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屈光参差性弱视患者视感知疗法中压抑与遮盖 两种辅助治疗方法效果比较

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Comparison of the effect of penalization and occlusionin the visual perception therapy in treating patients withanisometropic amblyopia

朱美兰  邓宏伟

(暨南大学附属深圳眼科医院,广东  深圳,518040

中图分类号:R777.44     文献标识码:A    文章编号:1674-7860(2016)12-0029-02   证型:GAB

 】目的:比较研究屈光参差性弱视患者视感知疗法中压抑与遮盖两种辅助治疗方法的临床效果。方法:选取20145月—20158月在我院接受治疗的屈光参差性弱视患者100例,根据治疗方式不同分为压抑组(47例,91眼)和遮盖组(53例,101眼),两组患者均采取视觉感知疗法治疗,其中压抑组辅以压抑疗法,遮盖组辅以遮盖疗法。比较两组患者的视力变化情况。结果:治疗后,两组患者的视力均较治疗前明显提高(P0.05),而压抑组提高幅度更大,与遮盖组差异显著(P0.05);压抑组和遮盖组的治疗总有效率分别为87.7%78.2%,两组之间差异显著(P0.05)。结论:屈光参差性弱视患者采用视感知疗法治疗时辅以压抑疗法的效果明显优于遮盖疗法。

关键词】屈光参差性弱视;视感知疗法;压抑疗法;遮盖疗法

AbstractObjective:Tocompare the effect of penalization and occlusion in the visual perceptiontherapy in treating patients with anisometropic amblyopia. Methods: 100patients with anisometropic amblyopia admitted and treated in our hospital fromMay 2014 to August 2015,were selected and divided into penalization group (47cases, 91 eyes) and occlusion group (53 cases, 101 eyes) according to differentways of treatment. All patients were given visual perception therapy, thepenalization group was combined with penalization while the occlusion group wascombined with occlusion therapy. The visual acuity of the two groups wascompared. Results:After treatment,the visual acuity of the two groups were significantly improved than before (P0.05), while thatof the penalization group increased more significantly. The difference between thepenalization group and the occlusion group was significant (P0.05). Thetotal effective rate of the penalization group and theocclusion group was 87.7%and 78.2% respectively, the difference was significant (P0.05). Conclusion: The effect of visualperception therapy with penalization was superior to occlusion therapy in thetreatment of anisometropic amblyopia.

KeywordsAnisometropic amblyopia; Visual perception therapy; Penalizationtherapy; Occlusion therapy

doi:10.3969/j.issn.1674-7860.2016.12.014

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