首页|耳穴压丸防控儿童青少年近视的临床观察

耳穴压丸防控儿童青少年近视的临床观察

Clinical Observation on the Prevention and Control of Myopia in Children and Ado-lescents by Auricular Point Pressing with Seeds

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目的 观察耳穴压丸防控儿童青少年近视的临床疗效.方法 纳入2023年9月—2024年2月在黑龙江中医药大学附属第二医院及哈南分院收治的儿童青少年近视60例(120只眼).随机分为治疗组和对照组,每组30例(60只眼).对照组予七叶洋地黄双苷滴眼液+眼保健操+宣教治疗.治疗组在对照组的基础上联合耳穴压丸治疗.2组均观察8周.分别于治疗前及治疗后检测裸眼视力(UCVA)、等效球镜(SE)度数、调节幅度(AA)和中医症候积分.结果 (1)UCVA:治疗前后比较,2组治疗后UCVA均较治疗前改善,差异均有统计学意义(t治疗组=4.728,P=0.000;t对照组=2.981,P=0.003).治疗后2组间UCVA比较,差异无统计学意义(P>0.05).(2)SE:2组治疗后SE与治疗前比较及治疗后2组间SE比较,差异均无统计学意义(P>0.05).(3)AA:治疗前后比较,2组治疗后AA均较治疗前提高,差异均有统计学意义(t治疗组=10.340、t对照组=5.667,均P=0.000).治疗后2组间比较,治疗组AA高于对照组,差异有统计学意义(t=2.078,P=0.040).(4)中医症候积分:治疗前后比较,2组治疗后中医症候积分均较治疗前降低,差异均有统计学意义(t治疗组=15.812、t对照组=5.477,均P=0.000).治疗后2组间比较,治疗组中医症候积分高于对照组,差异有统计学意义(t=6.249,P=0.000).结论 耳穴压丸联合七叶洋地黄双苷滴眼液点眼具有儿童青少年近视防控作用,与单纯使用七叶洋地黄双苷点眼相比能够改善裸眼视力,提高调节幅度,改善中医症候,但等效球镜度改善不明显.
OBJECTIVE To observe the clinical efficacy of auricular point pressing with seeds in the prevention and control of myopia in children and adolescents.METHODS A total of 60 cases(120 eyes)of children and adolescents with myopia admitted to the Second Affiliated Hospital of Heilongjiang University of Chinese Medicine and its Hanan Branch from September 2023 to February 2024 were included.They were randomly divided into a treatment group(TG)and a control group(CG),with 30 cases(60 eyes)in each group.The control group was treated with dipeptone eye drops,eye exercises,and health education.The treatment group was treated with auricular point pressing with seeds based on the treatment of the control group.Both groups were observed for eight weeks.Uncorrected visual acuity(UCVA),spherical equivalent(SE),amplitude of accommodation(AA),and traditional Chinese medicine(TCM)syndrome scores were detected before treatment and after treatment.RESULTS(1)UCVA:When compared before and after treatment,the UCVA of both groups improved after treatment compared with those before treatment,and the differences were statistically significant(tTG=4.728,P=0.000;tCG=2.981 P=0.003).There was no statistically significant difference in UCVA between the two groups after treatment(P>0.05).(2)SE:There was no statistically significant difference in SE between the two groups before and after treatment and between the two groups after treatment(P>0.05).(3)AA:When compared before and after treatment,the AA of both groups increased after treatment compared with those before treatment,and the differences were statistically significant(tTG=10.340,tCG=5.667,both P=0.000).After treatment,the AA of the treatment group was higher than that of the control group,and the difference was statistically significant(t=2.078,P=0.040).(4)TCM syndrome scores:When compared before and after treatment,the TCM syndrome scores of both groups decreased after treatment compared with those before treatment,and the differences were statistically significant(tTG=15.812,tCG=5.477,both P=0.000).After treatment,the TCM syndrome score of the treatment group was higher than that of the control group,and the difference was statistically significant(t=6.249,P=0.000).CONCLUSIONS Auricular point pressing with seeds combined with dipeptone eye drops has a preventive and control effect on myopia in children and adolescents.Compared with the simple use of dipeptone eye drops,it can improve uncorrected visual acuity,increase the amplitude of accommodation,and improve TCM syndromes,but the improvement of spherical equivalent is not obvious.

myopiaauricular point pressing with seedsdipeptone eye dropsamplitude of accommodation

付晋、吕婧、姚靖、曲阳、赵志成、张嘉宁、庄哲、王萌萌

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黑龙江中医药大学,哈尔滨 150040

黑龙江中医药大学附属第二医院,哈尔滨 150001

黑龙江中医药大学附属第四医院,哈尔滨 150077

黑龙江中医药大学附属第一医院,哈尔滨 150040

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近视 耳穴压丸 七叶洋地黄双苷 调节幅度

2025

中国中医眼科杂志
中国中医科学院

中国中医眼科杂志

影响因子:0.476
ISSN:1002-4379
年,卷(期):2025.35(9)