双鼻侧遮盖法辅助治疗儿童共同性内斜视的效果

doi:10.3760/cma.j.cn115909-20200203-00023

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摘要目的：观察双鼻侧遮盖法辅助治疗儿童共同性内斜视的效果。方法：前瞻性临床研究。纳入2019年 1─7月期间在厦门市儿童医院经阿托品眼膏散瞳验光连续配戴远视全矫眼镜6～9个月后仍有+20△ 以上内斜视的3～10岁非调节性内斜视或部分调节性内斜视患儿21例。给予双鼻侧遮盖辅助治疗。每个月定期复查观察患儿视力及斜视度的矫正情况。数据采用重复测量方差分析进行分析。结果：遮盖前斜视度为（+33±13）△；遮盖3个月后斜视度为（+21±15）△，其中矫正显效3例，有效11例，无效7例；遮盖6个月后斜视度为（+18±12）△，其中矫正显效5例，有效13例，无效3例。3个时间点斜视度比较，总体差异有统计学意义（F=8.316，P=0.001）。结论：双鼻侧遮盖法可以有效地辅助治疗儿童共同性内斜视。

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关键词 ： , 双鼻侧遮盖, 辅助治疗, 共同性内斜视

Abstract： Objective: To investigate the effect of binasal occlusion in the treatment of children with concomitant esotropia. Methods: In this propective clinical study, 21 children aged 3 to 10 years with nonaccommodative esotropia or partly accommodative esotropia who had more than +20△ esotropia after full refraction correction for 6 to 9 months at Xiamen Children's Hospital from January 2019 to July 2019 were examined. All the children were given binasal occlusion. Vision function and strabismic degree were re-examined every month. Data were analyzed by single factor analysis of variance. Results: The average strabismus was +33△±13△ before binasal occlusion. After binasal occlusion for 3 months, average strabismus was +21△±15△. Three cases were markedly corrected, 11 cases were effectively corrected, 7 cases were invalid. After binasal occlusion for 6 months, average strabismus was +18△±12△. Five cases were markedly corrected, 13 cases were effectively corrected, 3 cases were invalid. The difference was statistically significant (F=8.316, P=0.001). Conclusions: Binasal occlusion can effectively assist the treatment of concomitant esotropia in children.

Key words： binasal occlusion adjuvant therapy concomitant esotropia

收稿日期: 2020-02-03

PACS:

基金资助: 厦门市科技惠民项目（3502Z20164073）；厦门市医疗卫生项目（指导性项目）（3502Z20189046）

通讯作者: 杨晖（ORCID：0000-0001-7239-20219），Email：andini2017@163.com

引用本文:

尹雪　杨晖　陈亚娟　傅征　王娜. 双鼻侧遮盖法辅助治疗儿童共同性内斜视的效果[J]. 中华眼视光学与视觉科学杂志, 2020, 22(10): 764-768. Xue Yin, Hui Yang, Yajuan Chen, Zheng Fu, Na Wang. Effect of Binasal Occlusion in Children with Concomitant Esotropia. Chinese Journal of Optometry Ophthalmology and Visual science, 2020, 22(10): 764-768. DOI: 10.3760/cma.j.cn115909-20200203-00023

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https://www.cjoovs.com/CN/10.3760/cma.j.cn115909-20200203-00023 或 https://www.cjoovs.com/CN/Y2020/V22/I10/764

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