目的 探讨基于互联网的神经可塑性学习对儿童原发性外斜视术后三阶立体视建立的临床疗效。方法 用基于互联网的神经可塑性学习及虚拟现实数据库系统对62例患者进行分组:A为训练组,共31例;B为对照组(即非训练组),共31例。将所有患者分别于术后采用基于计算机平台的视感知觉检查系统进行三阶立体视功能的检查,观察术后半年的立体视恢复状况。结果 术后1周患者三阶立体视比较,差异无统计学意义(P>0.05)。经过神经可塑性学习治疗后患者三阶立体视比较,训练组1阶和2阶立体视的建立明显高于对照组(P<0.05),而对照组三阶立体视无明显提升的患儿明显多于训练组(P<0.05)。结论 基于互联网的神经可塑性学习对儿童外斜视术后三阶立体视的建立有明显帮助,而不进行训练者立体视并没有明显提升。

Objective To investigate the clinical effect of internet-based neuroplasticity learning on the establishment of three-order stereopsis after primary exotropia surgery in children.Methods A total of 62 patients were divided into two groups using internet-based neuroplasticity learning and virtual reality database system: training group (31 cases) and control group (31 cases, i.e.non-training group).All the patients were examined for three-order stereopsis by using the “computer platform-based visual perception examination system” and for stereoscopic recovery half a year after the operation.Results There was no significant difference in three-order stereopsis between the two groups of patients one week after the operation (P>0.05).The children with establishment of the first- and second-order stereopsis in the training group was significantly more than the chilren in the control group (P<0.05), while the children without establishment of three-order stereopsis in the control group was significantly more than the chilren in the training group (P<0.05).Conclusion The neuroplasticity learning based on the internet is helpful to the establishment of three-order stereopsis in children after exotropia surgery, but the stereopsis of the patients who do not use the approach has no obvious improvement.