|
|
|
| Application effect comparison of hospital multimedia training and family training in amblyopia treatment |
| HE Xiao-ying1 LIU Wei1 LI Yu-xuan2 DUAN Yang-bo1#br# |
1.Department of Ophthalmology,Maternity and Childcare Hospital of Ji′an City,Jiangxi Province,Ji′an 343000,China;
2. Department of Stomatology, Maternity and Childcare Hospital of Ji′an City, Jiangxi Province, Ji′an 343000, China |
|
|
|
|
Abstract Objective To compare the application effect of hospital multimedia training and family training in amblyopia children. Methods A total of 92 amblyopic children (163 eyes) in our hospital from October 2018 to October 2019 were selected as research subjects and divided into observation group (47 cases, 84 eyes) and control group (45 cases,79 eyes) by random number table method. Children in observation group were treated by covering therapy combined with hospital multimedia training. Children in control group were treated by covering therapy combined with family training. After 3 months, the corrected visual acuity was reexamined and the therapeutic effect were compared between the two groups. Results The total effective rates of treatment of aged 3-6 and >6-12 children in observation group were higher than those in control group, and the differences were statistically significant (P<0.05). The total effective rates of treatment of ametropic amblyopia and anisometropic amblyopia in observation group were higher than those in control group, and the differences were statistically significant (P<0.05). There was no difference in the total effective rate of treatment of strabismic amblyopia between two groups (P>0.05). There was no difference in the total effective rate of treatment of mild amblyopia between two groups (P>0.05). The total effective rates of treatment of moderate and severe amblyopia were higher than those in control group, and the differences were statistically significant (P<0.05).Conclusion The treatment effect of hospital multimedia training is better than family training in treating amblyopia, especially for ametropic and anisometropic amblyopia, and moderate to severe amblyopia.
|
|
|
|
|
|
| [1] |
McKean -Cowdin R，Cotter SA，Tarczy -Hornoch K，et al.Prevalence of amblyopia or strabismus in asian and non-Hispanic white preschool children：multi-ethnic pediatric eye disease study[J].Ophthalmology，2013，120（10）：2117-2124.
|
| [2] |
Rajavi Z，Sabbaghi H，Baghini AS，et al.Prevalence of amblyopia and refractive errors among primary school children[J].J Ophthalmic Vis Res，2015，10（4）：408-416.
|
| [3] |
Wong AM.New concepts concerning the neural mechanisms of amblyopia and their clinical implications[J].Can J Ophthalmol，2012，47（5）：399-409.
|
| [4] |
程子昂，谢祥勇.弱视治疗进展[J].国际眼科杂志，2018，8（18）：1427-1430.
|
| [5] |
许立华.增视能视觉训练系统对弱视儿童的疗效分析[J].中国妇幼健康研究，2016，27（11）：1359-1361.
|
| [6] |
中华医学会眼科学分会斜视与小儿眼科学组.弱视诊断专家共识[J].中华眼科杂志，2011，47（8）：768.
|
| [7] |
Koo EB，Gilbert AL，VanderVeen DK.Treatment of amblyopia and amblyopia risk factors based on current evidence[J].Semin Ophthalmol，2017，32（1）：1-7.
|
| [8] |
赵春宁，秦宏.阿托品联合短时遮盖治疗小儿弱视的临床疗效及安全性[J].国际眼科杂志，2016，16（8）：1528-1530.
|
| [9] |
耿扬，李新雨，朱雪梅，等.儿童弱视遮盖治疗依从性影响因素的研究进展[J].护理学杂志，2017，32（21）：108-111.
|
| [10] |
Chen AM，Cotter SA.The amblyopia treatment studies：implications for clinical practice[J].Adv Ophthalmol Optom，2016，1（1）：287-305.
|
| [11] |
Chen Z，Li J，Liu J，et al.Monocular perceptual learning of contrast detection facilitates binocular combination in adults with anisometropic amblyopia[J].Sci Rep，2016，6（1）：1-12.
|
| [12] |
Zhou Y，Huang C，Xu P，et al.Perceptual learning improves contrast sensitivity and visual acuity in adults with anisometropic amblyopia[J].Vision Res，2006，46（5）：739-750.
|
| [13] |
杨玉珠，刘永民.多媒体训练系统与传统方法治疗弱视的疗效对比[J].实用医学杂志，2016，32（16）：2652-2655.
|
| [14] |
沈建玲，梁志宏，李序芳，等.多媒体网络训练治疗弱视的临床观察[J].中国斜视与小儿眼科杂志，2010，18（3）：114-117.
|
| [15] |
Xu CS，Chen JS，Adelman RA.Video Game Use in the Treatment of Amblyopia：weighing the Risks of Addiction[J].Yale J Biol Med，2015，88（3）：309-317.
|
|
|
|
