髮期老視眼患者隨機分為觀察組2和對照組2．分彆進行針對性檢查之後，觀察組患者採用紅色視力錶遠距離視覺訓練加短小遮蓋的方法，對照組採用近距離視覺訓練加短小遮蓋的方法．隨訪17箇月後分析對比近視眼視力改善情況、老視眼平均裸眼遠視力以及觀察組與對照組的臨床療效．結果：治療後觀察組輕度、中度及高度近視眼分彆有27眼、67眼、9眼；對照組則分彆為22眼、68眼、15眼；兩組輕度近視和高度近視比較，差異具有統計學意義（P＜0．05）．治療後不同時間段老視眼平均裸眼遠視力比較均明顯高于治療前，差異具有統計學意義（P ＜0．05）．治療後觀察組總有效率為83．09％，無效率為16．91％；對照組總有效率為83．82％，無效率為16．18％；兩組有效率與無效率比較，差異均不具有統計學意義（P＞0．05）．結論：視覺訓練治療青少年近視及初髮期老視的臨床療效較好，其中紅色視力錶遠距離視覺訓練加短小遮蓋可顯著改善青少年近視和初髮期老視眼患者的視力，具有較高臨床應用價值．
목적：탐구시각훈련치료청소년근시급초발기로시적림상료효．방법：선취아원안과중심재2011-06／2013-12수치적110례청소년근시급62례초발기로시환자，장청소년근시안수궤분위관찰조1화대조조1，장초발기로시안환자수궤분위관찰조2화대조조2．분별진행침대성검사지후，관찰조환자채용홍색시력표원거리시각훈련가단소차개적방법，대조조채용근거리시각훈련가단소차개적방법．수방17개월후분석대비근시안시력개선정황、로시안평균라안원시력이급관찰조여대조조적림상료효．결과：치료후관찰조경도、중도급고도근시안분별유27안、67안、9안；대조조칙분별위22안、68안、15안；량조경도근시화고도근시비교，차이구유통계학의의（P＜0．05）．치료후불동시간단로시안평균라안원시력비교균명현고우치료전，차이구유통계학의의（P ＜0．05）．치료후관찰조총유효솔위83．09％，무효솔위16．91％；대조조총유효솔위83．82％，무효솔위16．18％；량조유효솔여무효솔비교，차이균불구유통계학의의（P＞0．05）．결론：시각훈련치료청소년근시급초발기로시적림상료효교호，기중홍색시력표원거리시각훈련가단소차개가현저개선청소년근시화초발기로시안환자적시력，구유교고림상응용개치．
AIM:To analyze the effect of visual training in ado-lescent myopia and onset of presbyopia.METHODS:1 10 ado-lescents with myopia and 62 patients with onset of presbyopia which were treated in our hospital from June 201 1 to December 2013.The myopia patients were randomly divided into Observa-tion Group 1 and Control Group 1 ,while the onset of presbyopia patients were randomly divided into Observation Group 2 and Con-trol Group 2.After targeted examination,patients in observation group were cheated with reading the distance red E standard log-arithm visual acuity chart and minimal occlusion,while patients in control group were treated with near activity and minimal occlu-sion.The effect of different groups was compared after 17 months following up.RESULTS:Patients with low,medium and severe myopia were 27,67 and 9 eyes in observation group and 22,68 and 15 eyes in control group with a significant difference (P<0. 05 ).The average uncorrected distance visual acuity was signifi-cantly higher than before and the difference was statistically signif-icant (P <0.05 ).The effective rate and ineffective rate were 83.09% and 16.91% respectively in observation group and 83. 82%and 16.18%respectively in control group with a non-signifi-cant difference (P>0.05).CONCLUSION:There is an equal effect for visual training in adolescent myopia and onset of presby-opia.Reading the distance red E standard logarithm visual acuity chart and minimal occlusion can improve the visual of adolescent myopia and onset of presbyopia and have great clinical value.
