双鼻侧遮盖法对内斜视屈光参差患儿近期与远期立体视觉的影响

摘要/Abstract

摘要： 目的探讨双鼻侧遮盖法对内斜视屈光参差患儿近期与远期立体视觉的影响。方法选择2019年5月—2022年5月在韩城市人民医院诊治的内斜视屈光参差患儿60例（120眼）作为研究对象,根据随机信封抽签原则把患儿分为研究组和对照组,每组30例。研究组给予双鼻侧遮盖法治疗,对照组给予交替遮盖法治疗,两组遮盖治疗观察3个月。记录两组患儿近期与远期立体视觉、总有效率、斜视度变化情况,同时随访1年内患者复发情况。结果治疗3个月后,研究组治疗效果显著优于对照组,差异有统计学意义（P<0.05）。治疗3个月后,两组斜视度均显著低于治疗前,研究组显著低于对照组,差异有统计学意义（P<0.05）。治疗3个月后,研究组中心凹立体视比例高于对照组,周边立体视比例显著低于对照组,差异有均统计学意义（P<0.05）。治疗3个月后,研究随访6个月与1年的复发率显著低于对照组,差异有统计学意义（P<0.05）。结论双鼻侧遮盖法在内斜视屈光参差患儿的应用能改善近期与远期立体视觉,促进降低斜视度,提高治疗效果,也可降低患儿斜视的复发率。

关键词: 双鼻侧遮盖法, 内斜视, 屈光参差, 立体视觉, 复发, 斜视度

Abstract: Objective To investigate the effects of bilateral nasal covering on short-term and long-term stereovision in children with esotropia and anisometropia. Methods From May 2019 to May 2022, 60 cases of children (120 eyes) with esotropia and anisometropia who were diagnosed and treated at Hancheng People's Hospital were selected. Accorded to the principle of random envelope drawing, the children were divided into two groups with 30 cases in each group. The study group was treated with bilateral nasal covering therapy, while the control group was treated with alternating covering therapy. Two groups were observed for 3 months for covering therapy. Record the recent and long-term changes in stereoscopic vision, total effective rate, and strabismus of the two groups of children, and follow up the recurrence rate of the patients. Results The treatment effect of the study group was significantly better than that of the control group after 3 months of treatment (P<0.05). After 3 months of treatment, the strabismus of the study group and the control group were lower than before treatment (P<0.05), while the study group was lower than the control group (P<0.05). After 3 months of treatment, compared to the proportion of central foveal stereopsis in the control group, that in the study group were higher (P<0.05), while compared to the proportion of peripheral stereopsis in the control group, that in the study group was lower (P<0.05). After 3 months of treatment, the recurrence rates of the study group were lower than the control group (P<0.05). Conclusion The application of double nasal side covering method in children with esotropia and anisometropia can improve short-term and long-term stereoscopic vision, promote the reduction of strabismus, improve treatment effectiveness, and also reduce the recurrence rate of strabismus in children.

Key words: bilateral nasal covering method, endotropia, anisometropia, stereoscopic vision, recurrence, strabismus

中图分类号:

R777.44

晋丽红, 卢永军. 双鼻侧遮盖法对内斜视屈光参差患儿近期与远期立体视觉的影响[J]. 中华养生保健, 2024, 42(10): 36-39.

JIN Li-hong, LU Yong-jun. The Effect of Bilateral Nasal Covering Method on Short-term and Long-term Stereovision in Children with Esotropia and Anisometropia[J]. ZHONGHUA YANGSHENG BAOJIAN, 2024, 42(10): 36-39.

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