儿童弱视治疗时间概念的探讨

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1、儿童弱视治疗时间概念的探讨【摘要】目的：探讨儿童弱视治疗时限、治疗相对年龄限制、何时结束治疗等，关于治疗时间概念。方法：对2001年3月-2012年12月笔者所在医院收治的2.5~18周岁弱视儿童1035例1887只眼进行验光配镜侨治、遮盖疗法、家庭精细作业和采用弱视治疗仪等综合疗法。结果：（1）2.5~6周岁、7~12周岁疗效均明显高于13〜16周岁（P〈0・05）,但13周岁以上大龄儿童也有脱镜、痊愈和基本治愈者。（2）经过3年以上治疗者疗效明显。（3）儿童弱视脱镜后视力下降情况，377只眼儿童弱视脱镜后视力下降53只眼，视力下降率为14.0

2、6%,未发现弱视复发者。其主要原因：假性近视19只眼，发生率为5.04%；真性近视34只眼，发牛率为9.02%o结论：儿童弱视治疗年龄限制上应为：开始弱视治疗应在2周岁半验光配镜，最佳时期为2.5〜6周岁，7〜12周岁属适宜年龄，但对13〜18周岁儿童弱视不要轻易放弃治疗，因为经过治疗仍有部分弱视儿童视功能会得到提高。治疗期限应为：弱视基本治愈后应随访观察3年,脱镜后结束治疗是最安全。【关键词】儿童弱视；治疗时间概念；治疗期限；治疗年龄限制中图分类号R777.4文献标识码A文章编号1674-6805（2016）3-0003-03Investiga

3、tiononConceptofChildrenJsAmblyopiaTreatmentTime/WANGHong-feng,WANGEn-rong.//ChineseandForeignMedicalResearch,2016,14(3)：3~5[Abstract]Objective：Thethesiswasmainlydiscussedonwhatonearthshouldbethetermofchildrenamblyopiatreatment,treatmentofagelimit,whentreatmentendsetc,andtheco

4、nceptoftreatmenttime.Method：FromMarch2001toDecember2012,2.5~18yearsoldamblyopiachildren,1035cases,1887eyesinoptometryandlenscovertherapytreatments、andthecombinationwithamblyopiatherapeuticapparatustreatment.Result：(1)Theeffectsof2.5~6yearsoldand7-12yearsoldweresignificantlyhi

5、gherthanthatof13-16yearsold(P<0.05),butnolessthan13yearsoldalsohadchaneetotakeoffthelens,tohealandcure.(2)After3-5yearstreatmentcurativeeffectwasobvious.(3)Childrenamblyopiadecreasedvisionaftertakeoffthelens：53eyesvisionlossamong377eyeamblyopiainchi1drenaftertakeoffthelens,de

6、creasedvisionatarateof14.06%,foundnorecurrenceofamblyopia.Themainreason：pseudomyopia19eyes,theincidencewere5.04%.34eyes,truemyopiaoccurrenceratewas9.02%.Conclusion:Childrenamblyopiatreatmentonagelimitshouldbe2.5yearsoldmightbegintoamblyopiatreatmentbyusingoptometryandglasses,

7、thebesttimeisthetreatmentofamblyopiainchildren2to6yearsold,thecurerateishighest.Thesuitableagefortreatmentofamblyopiais7to12yearsold,withchildrenaged13to18amblyopiatreatmentalsocan，tgiveupeasily,issti111ikelytoimprovepartofamblyopiavisualfunctionofpatients.Thedurationofthetre

8、atmentshouldbeamblyopiabasiccureshouldbefollow-upobservationafter3ye