[关键词]
[摘要]
目的:分析对比双眼视觉训练与视感知觉训练、悬浮式视力训练器在斜视术后康复的疗效。
方法:纳入2022-07/2023-09临床收治接受手术治疗斜视患儿96例为研究对象,数字抽签分组为A组、B组、C组各32例,术后分别采用双眼视觉训练、视感知觉训练、悬浮式视力训练器,比较组间疗效。
结果:三组患儿通过3种不同训练方法,观察训练前和训练3 mo同时视功能、融合视功能、立体视功能、知觉眼位(水平、垂直)、CIXTQ的变化,研究结果发现训练3 mo后,三组间同时视功能恢复有差异,其中B组恢复最好(均P<0.05); A组与B组融合视功能比较无差异(P>0.05),但A组、B组与C组融合功能比较有差异(均P<0.05); 三组间立体视恢复率比较无差异(P>0.05),知觉眼位水平偏移及垂直偏移改善B组优于A组与C组(均P<0.05)。
结论:视感知觉训练在斜视患儿同时视功能、融合功能、立体视功能、知觉眼位及生活质量维度康复训练价值更高。
[Key word]
[Abstract]
AIM: To analyze and compare the efficacy of binocular visual perception training and suspended vision trainer in postoperative rehabilitation of strabismus.
METHODS: A total of 96 children who received surgical treatment from July 2022 to September 2023 were included in the study subjects, and they were group A(n=32), group B(n=32)and group C(n=32). After operation, binocular visual training, visual perception training and suspension vision trainer were used to compare the efficacy among groups.
RESULTS: The changes of simultaneous visual function, fusion visual function, stereoscopic visual function, perceptual eye position(horizontal and vertical)and CIXTQ of the three groups of children were observed before training and at 3 mo after training, and the study found that the simultaneous visual function recovered differently at 3 mo after training, with the best recovery in the group B(all P<0.05); there were no significant differences in fusion visual function of the groups A and B(P>0.05), but there were statistical significance in fusion visual function among the three groups(all P<0.05); and there were no significant differences in recovery rate of stereoscopic visual function among the three groups(P>0.05). The improvement of perceptual eye position of the group B, either horizontally or vertically, was better than that of both the group A and group C(all P<0.05).
CONCLUSION: Visual perception training has a higher value in the simultaneous visual function, fusion function, stereoscopic visual function, perceptual eye position and quality of life in children with strabismus.
[中图分类号]
[基金项目]
西安市卫生健康委员会科研项目(No.2024yb33)