【摘 要】 目的:评价集体心理干预治疗在屈光参差性弱视儿童中治疗的价值。方法:将门诊就诊的屈光参差性弱视儿童随机分为集体心理干预联合弱视综合治疗组（43例49 眼），同期就诊的39例42 眼行弱视综合治疗，作为对照组，观察起效时间、依从性及疗效。结果:集体心理干预治疗起效快于综合治疗（21.1±0.6天/30.5±3.3天，t=4.89, p2=5.892，p=0.015）。治疗六月后，两组有效率差异无统计学意义（92%/83%，χ2=1.539,p=0.215）。但集体心理干预治疗组的治愈率为高于综合治疗组（27% (13/49)/7% (3/42)，χ2=5.866,p=0.015）。结论:集体心理干预治疗可以提高屈光参差性弱视治疗的依从性，缩短疗程，提高治愈率。
　　【关键词】 屈光参差性弱视；儿童；集体心理干预；病例对照研究；依从性；疗效
　　中图分类号: r777.44、r749.055 文章标识码：a文章编号：1000-6729(2007)05-00350-03
　　efficacy of the group mental intervention with combined therapy in the
　　treatment of anisometropic amblyopia in children
　　zhao yong-jie
　　the first affiliated hospital, henan university of science and technology, luoyang 471003
　　【abstract】 objective:to explore the role of group intervention in the treatment of children with anisometropic amblyopia.method: children with anisometropic amblyopia were randomly divided into intervention group (42 eyes of 39 cases) and control group (49eyes of 43 cases). the intervention group received group intervention for six months to improve their compliance to regular combined therapy. the time of getting improved, compliance and visual acuity were used as indications to assess the outcome.results:the time of getting improved was shorter in the intervention group (21.1±0.6d/30.5±3.3d,t=4.89,p2=5.892, p=0.015). the cure rate of intervention group was 27%(13/49), higher than that of control (7%, 3/42,χ2=5.866, p=0.015). conclusion: group intervention can improve the compliance, hasten improving and raise the cure rate of children with anisometropic amblyopia.
　　【key words】 anisometropic amblyopia; children; group intervention; case-control study; the compliance; efficacy
　　儿童弱视是一类常见的视功能障碍，包括先天性弱视、屈光不正性弱视、屈光参差性弱视、斜视性弱视及形觉剥夺性弱视等。