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阿托品联合短时遮盖治疗弱视的疗效观察 被引量:4

A curative effect comparatire observation of atropine combined short-time occlusion for creating amplyopia
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摘要 目的 探讨阿托品联合短时遮盖治疗弱视的疗效。方法回顾性分析随机抽取的弱视治疗病例99例110只眼。18个月观察期内按遮盖治疗方式分为三组:A组:每天遮盖不少于8h;B组:周一至周五每日遮盖3~4h,周六、周日每天遮盖8h;C组:优势眼每日滴阿托品眼液一次,连续用药15d,停药15d,并每日遮盖优势眼4h。结果中度、重度弱视,屈光参差性弱视c组疗效优于A组,差异有统计学意义(中度弱视t:2.2272,P<0.05;重度弱视t=2.8110,P<0.01;屈光参差性弱视t=2.9722,P<0.01)。视力提高程度C组高于A组,差异有统计学意义。疗程上C组较A、B组缩短,差异有统计学意义(B组与C组:X^2=9.413,P<0.01;A组与c组:×^2=14.7489,P<0.01)。结论阿托品联合短时遮盖有利于提高弱视治疗依从性,缩短疗程,提高治愈率。 Objective To evaluate the therapeutic effect of atropine combined short-time occlusion for treating amplyopia.Method Drawing amblyopia treated cases 99 examples 110eyes at random and carried them on an review analysis.According the treatment way, 3groups were divided: group A:covered superior eye more than 8 hours a day;group B:covered superior eye for 3 to 4 hours a day from Monday to Friday,and 8 hours a day for Saturday and Sunday;group C:The superior eye was droped atropine eye fluid once a day, drugs were applied this way for 15 days a month.At the same time, the superior eye was covered for 4 hours a day.All cases were observed for 18 months.Result The therapeutic effect of group C is better than group A for anisometropia amblyopia and moderate or specific weight amblyopia(moderate: t =2.2272, P 〈0,05 ; specific weight: t =2.8111, P〈0.01 ; anisometropia amblyopia: t =2.9722, P 〈0.01 ).Treatment course of group C was shorter than group A and B (P 〈0.05).Vision improvement degree of group C is better than group A.Conelusion Atropine combined short-time occlusion treating amplyopia can improve the treatment obeys and shorten treatment course, raises the cure rate,
出处 《中国实用眼科杂志》 CSCD 北大核心 2009年第1期36-38,共3页 Chinese Journal of Practical Ophthalmology
关键词 阿托品 遮盖 治疗 弱视 Atropine Occlusion Treatment Amblyopia
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参考文献10

  • 1姜宁,牛兰俊,吴夕,鲍永珍,黎晓新.依从性影响弱视治疗效果的重要因素[J].中国实用眼科杂志,2007,25(9):935-937. 被引量:27
  • 2甘晓玲.弱视的定义、分类及疗效评价标准[J].中国斜视与小儿眼科杂志,1996,4(3):97-97. 被引量:1013
  • 3刘家琦.弱视的治疗.见李凤鸣主编:眼科全书.北京:人民卫生出版社.1996:2613,2967-2978.
  • 4Dorey SE, Adams GW, Lee JP,et al.Intensive occlusion therapy for amblyopia.Br J Ophthalmol, 2001,85 : 310-313.
  • 5Fjelder AR, Irwin M, Auld R, et al.Complianeo in amblyopia therapy: objective monitoring of occlusion.Br J Ophthalmol, 1995,79 (6):585- 589.
  • 6Tripathi A, O' Donnell NP, Holden R,et al.Oeelusion therapy for the treatment of amblyopia:letting the parents decide.Ophthalmologica, 2002,216(6) :426-429.
  • 7Flynn JT.Schiffman J,Feuer W,et al.The therapy of amblyopia an analysis of the results of amblyopia therapy utillizing the pooled data of published studies.Trans Am Ophthalmol Soc, 1998,96:431.
  • 8梁斗立,顾若姝,于雪冰,夏凤杰.弱视儿童两种不同阿托品压抑治疗的比较[J].中国实用眼科杂志,2005,23(7):754-755. 被引量:12
  • 9Moseley M J, Neufeld M, MeCarry B, et al.Remediation of refractive amblyopia by optical correction alone.Ophthalmic Physiol Opt, 2002, 22 : 296.
  • 10Kaye SB,Chen SI,Price G,et al.Combined optical and atropine penalization for the treatment of strabismic and anisometropic amblyopia.J AAPOS, 2002,6(5 ) : 289-293.

二级参考文献37

  • 1Kaye SB, Chen SI, Price G, et al. Combined optical and atropine penalization for the treatment of strabismic and anisometropic amblyopia. J AAPOS, 2002, 6 (5): 289-293
  • 2Simons K, Stein L, Sener EC, et al. Full time atropine, intermittent atropine, and optical penalization and binocular outcome in treatment of strabismic amblyopia. Ophthalmology, 1997, 104 (12): 2143-2155
  • 3Repka MX, Cotte SA, Beck RW, et al. A randomized trial of atropine regimens for treatment moderate amblyopia in children. Ophthalrmology, 2004, 111 (11): 2076-2085
  • 4Mittelman D. Amblyopa. Pediatr Clin North Am, 2003, 50 (1):189 - 196
  • 5Hussein MA, Coats DK, Muthialu A, et al. Risk factor for treatment failure of anisometropic amblyopia. J AAPOS, 2004, 8 (5):429 - 434
  • 6Mazow ML, Chuang A, Vital MC, et al. 1999 Costenbader Lecture. Outcome study in amblyopia: treatment and practice pattern variations. J AAPOS, 2000, 4 (1): 1-9
  • 7Von Noorden GK. Binocular vision and ocular motility.6th ed. St Louis:Mosby,2002;246-247.
  • 8Williams C, Harrad RA, Harvey I, Sparrow JM. Screening for amblyopia in preschool children: results of a population-based, randomized controlled trial. Ophthalmic Epidemiol 2001;8:279-95.
  • 9Goldstein EA, Tessler Z. Guidelines for imcreasing compliance in occlusion therapy for amblyipia. American Orthoptic Journal. 1992; 42:129-134.
  • 10Flynn JT, Schiffman J, Feuer W, et al. The therapy of amblyopia: an analysis of the results of amblyopia therapy utilizing the pooled data of pubished studies. Trans Am Ophthalmol Soc. 1998;96:431- 453.

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