ISSN 1674-3865  CN 21-1569/R
主管：国家卫生健康委员会
主办：中国医师协会
　　　辽宁省基础医学研究所
　　　辽宁中医药大学附属医院
中国中西医结合儿科学

中国中西医结合儿科学 ›› 2022, Vol. 14 ›› Issue (1): 49-52.

• 临床研究 • 上一篇    下一篇

基于双眼推拉模型的视知觉感知训练对3～6岁近视性弱视儿童视觉感知能力、双眼调节功能及视力的影响

  

  • 出版日期:2022-02-25 上线日期:2023-12-05

Effect of visual perception training based on the binocular push-pull model on the visual perception, binocular adjustment and vision of 3 to 6-year-old myopic amblyopic children

  • Published:2022-02-25 Online:2023-12-05

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摘要： 目的 探讨基于双眼推拉模型的视知觉感知训练对3～6岁近视性弱视儿童视觉感知能力、双眼调节功能及视力的影响。方法 选择2018年6月至2020年1月我科收治的3～6岁近视性弱视儿童95例为研究对象，随机分为对照组47例和观察组48例。对照组给予传统训练和观察组给予基于双眼推拉模型的视知觉感知训练，连续训练6个月。观察两组疗效、视觉感知能力、双眼调节功能及视力情况。结果 (1)疗效比较：训练后观察组总有效率为95.83%(46/48),对照组82.98%(39/47),差异无统计学意义(P>0.05)。(2)视觉感知能力结果：观察组无运动视觉感知测试(MVPT-4)、视觉障碍儿童社会技能评估工具(SSAT-VI)和加拿大作业表现量表(COPM)评分均较对照组高，差异有统计学意义(P<0.05)。(3)双眼调节功能结果：观察组调节反应、负相对调节平均值(NRA)、调节幅度及调节灵敏度较对照组升高，正相对调节平均值(PRA)较对照组降低，差异有统计学意义(P<0.05)。(4)视力情况：观察组远距离水平隐斜量、近距离水平隐斜量、调节性集合与调节比率较对照组升高，集合近点值、平均屈光度较对照组缩小，差异有统计学意义(P<0.05)。结论 基于双眼推拉模型的视知觉感知训练可通过改善3～6岁近视性弱视儿童双眼调节功能，提高视觉感知能力和视力水平。 

关键词: 近视性弱视, 双眼推拉模型, 视知觉感知训练, 视力, 儿童

Abstract: ObjectiveTo explore the effects of visual perception training based on binocular push-pull model on visual perception, binocular adjustment and vision of 3 to 6-year-old children with myopia amblyopia.MethodsTotally 95 children with myopic amblyopia aged 3 to 6 years treated in our department from June 2018 to January 2020 were selected as the research subjects. They were randomly divided into 47 cases in the control group and 48 cases in the observation group. The control group was given conventional training and the observation group was given visual perception training based on binocular push-pull model, both groups were treated for 6 months. The curative effect, visual perception, binocular adjustment function and vision of the two groups were observed.Results(1) Comparison of curative effects: After training, the total effective rate of the observation group was 95.83% (46/48) and that of the control group was 82.98%(39/47). There was no significant difference(P>0.05). (2) Results of visual perception ability: the scores of non-motor visual perception test(MVPT-4), social skill assessment tool(SSAT-Ⅵ) and Canadian job performance scale(COPM) in the observation group were higher than those in the control group, and the difference was statistically significant(P<0.05). (3)Results of binocular adjustment function: The adjustment response(BCC), negative relative adjustment average(NRA), adjustment amplitude(AMP) and adjustment sensitivity(BAF) in the observation group were higher than those in the control group, and the positive relative adjustment average(PRA) was lower than the control group(P<0.05). (4) Vision: Compared with the control group, the observation group had higher DLP, NLP, AC/A,NPC and average diopter(P<0.05).ConclusionVisual perception training based on binocular push-pull model can improve the binocular adjustment function, visual perception ability and vision of 3 to 6-year-old children with myopic amblyopia.

Key words:

Myopic amblyopia, Binocular push-pull model, Visual perception training, Vision, Child