间歇性外斜视患者交替部分时间遮盖与铅笔顶压训练的比较。
Comparison of alternate part-time patching and pencil push-up training for patients with intermittent exotropia.
机构信息
Department of Ophthalmology, Children's Hospital of Nanjing Medical University, Nanjing, 210008, China.
Department of Ophthalmology, The First Hospital of Changsha, Changsha, 410005, China.
出版信息
BMC Ophthalmol. 2022 Nov 29;22(1):457. doi: 10.1186/s12886-022-02705-3.
BACKGROUND
To compare the effect of alternate part-time patching and pencil push-up training on control ability in patients with intermittent exotropia.
METHODS
Patients (3-7 years old) with previously untreated intermittent exotropia were randomly assigned to receive alternate part-time patching, pencil push-up training, or observation. Control ability was assessed using the Office Control Score. Stereoacuity at 40 cm was evaluated with Titmus. Results were compared after a 12-week follow-up.
RESULTS
Ninety-two patients (28 in patching, 30 in pencil push-ups, and 34 in observation group) completed 12-week follow-up assessments. Based on 6-point scale, the mean deviation control was significantly better in patching and pencil push-up group after 12 weeks at distance (P = 0.002 and 0.026, respectively). Furthermore, there were greater control changes in patching and pencil push-up groups in comparison with observation group from baseline to 12 weeks (P<0.001; P = 0.003, respectively). After 12 weeks of treatment, stereoacuity and stereoacuity changes were not significantly different between either the intervention group or control group (P = 0.140 and 0.393, respectively).
CONCLUSIONS
Based on the common office control scale, alternate part-time patching and pencil push-up training were effective treatment strategies for intermittent exotropia.
背景
比较交替部分时间遮盖和铅笔俯卧撑训练对间歇性外斜视患者的控制能力的影响。
方法
将未经治疗的间歇性外斜视患儿（3-7 岁）随机分为交替部分时间遮盖组、铅笔俯卧撑训练组或观察组。采用办公控制评分评估控制能力。40cm 立体视锐度用Titmus 评估。在 12 周随访后比较结果。
结果
92 例患者（遮盖组 28 例，铅笔俯卧撑组 30 例，观察组 34 例）完成 12 周随访评估。基于 6 分制，远距离时，遮盖组和铅笔俯卧撑组的平均偏斜控制在 12 周后明显更好（P=0.002 和 0.026）。此外，与观察组相比，遮盖组和铅笔俯卧撑组在基线至 12 周时的控制变化更大（P<0.001；P=0.003）。治疗 12 周后，干预组和对照组的立体视锐度和立体视锐度变化差异均无统计学意义（P=0.140 和 0.393）。
结论
根据常用的办公控制量表，交替部分时间遮盖和铅笔俯卧撑训练是间歇性外斜视的有效治疗策略。
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