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针对性短波透皮术与认知训练相结合,用于患有严重创伤性视神经病变的患者

Qingping Tang¹, Hua Zhang², Huayang Deng¹

¹Department of Rehabilitation, Brain Hospital of Hunan Province, Hunan University of Chinese Medicine, Changsha, Hunan, China.

European journal of ophthalmology

|February 24, 2025

概括

有针对性的短波透视 (SWD) 和感知训练显著改善了严重创伤性视神经病变 (TON) 患者手术后的视觉功能. 这种联合康复提供了恢复视力的希望,即使在长期视力丧失后也是如此.

科学领域:

眼科医生眼科眼科
神经学神经学
康复医学康复医学康复医学

背景情况:

严重的创伤性视神经病变 (TON) 往往导致视力有限的改善,尽管治疗.
内镜视神经减压 (EOND) 手术用于TON,但视觉恢复可能是不理想的.

研究的目的:

评估针对性短波透视 (SWD) 与感知训练相结合的有效性,以提高EOND手术后严重TON患者的视觉功能.

主要方法:

40名患有EOND后严重TON的患者随机分配到康复 (Reh) 组 (n=24) 或非康复 (Nreh) 组 (n=16).
雷赫组接受了针对性的SWD治疗和16周的感知训练.
视觉功能,视觉唤起潜力 (VEP) 和扩散张力成像 (DTI) 被评估.

主要成果:

与Nreh组相比,Reh组在最佳校正的视敏度 (p=0.006) 和彩色视觉得分 (p=0.026) 中显著改善.
两名儿童在康复后恢复了视力敏度 (≤1.0 logMAR),即使在TON后62天和73天完全视力丧失.
在10周后,Reh组在受影响的视神经中显示出明显更高的P100平均振幅 (p=0.012) 和分数异质性 (p=0.032对前部,p=0.014对中间部分).

结论:

针对性SWD与感知训练相结合,对EOND手术后严重TON的患者有益.
这项研究提供了第一个证据表明,通过综合康复,在完全视力丧失73天后,TON儿童的视力功能恢复.

关键词:

短波透术是一种短波透术.神经眼科神经眼科感知训练是一种感知训练.康复康复康复康复康复康复创伤性视神经病变是一种创伤性视神经病变.

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