摘要
目的对比集中治疗与分散治疗儿童弱视的临床疗效。方法60例弱视患儿,随机分为对照组和观察组,各30例。观察组患儿采用集中治疗,对照组患儿采用分散治疗。对比两组患儿治疗效果及治疗前后视力水平、生活质量。结果观察组患儿治疗总有效率93.33%高于对照组的63.33%,差异具有统计学意义(P<0.05)。治疗前,两组患儿视力平对比差异无统计学意义(P>0.05);治疗1、2、3个月,观察组患儿视力水平分别为(0.84±0.65)、(1.45±0.79)、(1.85±0.78)行,均高于对照组的(0.20±0.43)、(1.07±0.55)、(1.45±0.45)行,差异有统计学意义(P<0.05)。治疗前,两组患儿Barthel指数及生活质量综合问卷-74(GQOL-74)评分对比差异无统计学意义(P>0.05);治疗3个月后,两组Barthel指数和GQOL-74评分均高于治疗前,且观察组高于对照组,差异有统计学意义(P<0.05)。结论对弱视儿童实施集中治疗效果优于分散治疗,可有效改善患儿视力水平及生活质量,在临床上具有一定的推广价值。
Objective To compare the clinical efficacy of centralized and decentralized treatment for amblyopia in children.Methods A total of 60 children with amblyopia were randomly divided into control group and observation group,with 30 cases in each group.Children in the observation group received centralized treatment,while those in the control group received decentralized treatment.The therapeutic effect,visual acuity and quality of life before and after treatment were compared between the two groups.Results The total effective rate 93.33% in the observation group was higher than 63.33% in the control group,and the difference was statistically significant(P<0.05).Before treatment,there was no statistically significant difference in visual acuity between the two groups(P>0.05).After 1,2,and 3 months of treatment,the visual acuity of the observation group were(0.84±0.65),(1.45±0.79),and(1.85±0.78)lines,which were more than(0.20±0.43),(1.07±0.55),and(1.45±0.45)lines of the control group,and the differences were statistically significant(P<0.05).Before treatment,there was no statistically significant difference in Barthel index and generic quality of life inventory-74(GQOL-74)score between the two groups(P>0.05).After 3 months of treatment,the Barthel index and GQOL-74 score of the two groups were higher than those of this group before treatment,and the observation group was higher than the control group.All the differences were statistically significant(P<0.05).Conclusion Centralized treatment for amblyopia children can effectively improve the visual acuity and quality of life of children,and contains certain value of promotion in clinical practice.
作者
林英
付先花
杨婷婷
LIN Ying;FU Xian-hua;YANG Ting-ting(Department of Ophthalmology,Qingyuan Aier Eye Hospital,Qingyuan 528400,China)
出处
《中国现代药物应用》
2022年第12期62-65,共4页
Chinese Journal of Modern Drug Application
关键词
儿童弱视
集中治疗
分散治疗
Amblyopia in children
Centralized treatment
Decentralized treatment
