方法：选择近视性弱视患儿甲、乙两组共97例186眼，甲组47例89眼，年龄4～12(平均5.79±1.98)岁，乙组50例97眼，年龄3～10(平均5.92±1.72)岁； 其中甲组轻度、中度、高度近视眼分别为16眼、52眼、21眼，乙组分别为18眼、55眼、24眼(χ²=0.004，P>0.05)； 甲组轻度、中度、重度弱视眼分别为23眼、49眼、17眼； 乙组分别为26眼、55眼、16眼(χ²=0.136，P>0.05)； 甲组患者采用遮盖+闪烁红光+近距离功能训练； 乙组患者采用短小遮盖+海丁格刷+闪烁红光+红色视力表远距离视功能训练，所有患者治疗后随访时间24mo，对比分析两种治疗方法在近视性弱视治疗中的疗效。

结果：甲组基本治愈率为35.96%，有效率为40.45%，无效率为23.60%； 乙组基本治愈率为56.70%，有效率为26.80%，无效率为16.49%，统计学分析差异有统计学意义(χ²=6.022，P<0.05)； 甲乙两组治疗后近视度数增加≤1.0D，1.0～3.0D及≥3.0D者分别为：甲组3眼、49眼、37眼； 乙组4眼、69眼、24眼，统计学分析差异有统计学意义(χ²=5.074，P<0.05)。

结论：短小遮盖+海丁格刷+闪烁红光+红色视力表远距离视功能训练法治疗近视性弱视疗效较好，治疗后弱视眼近视度数发展较轻。

METHODS: Totally 97 children(186 eyes)with myopic amblyopia were treated, 47 children(89 eyes)in group A aged 4-12(5.79±1.98)years old were treated by covering + flicker red light + near visual function training and 50 children(97 eyes)in group B aged 3-10(5.92±1.72)years old were treated by minimal covering + Haidinger brush + flicker red light + distance visual function training of red E standard logarithm visual acuity chart. The patients with mild myopia, moderate myopia and high myopia were 16, 52 and 21 eyes in group A and 18, 55 and 24 eyes in group B(χ²=0.004, P>0.05). The patients with low amblyopia, medium amblyopia and severe amblyopia were 23, 49 and 17 eyes in group A and 26, 55 and 16 eyes in group B(χ²=0.136, P>0.05). All patients were followed up for 24 months to comparatively analyze the efficacy of two different combined therapies.

RESULTS: The recovery rate, effective rate and inefficacy rate was 35.96%, 40.45% and 23.60%, respectively in group A, and 56.70%, 26.80% and 16.49%, respectively in group B(χ²=6.022, P<0.05). The patients whose myopic degree developed ≤1.0D, 1.0D-3.0D and ≥3.0D were 3, 49 and 37 eyes in group A and 4, 69 and 24 eyes in group B after therapy(χ²=5.074, P<0.05).

CONCLUSION:The efficacy is better of minimal covering+ Haidinger brush + flicker red light + distance visual function training by red E standard logarithm visual acuity chart for treating children with myopic amblyopia and the develop of myopic degree were mild after therapy.