低功率氦氖激光治疗儿童弱视的临床观察

　　低功率氦氖激光治疗儿童弱视的临床观察

　　(中国斜视弱视与小儿眼科杂志)

　　郝淑琳

　　陕西省西安市自强西路59号

　　西安爱尔古城眼科医院小儿眼科

　　【摘要】 目的：观察低功率氦氖激光联合电脑中频脉冲治疗儿童弱视的临床疗效。方法：总结分析对137例226眼，年龄4—15y，平均10.69±03.71y，男59例、女78例儿童弱视，用低功率变频、扩束氦氖激光联合电脑中频脉冲治疗。用0.32mw的低功率氦氖激光每日照射3—5min、电脑中频脉冲治疗20min，连续治疗20d为一疗程。每十天检查视力一次，根据患者的屈光状态和视力变化而调整激光治疗时间。结果：用低功率变频、扩束氦氖激光联合电脑中频脉冲治疗儿童弱视，基本治愈率为54.4%，总有效率为91.5%。其中不同年龄弱视中以4—7y疗效，129眼有效率为91.1%;不同类型弱视中以屈光不正性弱视疗效，148眼有效率为94.7%;不同程度的弱视以轻度弱视疗效，138眼有效率为95.4%;不同注视性质的弱视以中心凹注视疗效194眼，有效率为95.7%。结论：低功率氦氖激光联合电脑中频脉冲治疗儿童弱视时间短，疗效好，能提高患者及家长对弱视治疗的信心和依从性。

　　【关键词】 儿童弱视 氦氖激光 电脑中频 治疗

　　Low Power He-Ne Laser in the Clinical Observation of Amblyopic Children

　　Abstract: Objective To observe the effects of low power He-Ne laser combined with medium frequency electrotherapy in the treatment of amblyopic children. Methods The Low power frequency change, He-Ne laser joint with computer medium frequency electrotherapy in treating 137 cases of 226 amblyopic eyes aged 4 - 15, average 10.69±03.71. The number of male is 59 and female 78. The low power He-Ne laser of 0.32mw irradiated the amblyopic eyes 3 – 5 minutes per day and 20 minutes with medium frequency electrotherapy, continuous treatment of 20 days. Check the eyesight every 10 days, and adjust the laser illuminative time according to refractive state and eyesight change. Results The basic cure rate is 54.4% and the total effective rate is 91.5% with the low power frequency change, He-Ne laser combined with medium frequency electrotherapy in the treatment of amblyopic children. The efficacy for aged 4 – 7 is the best among different ages; the effective rate of 148 eyes is 94.7%. Amblyopia in the 4to 7 age group has the best effect; the effective rate is 91.1% of 129 eyes. The refractive amblyopia in different types of amblyopia has the best effect; the effective rate is 94.7% of 148 eyes. The mid amblyopia in different degrees of amblyopia has the best effect; the effective rate is 95.4% of 138 eyes. The center concave watching in different watching natures of amblyopia has the best effect; the effective rate is 95.7% of 194 eyes. Conclusion Low Power He-Ne laser can shorten the course of treatment of amblyopia; improve the confidence and compliance of the amblyopia children and their parents in treating amblyopia.

　　Key words: amblyopic children, He-Ne laser, computer medium frequency, treatmen