Clinical Study of Improved Auricular Acupressure Combined with Local Massage in the Treatment of Children with Idiopathic Intermittent Squint
OBJECTIVE To observe the clinical efficacy of improved auricular acupressure combined with local massage in the treatment of children with idiopathic intermittent squint.METHODS A total of 90 children aged 4 to 12 diagnosed with idiopathic intermittent squint at Shanghai Songjiang District Central Hospital from October 2019 to April 2022,were randomly assigned to the observation group(Group A),Traditional Chinese Medicine(TCM)group(Group B),and control group(Group C),with 30 children(60 eyes)in each group.They received improved auricular acupressure,classical auricular acupressure,and the combination of conventional psycho-behavioral therapy with eye drops treatment,respectively.All groups were observed for 21 days.Squint frequency,reading speed and dictation speed were measured before and after treatment.RESULTS Before treatment,there were no significant differences in squint frequency scores,reading speed and dictation speed among the three groups(P＞0.05).(1)Squint frequency scores:After treatment,both Group A and Group B showed a significant decrease in squint frequency scores compared to before treatment,with statistically significant differences(tA= 19.313,tB=15.000,both P=0.000).Group C showed no significant difference after treatment compared to before treatment(P＞0.05).Post-treatment comparisons among the three groups showed significant differences(F=1093.886,P=0.000).Compared to Group C,both Group A and Group B had lower squint frequency scores(tA=-11.655,tB=-11.171,both P=0.000),while there was no significant difference between Group A and Group B(P＞0.05).(2)Reading speed:After treatment,both Group A and Group B showed a significant increase in reading speed compared to before(tA=-60.647,tB=-61.465,both P=0.000),while Group C showed no significant difference after treatment compared to before treatment(P＞0.05).Post-treatment comparisons among the three groups showed significant differences(F =19.150,P=0.000).Compared to Group C,both Group A and Group B had increased reading speeds(tA=4.744,tB=4.033,both P=0.000),while there was no significant difference between Group A and Group B(P＞0.05).(3)Dictation speed:After treatment,both Group A and Group B showed a significant increase in dictation speed compared to before treatment(tA=-115.348,tB=-109.133,both P=0.000),while Group C showed no significant difference after treatment compared to before treatment(P＞0.05).Post-treatment comparisons among the three groups showed significant differences(F =91.933,P=0.000).Compared to Group C,both Group A and Group B had increased dictation speeds(tA=9.751,tB= 8.203,both P=0.000),while there was no significant difference between Group A and Group B(P＞0.05).(4)TCM efficacy:TCM Symptom Scores:After treatment,both Group A and Group B showed a significant decrease in TCM Symptom Scores compared to before treatment,with statistically significant differences(tA =-4.365,tB =-4.062,both P=0.000).Group C showed no significant difference after treatment compared to before treatment(P＞0.05).Post-treatment comparisons among the three groups showed significant differences(F=17.259,P=0.000).Compared to Group C,both Group A and Group B had lower squint frequency scores(tA =-4.979,tB =-4.625,both P=0.000),while there was no significant difference between Group A and Group B(P＞0.05).(5)Clinical efficacy:Group A(96.67%)and Group B(93.33%)both demonstrated significantly higher total effective rates compared to Group C(66.67%),with statistically significant differences observed(χ2A=9.017,P=0.003;χ2B=6.667,P=0.010).However,there was no statistically significant difference between Group A and Group B(P>0.05).(6)Recurrence rate:The recurrence rates in Group A(10.34%)and Group B(14.29%)were both lower than that in Group C(80.00%),and these differences were statistically significant(χ2A=24.191,χ2B=20.728,both P=0.000).However,there was no statistically significant difference between Group A and Group B(P>0.05).CONCLUSIONS Improved auricular acupressure combined with local massage shows good clinical efficacy in treating children with idiopathic intermittent squint.It has advantages such as simplicity,reliable efficacy,and a low recurrence rate,making it worthy of clinical promotion.
NETL
NSTL
万方数据
维普
