中国医药导报2024,Vol.21Issue(3) :131-134.DOI:10.20047/j.issn1673-7210.2024.03.28

三部配穴法针刺治疗慢性中心性浆液性脉络膜视网膜病变的临床效果

Clinical effect of three-position points combination acupuncture in the treatment of chronic central serous chorioretinopathy

刘鹏 张必萌 张开勇 蒋会茹 寿崟 徐斯伟 赵娜
中国医药导报2024,Vol.21Issue(3) :131-134.DOI:10.20047/j.issn1673-7210.2024.03.28

三部配穴法针刺治疗慢性中心性浆液性脉络膜视网膜病变的临床效果

Clinical effect of three-position points combination acupuncture in the treatment of chronic central serous chorioretinopathy

刘鹏 1张必萌 1张开勇 1蒋会茹 1寿崟 1徐斯伟 1赵娜1
扫码查看

作者信息

  • 1. 上海市第一人民医院针灸科,上海 200080
  • 折叠

摘要

目的 观察三部配穴法针刺治疗慢性中心性浆液性脉络膜视网膜病变(CSC)的临床效果.方法 将 2022年1 月至 12 月于上海市第一人民医院就诊的 84 例慢性CSC患者按随机数字表法分为对照组(42例)与治疗组(42 例),对照组予维生素B1 片、肌苷片、三磷酸腺苷二钠片的基础治疗(40 d),治疗组在对照组的基础上联合三部配穴法针刺,隔天针刺 1次,共 20次(40 d).比较两组临床疗效,比较两组治疗前后美国国立眼科研究院视功能问卷-25(NEI-VFQ-25)、中医症状证候量表、最佳矫正视力(BCVA)变化.结果 对照组脱落 3 例,治疗组脱落4例.治疗组临床疗效优于对照组,差异有统计学意义(P<0.05).治疗后,两组NEI-VFQ-25评分、BCVA均高于治疗前,且治疗组高于对照组,差异有统计学意义(P<0.05).治疗后,治疗组中医症状证候量表评分低于本组治疗前及对照组,差异有统计学意义(P<0.05).结论 三部配穴法针刺联合基础治疗慢性CSC效果显著,具有较高的临床推广及应用价值.

Abstract

Objective To observe the clinical effect of three-position points combination acupuncture in the treatment of chronic central serous chorioretinopathy(CSC).Methods A total of 84 patients with chronic CSC treated in Shanghai First People's Hospital from January to December 2022 were divided into control group(42 cases)and treatment group(42 cases)according to random number table method.The control group was given basic treatment with Vitamin B 1 Tablets,Inosine Tablets,and Adenosine Disodium Triphosphate Tablets(40 d).Based on the control group,the treatment group was combined with three-position points combination acupuncture therapy,once every other day,a total of 20 times(40 d).The clinical effects of the two groups were compared,and the changes of the National Eye Institute visual function questionnaire-25(NEI-VFQ-25),traditional Chinese medicine symptom and syndrome scale,and best corrected visual acuity(BCVA)before and after treatment were compared between the two groups.Results Three cases dropped out of the control group and four cases dropped of the treatment group.The clinical effect of the treatment group was better than that of the control group,and the difference was statistically significant(P<0.05).After treatment,NEI-VFQ-25 score and BCVA in two groups were higher than those before treatment,and those in treatment group were higher than those in control group,the differences were statistically significant(P<0.05).After treatment,the score of traditional Chinese medicine symptom and syndrome scale in the treatment group was lower than that before treatment and control group,and the differences were statistically significant(P<0.05).Conclusion The effect of three-position points combination acupuncture combined with basic treatment of chronic CSC is remarkable,and it has high clinical promotion and application value.

关键词

三部配穴法/针刺/慢性中心性浆液性脉络膜视网膜病变/临床研究

Key words

Three-position points combination/Acupuncture/Chronic central serous chorioretinopathy/Clinical study

引用本文复制引用

基金项目

上海市卫生健康委员会综合医院中西医结合专项(ZHYY-ZXYJHZX-202018)

上海市卫生健康委员会综合医院中西医结合专项(ZHYY-ZXYJHZX-202113)

出版年

2024
中国医药导报
中国医学科学院

中国医药导报

CSTPCD
影响因子:1.759
ISSN:1673-7210
参考文献量27
段落导航相关论文