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首页> 外文期刊>American Orthoptic Journal >Patching Compliance with Full-Time vs. Part-Time Occlusion Therapy
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Patching Compliance with Full-Time vs. Part-Time Occlusion Therapy

机译：全日制与非全日制咬合疗法的修补合规性

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Background and Purpose: Amblyopia is commonly treated with part-time occlusion (PTO) therapy. We have made two anecdotal observations regarding this therapy. First, children undergoing full-time occlusion seem to have better success and compliance rates. Secondly, a subset of children exists that fail PTO but can improve with more aggressive therapy. Methods: A retrospective review where treatment, visual outcome, and compliance scores were recorded. Compliance was graded on percent adherence reported by family. Patients scored "1" (for no compliance), "2" (for 1-25% of prescribed treatment performed), "3" (for 26-50%), "4" (for 51-75%), or "5" (for 76-100%). Results: Seventy-six children were enrolled in the study: forty-five were treated with part-time occlusion, twenty-two were treated with full time occlusion (FTO), and nine had a history of failed PTO and were subsequently treated with FTO. Visual outcomes for FTO versus PTO were not statistically significant (P = 0.82). However, compliance rates in FTO were significantly better (P = 0.02). Of the nine patients that failed PTO, four improved an average of three lines with full-time occlusion, and five had no change with more aggressive patching. Conclusions: This study confirms previous rteports of similar visual outcomes between PTO and FTO. However, compliance rates for FTO seem to be higher and some children who have failed PTO may improve with FTO.
机译：背景与目的：弱视通常采用兼职闭塞（PTO）治疗。关于这种疗法，我们做了两个轶事观察。首先，经历全时闭塞的儿童似乎具有更好的成功率和顺从率。其次，存在一部分儿童的PTO失败，但可以通过更积极的治疗来改善。方法：回顾性回顾，记录治疗，视觉结果和依从性评分。依从性是根据家庭报告的依从性百分比分级的。患者得分为“ 1”（无依从性），“ 2”（进行规定治疗的1-25％），“ 3”（占26-50％），“ 4”（为51-75％）或“ 5英寸（76-100％）。结果：76名儿童入选了该研究：45名接受了非全时咬合治疗，22位接受了全时咬合（FTO）治疗，其中9名有PTO失败的病史，随后接受了FTO治疗。 FTO与PTO的视觉结果无统计学意义（P = 0.82）。但是，FTO的依从率要好得多（P = 0.02）。在9例PTO失败的患者中，有4例在全时闭塞的情况下平均改善了3例，而5例因更积极的修补而无变化。结论：这项研究证实了以前在PTO和FTO之间视觉效果相似的报道。但是，FTO的依从率似乎更高，有些未通过PTO训练的孩子可以通过FTO来改善。

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