摘要
目的评估中西结合综合干预儿童假性近视的临床疗效。方法选取2021年2月—2023年2月长春市儿童医院医联体社区卫生服务中心筛查的假性近视儿童112例为研究对象,随机分为对照组和干预组(对照组54例,干预组58例),对照组儿童采用居家眼部强化护理,包括眼保健操穴位按摩,户外活动,规范用眼卫生;干预组在对照组基础上实施中西结合的综合干预治疗,干预3个月后对比两组视力。结果对照组总有效率为57.41%,干预组总有效率为84.48%,干预组总有效率显著高于对照组,差异有统计学意义(χ^(2)=14.128,P<0.05)。根据儿童视力不同,分为视力4.4~4.5,4.6~4.7及4.8~4.9组,发现在视力4.6~4.7组中,干预组较对照组视力提升效果显著,差异有统计学意义(P<0.05);而在视力4.4~4.5组和视力4.8~4.9组中,因患儿例数较少,两组视力提升效果比较,差异无统计学意义(P>0.05)。年龄、性别及父母近视情况对治疗效果无明显影响,差异无统计学意义(P>0.05)。结论在居家眼部强化护理基础上实施中西结合综合干预措施可有效缓解假性近视儿童视疲劳,提升视力。
Objective To evaluate the clinical efficacy of comprehensive intervention of Chinese and Westem medicine in children with pseudomyopia.Methods From February 2021 to February 2023,112 children with pseudomyopia screened by the Joint Community Health Service Center of Changchun Children's Hospital were selected as the study subjects and randomly divided into a control group and an inter-vention group(54 cases in the control group and 58 cases in the intervention group).Children in the control group receive home enhanced eye care,including eye health exercises,acupoint massage,outdoor activities,and standardized eye hygiene;The intervention group im-plemented a comprehensive combination of Chinese and Westem medicine on the basis of the control group.Comparison of visual acuity be-tween two groups after 3 months of intervention.Results The total effective rate of the control group was 57.41%,the total effective rate of the intervention group was 84.48%,the total effective rate of the intervention group was significant higher than the control group,the differ-ence was statistically significant(χ^(2)=14.128,P<0.05).According to the different visual acuity of children,it was divided into visual a-cuity 4.4-4.5,4.6-4.7 and 4.8-4.9groups,Discovered in vision 4.6-4.7 groups,the intervention group had a significant improvement in visual acuity compared to the control group,and the difference was statistically significant(P<0.05);And in terms of vision 4.4-4.5 groups and vision 4.8-4.9 groups,due to the small number of patients,there was no statistically significant difference in the improvement of vision between the two groups(P>0.05).Age,gender,and parental myopia status have an inefficacy on treatment,and the difference was not statistically significant(P>0.05).Conclusion Implementing comprehensive intervention measures combining Chinese and West-em medicine on the basis of home based eye care can more effectively alleviate visual fatigue and improve vision.
作者
李娅娜
王启明
谭璐
LI Ya-na;WANG Qi-ming;TAN Lu(Department of Ophthalmology,Changchun Children's Hospital,Changchun,Jilin 130021,China)
出处
《中国妇幼保健》
CAS
2024年第16期3049-3053,共5页
Maternal and Child Health Care of China
基金
吉林省卫生健康科技提升项目(2021GL011)。
关键词
中西结合
儿童
假性近视
视疲劳
Integration of Chinese and Western cultures
Children
Pseudomyopia
Clinical observation
