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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