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明目三通法干预低度近视的随机对照试验

Intervention of Santong method for brightening eyes on low myopia:A randomized controlled trial

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目的:评价明目三通法干预低度近视的临床疗效和安全性.方法:纳入2019年12月-2020年12月就诊于中国中医科学院眼科医院的6~13岁低度近视患儿256例.采用前瞻性、分层、随机、对照研究设计,以屈光度较高眼为准进行分层(-1.00 D<SE≤-0.50 D和-3.00 D≤SE≤-1.00 D),再根据随机数表法分为对照组(128例,236眼)和治疗组(128例,235眼),对照组予健康宣教及散瞳验光(-3.00 D≤SE≤-1.00 D患儿予配镜治疗),治疗组在此基础上予明目三通法(耳穴压丸、梅花针循经叩刺、穴位贴敷),均连续干预6个月.结果:干预后近视进展控制率治疗组显著高于对照组(P<0.01).干预3个月后,-1.00 D<SE≤-0.50 D治疗组裸眼视力、屈光度、角膜曲率优于对照组(P<0.01,P<0.05),其中治疗组在干预后双眼调节灵敏度提高(P<0.05);-3.00 D≤SE≤-1.00 D治疗组裸眼视力优于对照组(P<0.05),治疗组负相对调节、调节幅度及调节灵敏度较干预前显著提高(P<0.05,P<0.01);对照组调节灵敏度显著提高(P<0.05).干预6个月后,-1.00 D<SE≤-0.50 D治疗组裸眼视力、屈光度、调节灵敏度优于对照组(P<0.01,P<0.05),其中治疗组在干预后调节灵敏度提高(P<0.05,P<0.01);-3.00 D≤SE≤-1.00 D治疗组裸眼视力、双眼调节幅度及调节灵敏度优于对照组(P<0.01,P<0.05),其中治疗组负相对调节、调节幅度及调节灵敏度均较干预前改善(P<0.05,P<0.01).对比3个月和6个月结果,发现干预6个月后青少年患者调节功能明显优于3个月.治疗期间未发生严重不良事件.结论:明目三通法对控制近视进展、减缓近视度数增长有积极作用,能够在一定程度上改善调节功能,且远期疗效更佳,安全性高,值得在临床推广应用.
Objective:To evaluate the clinical efficacy and safety of Santong method for brightening eyes in the intervention of low myopia.Methods:A total of 256 children aged 6 to 13 with low myopia were included.All of them visited Eye Hospital of China Academy of Chinese Medical Sciences.The prospective,stratified,randomized,controlled clinical trial design was adopted.The patients were stratified according to the eye with higher diopter(-1.00 D<SE≤-0.50 D and-3.00 D≤SE≤-1.00 D),and then randomly divided into control group(128 cases,236 eyes)and treatment group(128 cases,235 eyes).The control group were given health education and mydriatic optometry(subjects of-3.00 D≤SE≤-1.00 D needing to wear glasses).In addition,the treatment group was given the Santong method for brightening eyes meridian following(earball,percussion puncture of plum-blossom needle and acupoint application).Both of them were treated continuously for 6 months.Results:After intervention,the control rate of myopia progression in treatment group was significantly higher than that in control group(P<0.01).After three months of intervention,the naked visual acuity,diopter and corneal curvature of the treatment group were better than those of the control group(P<0.01,P<0.05).After intervention,the diopter and binocular adjustment sensitivity of-1.00 D<SE≤-0.50 D treatment group increased(P<0.05).After the intervention,the naked visual acuity of the treatment group with-3.00 D≤ SE≤-1.00 D was better than that of the control group(P<0.05).The negative relative adjustment,adjustment amplitude and adjustment sensitivity of the treatment group were all significantly higher than before(P<0.05,P<0.01).But in the control group,only the adjustment sensitivity was higher than that before intervention(P<0.05).After six months of intervention,the naked eye visual acuity,diopter and adjustment sensitivity of the treatment group with-1.00 D<SE≤-0.50 D were better than those of the control group(P<0.01,P<0.05);the adjustment sensitivity visibly increased in the-1.00 D<SE≤-0.50 D treatment group after intervention(P<0.05,P<0.01).The naked visual acuity,binocular adjustment amplitude and adjustment sensitivity of the treatment group with-3.00 D≤SE≤-1.00 D were better than those of the control group(P<0.01,P<0.05);the negative relative adjustment,adjustment amplitude and adjustment sensitivity of the treatment group were significantly improved before intervention(P<0.05,P<0.0l).Comparing the results of three months and six months,it was found that the adjustment function after six months of intervention were significantly better than that of three months.No serious adverse events occurred during the treatment period.Conclusion:Santong method for brightening eyes plays a positive role in controlling the progress of myopia and slowing down the growth rate of myopia degree.It can improve the adjustment function,and the longer the intervention time,the more obvious the improvement of patients'regulatory function.Besides,this therapy has high safety,which is worthy of clinical application.

Low myopiaSantong method for brightening eyesVisionDiopterOcular axisAdjustment functionRandomized controlled trial

陈爽、张丽霞、解晓斌、宿蕾艳、边忠华、张绿园

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中国中医科学院眼科医院,北京 100040

中国中医科学院,北京 100700

低度近视 明目三通法 视力 屈光度 眼轴 调节功能 随机对照试验

国家重点研发计划"中医药现代化"重点专项国家自然科学基金面上项目

2022YFC350260182074500

2024

中华中医药杂志
中华中医药学会

中华中医药杂志

CSTPCD北大核心
影响因子:1.135
ISSN:1673-1727
年,卷(期):2024.39(6)
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