| 吉伟,明春平,张晓宇,李淑婷,尹娟.外斜视患儿术后眼位不正的发生及影响因素分析.[J].中南医学科学杂志.,2024,(6):965-967. |
| 外斜视患儿术后眼位不正的发生及影响因素分析 |
| Analysis of occurrence and influencing factors of postoperative eye misalignment in children with exotropia |
| 投稿时间：2023-11-17 修订日期：2024-05-09 |
| DOI：10.15972/j.cnki.43-1509/r.2024.06.022 |
| 中文关键词: 外斜视 术后眼位不正 影响因素 |
| 英文关键词:exotropia postoperative eye misalignment influence factor |
| 基金项目:河北省卫健委医学科学研究课题计划(20210296) 作者简介:吉伟,硕士,主治医师,研究方向为麻醉相关药物及设备对手术患者的影响,E-mail为liyym1451@163.com。 |
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| 中文摘要: |
| 目的分析外斜视患儿术后眼位不正的发生及影响因素。 方法选取外斜视患儿60例,均接受全身麻醉手术治疗,随访术后12个月,记录患儿眼位不正发生情况,分析其影响因素。 结果术后12个月,患儿眼位不正发生率为35.00%。年龄≥8岁、集合不足型斜视、术前无近立体视患儿术后眼位不正发生率较高(P＜0.05)。Logistic回归分析显示,年龄、斜视类型、术前近立体视是患儿术后发生眼位不正的影响因素(P＜0.001)。影响因素的Logistic回归方程对外斜视患儿术后眼位不正具有良好的预测效能(P＜0.05)。 结论外斜视患儿术后眼位不正发生率较高,主要受年龄、斜视类型及术前有无近立体视的影响。 |
| 英文摘要: |
| AimTo analyze the incidence and influencing factors of postoperative eye misalignment in children with exotropia. MethodsSixty children with exotropia were selected and underwent general anesthesia surgery. The incidence of postoperative eye misalignment was followed up for 12 months, and the influencing factors were analyzed. ResultsThe incidence of malocclusion was 35.00% at 12 months after surgery. Children aged ≥8 years with convergence insufficiency strabismus and no near stereopsis before surgery had a higher incidence of postoperative eye misalignment (P＜0.05). Logistic regression analysis showed that age, strabismus type, and preoperative near stereopsis were the influencing factors for postoperative eye misalignment in children with strabismus (P＜0.001). The logistic regression equation of influencing factors has good predictive efficacy for postoperative eye misalignment in children with exotropia (P＜0.05). ConclusionThe incidence of postoperative eye misalignment in children with exotropia is high, which is mainly affected by age, type of strabismus, and the presence or absence of near stereopsis before surgery. |
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