三棱镜联合感知觉训练对间歇性外斜视术后病儿效果及眼血流动力学影响

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[关键词] 外斜视;三棱镜;感知觉训练;血流动力学;治疗结果 [中图分类号] R77.4 [文献标志码] A

[Abstract] Objective Toinvestigatetheefectoftriangularprismcombinedwithsensoryandperceptualtrainingonpostoperativeoutcomeandocularhemodynamicsinchildrenwithintermitentexotropia（IXT）. Methods Atotalof30 childrenwith IXT whowereadmitedfromFebruary2018toJanuary2023wereenroled，andacordingtothetreatmentregimen，theyweredividedintoobservationgroupandcontrolgroup，with150patientsineachgroup.Thechildreninthecontrolgroupweregivenocular sensoryandperceptualtraining，andthoseintheobservationgroupweregiventriangularprismtreatmentinaditiontothetreatmentinthecontrolrou .Thetwo rouswerecom aredintermsofclinicaloutcome，strabismus rismdere andfusionrane， hemodynamicparametersofophthalmicarteriesintheafectedeyes（peaksystolicvelocity（Vs），end-diastolicvelocity（Vd），and resistanceindex（RI），andtheincidencerateofuncomfortablesymptomsduringtreatment. Results Theobservationgroup hadasignificantlyhigheroveralresponseratethanthecontrolgroupaftertreatment （92.00% vs 70.00% ， χ2=23.587，P<0.01） ）. Comparedwiththecontrolgroup，theobservationgrouphadsignificantlylowervaluesofstrabismusprismdegre-viewingdistance andstrabismusprismdegre-viewingnearandasignificantlyhigherfusionrange （t=9.943-16.149，P<0.01） ）.Aftertreatment， bothgroupshadsignificantincreasesin Vs ，Vd，andRIofophthalmicarteries，andtheobservationgrouphadsignificantlygreater increasesthanthecontrolgroup （t=4.427-14.538，P<0.01） ）.Theobservationgrouphadasignificantlyloweroveralincidence rateofvisualdiscomfortsymptomsaftertreatmentthanthecontrolgroup （χ2=14.584，P<0.01） ）. Conclusion Triangular prismcombinedwithsensoryandperceptualtraininghasabeterefectthansensoryandperceptualtrainingaloneinmaintaining postoperativeclinicaloutcomeandocularhemodynamicsinpatientswithIXT.

[Keywords] esotropia;tricorder;sensorytraining;haemodynamics;treatmentoutcome

间歇性外斜视（IXT）是儿童常见眼科疾病，影响视觉功能[1]，约占所有斜视的 60% 。（剩余5972字）