智能化多维训练系统在儿童弱视治疗中的应用研究

摘要

目的：对增视能智能化多维训练系统（简称增视能）和综合治疗方法治疗儿童弱视的疗效进行对比观察，探索儿童弱视有效的治疗方法。方法：应用增视能和综合治疗对392例600眼弱视儿童进行随机化分组治疗，增视能组198例300眼给予视觉刺激、视觉精细等不同训练方案；综合治疗组194例300眼采用遮盖、精细目力训练、CAM视觉刺激、红光闪烁、后像、光刷等治疗。对比两种方法在弱视治疗1年后的最佳矫正视力。对最佳矫正视力达0.6的无双眼视的弱视儿童增视能组行多维三级功能训练，综合治疗组行视加弱视治疗仪400型附加的三级视功能训练，观察6个月后双眼视功能变化情况。结果：两组中轻度弱视儿童治疗有效率相近，差异无统计学意义（P>0.05）；增视能组的中、重度弱视儿童治疗有效率明显高于综合疗法组，两组差异均有统计学意义（P<0.05）。在最佳矫正视力达0.6时无双眼视觉功能的患儿，经三级视功能训练6个月后，增视能组获得近立体视有效率高于综合治疗组，差异有统计学意义（P<0.05）。结论：增视能智能化多维训练系统是治疗中、重度儿童弱视的有效方法。%Objective:To explore the effect of the treatment of children with amblyopia. Through observing and comparing the efficacy with Zengshineng intelligent multidimensional training system( referred to as Zengshineng )and comprehensive treatment. Method:392 cases with 600(300 each)eyes with children with amblyopia were randomly divided into two groups. The Zengshineng group of 198 cases were given different visual training programmes such as visual stimulation,fine visual training. The comprehensive treatment group of 194 cases were given treatments such as cover,fine visual training,CAM visual stimulation,lights flashing,ocular spectrum,light brush. The best-corrected visual acuity of two groups in the treatment of amblyopia after 1 year were compared. The children with amblyopia without binocular visual function,began to train their three-level visual function after the best-corrected visual acuity reaching 0.6,the Zengshineng group by multidimensional three-level function training and the comprehensive treatment group by Shi-Jia amblyopia therapy instrument 400 additional three-level function training,To olserve the binocular visual function changes after 6 months. Result:The Zengshineng group was as well as the comprehensive treatment group in mild amblyopia children,there was no tistical significance between two groups(P>0.05). But the Zengshineng group was better than the comprehensive treatment group in moderate amblyopia and severe amblyopia children,there were statistical significance between two groups(P<0.05). And The Zengshineng group was better than the comprehensive treatment group in obtained near stereopsis children when the best-corrected visual acuity reached 0.6 and no binocular visual function after three-level visual function training for 6 months,there was statistical significance between two groups(P<0.05). Conclusion:The Zengshineng intelligent multidimensional training system is an effective method to treat the moderate and severe amblyopia children.