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目的探讨大龄儿童及青少年弱视疗效。方法我院10~17岁弱视患者76例,113只眼,在训练师规范化管理与指导下采用综合法治疗弱视,对其疗效做统计分析。结果113只弱视眼中屈光不正性弱视57眼,治愈40眼(70.18%);屈光参差性弱视36眼,治愈17眼(47.22%);斜视性弱视12眼,治愈2眼(16.67%)。屈光不正性弱视疗效最高(P<0.05)。按年龄分析,10~12岁组54例87眼,治愈59.77%(52眼);13~17岁组22例26眼,治愈42.33%(11眼),两组疗效差异无显著性(P>0.05)。对13~17岁组进一步分析,其疗效与注视性质、弱视程度有关。结论(1)大龄儿童及青少年弱视患者,不应轻易放弃治疗,只要坚持治疗,治愈可能性是很大的。(2)应争取家长理解与支持。(3)建议加强宣传教育,力争弱视早发现、早治疗,以提高治愈率。
Objective To investigate the therapeutic effect of amblyopia in older children and adolescents. Methods Amblyopia patients aged 10 to 17 years in our hospital were 76 and 113 eyes. Under the standardized management and guidance of trainer, amblyopia was treated by comprehensive method, and its efficacy was analyzed statistically. Results A total of 57 eyes (70.18%) were ametropia amblyopia in 113 amblyopic eyes, 36 eyes (47.22%) were cured anisometropic amblyopia, 12 eyes were strabismic amblyopia (12 eyes), 2 eyes (16.67%) were cured, . The highest efficacy of refractive amblyopia (P <0.05). According to the age analysis, 54 eyes (87 eyes) and 59 eyes (57 eyes) were cured in 10 to 12 years old group, 22 eyes (42.33%) were cured in 13 to 17 years old group (22 eyes), and there was no significant difference between the two groups (P> 0.05). 13 to 17-year-old group for further analysis, its efficacy and the nature of gaze, the degree of amblyopia. Conclusion (1) Amblyopia patients in older children and adolescents should not give up treatment easily, so long as they adhere to treatment, the possibility of cure is great. (2) parents should understand and understand. (3) It is suggested to step up publicity and education to strive for the early detection and early treatment of amblyopia so as to improve the cure rate.