摘要
眼肌麻痹作为神经眼科疑难疾病,其复视等症状严重影响此类患者的生活质量.现阶段药物治疗本病主要以控制原发病为主,功能修复依靠神经营养药物.本文对近年眼肌麻痹的病因病机、发病机制及非药物疗法的研究进展进行综述,发现中医学认为眼肌麻痹与肝、脾、肾关系最为密切,辨证论治主要以针刺为主,结合电针、推拿、灸法等;西医在明确眼肌麻痹的病因后,主要采取佩戴棱镜、知觉学习、超短波、经皮神经电刺激等非药物疗法.中、西医非药物疗法治疗眼肌麻痹具有方法多样、安全性高、疗效好及副作用小的独特优势,本研究可为眼肌麻痹的临床诊治提供参考.
Abstract
Oculomotor palsy,a challenging condition in neuro-ophthalmology,significantly impacts the quality of life of patients due to symptoms like diplopia.Currently,pharmacological treatment focuses primarily on managing the underlying condition,while functional recovery relies on neurotrophic agents.This article reviews recent advances in the etiology,pathogenesis,and non-pharmacological therapies for oculomotor palsy.It is observed that Traditional Chinese Medicine(TCM)correlates oculomotor palsy closely with liver,spleen,and kidneys,advocating a syndrome differentiation approach mainly utilizing acupuncture,combined with electroacupuncture,massage and moxibustion.In Western Medicine(WM),once the etiology of oculomotor palsy is identified,interventions primarily include prism glasses,perceptual learning,shortwave therapy,and transcu-taneous electrical nerve stimulation as non-pharmacological treatments.The non-pharmacological therapies from both TCM and WM offer diverse methods,high safety,effective outcomes,and mini-mal side effects.This research provides a reference for the clinical diagnosis and treatment of ocu-lomotor palsy.
维普
万方数据