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目的初步观察并探讨综合疗法治疗大龄儿童及青少年弱视的临床效果。方法回顾性调查总结2003年10月～2006年12月在我院接受遮盖、压抑、红光闪烁、后象、DV100自率空间频率光盘等方法进行弱视治疗的大龄儿童及青少年患者149人(213眼)其中8～10岁139眼,11岁以上者74眼。治疗时间为70～860天,平均267天。结果207眼视力较治疗前提高2行或2行以上,治疗有效率达97.18%,其中有143眼矫正视力达0.9以上,基本治愈率为67.14%。8～10岁组与1l岁～13岁组之间疗效比较无统计学差异(P>0.05),8～10岁组与14～16岁组之间疗效差异显著(P<0.05)。结论使用综合疗法规范治疗大龄儿童及青少年弱视疗效肯定。特别是中心注视弱视患者经治疗可建立良好的视功能。
Objective To observe and discuss the clinical effect of combined therapy in the treatment of amblyopia in older children and adolescents. Methods A total of 149 older children and adolescents with amblyopia were treated in our hospital from October 2003 to December 2006 in a retrospective survey. Eyes) of which 8 to 10 years old 139 eyes, 74 eyes over the age of 11. Treatment time was 70 to 860 days, an average of 267 days. Results The visual acuity of 207 eyes was improved by 2 lines or more before treatment. The effective rate was 97.18%. Among them, 143 eyes corrected visual acuity of 0.9 or more, and the basic cure rate was 67.14%. There was no significant difference between the age group of 8 ~ 10 years and the age group of 1l ~ 13 years (P> 0.05). There was significant difference between the age group of 8 ~ 10 years and the age group of 14 ~ 16 years (P <0.05). Conclusion The treatment of amblyopia in older children and adolescents by using the comprehensive treatment regimen is valid. Especially in the center of amblyopia patients can be established by the treatment of good visual function.