针灸联合核桃灸治疗青少年近视临床疗效观察
Clinical observation on acupuncture combined with walnut moxibustion for treatment of juvenile myopia
杨凯莉 1马玉磊 2牟亚男 1于海群 1单鸣 3刘艳 1刘宏1
作者信息
- 1. 山东第二医科大学附属医院眼科中心,山东 潍坊 261031
- 2. 山东第二医科大学附属医院护理部
- 3. 山东第二医科大学眼科教研室
- 折叠
摘要
目的 观察针灸联合核桃灸治疗青少年近视的临床疗效,观察指标包括裸眼远视力,FAZ(中心凹无血管区)形态指数、周长、面积,黄斑区视网膜浅层血流密度,中医证候积分.方法 纳入符合标准的 48 例患者,均取右眼(48 眼)进行观察研究.按处理方法不同将患者随机分为对照组与实验组,各 24 例,对照组接受的治疗为每晚睡前使用 0.25%托吡卡胺滴眼液滴眼 1 次,治疗周期为 4 周.实验组则接受针灸和核桃灸的联合治疗,每周进行4 次,每次持续40min,治疗周期为4 周.记录治疗前后患者的裸眼远视力,FAZ面积、周长、形态指数,黄斑区视网膜浅层血流密度,中医证候积分,进行对比分析.结果 实验组有效率(91.67%)高于对照组(62.5%),差异有统计学意义(P<0.05).两种治疗方式均对患者远视力有所改善,但实验组对远视力改善程度明显优于对照组,差异有统计学意义(P<0.05).对照组治疗后黄斑区视网膜浅层血流密度无明显提高,治疗前后差异无统计学意义(P>0.05);实验组治疗后黄斑区视网膜浅层血流密度较治疗前提高,差异有统计学意义(P<0.05).对照组与实验组治疗前后黄斑区FAZ面积、周长及形态指数均无明显变化,治疗前后差异无统计学意义(P>0.05).两组患者治疗后视远模糊、畏光、眼干、视久疲劳症状积分均有所降低,但实验组降低程度明显优于对照组,两组差异有统计学意义(P<0.05).结论 针灸联合核桃灸治疗青少年近视疗效确切,能够提高裸眼远视力,改善黄斑区视网膜微循环,同时改善中医证候.
Abstract
Objective To observe the clinical effect of acupuncture and moxibustion combined with walnut moxibustion in the treatment of myopia in adolescents.The observation indexes include:naked eye distant vision,FAZ(fovea vascularless area)shape index,circumference,area,superficial retinal blood density in macular area,and TCM syndrome score.Methods Forty-eight patients meeting the criteria were included,and all of them took right eye(48 eyes)for observation study.According to different treatment methods,the patients were divided into control group and ex-perimental group,each with 24 cases.The control group received 0.25%topicamide eye drops once before going to bed every night.The experimental group received a combination of acupuncture and moxibustion with walnut four times a week for 40 minutes each time for four weeks.The patients'naked eye distant visual acuity,FAZ area,circumference,morphological index,superficial retinal blood density in macular area,and TCM syndrome score were recorded before and after treatment for comparative analysis.Results The effective rate of the experimental group was 91.67%,while that of the control group was 62.5%.The treatment effect of the experimental group was significantly better than that of the con-trol group,and the difference was statistically significant(P<0.05).In terms of far vision,both treatments improved pa-tients'far vision,but the improvement degree of far vision in the experimental group was significantly better than that in the control group,and the difference between the two groups was statistically significant(P<0.05).In terms of retinal mi-crocirculation indexes,the superficial retinal blood flow density in the macular area of the control group was not signifi-cantly increased after treatment,and there was no statistical significance before and after treatment(P>0.05).The super-ficial retinal blood flow density in the macular area of the experimental group after treatment was higher than that before treatment,and the difference was statistically significant(P<0.05).There were no significant changes in the area,circ-umference and morphological index of FAZ in macular area between control group and experimental group before and af-ter treatment(P>0.05).After treatment,the scores of far-vision fuzziness,photophobia,dry eyes and visual fatigue were all decreased in both groups,but the reduction degree of the experimental group was significantly better than that of the control group,and the difference between the two groups was statistically significant(P<0.05).Conclusion Acupunc-ture combined with walnut moxibustion is effective in the treatment of myopia in teenagers,which can improve the naked eye far vision,improve the retinal microcirculation in macular area,and improve the TCM syndrome.
关键词
针灸/核桃灸/青少年近视/视力/黄斑区视网膜浅层血流密度Key words
Acupuncture/Moxibustion with walnut/Adolescent myopia/Visual acuity/Superficial retinal blood flow density in macular area引用本文复制引用
基金项目
山东省卫健委中医药科技项目(M-2022236)
潍坊市软科学研究计划项目(2015RKX033)
出版年
2024
NETL
NSTL
万方数据