针刺联合西药治疗后天性麻痹性斜视临床观察

发布时间：2018-05-30 13:27

  本文选题：后天性麻痹性斜视 + 针刺疗法　； 参考：《中医杂志》2017年17期

【摘要】：目的观察针刺联合西药治疗后天性麻痹性斜视的临床疗效。方法将60例后天性麻痹性斜视患者随机分为治疗组与对照组各30例。对照组应用复方樟柳碱注射液颞浅动脉旁皮下注射及口服营养神经药物,治疗组在对照组基础上联合针刺治疗,两组均治疗4周。治疗前后观察患者眼部症状评分,包括眼位偏斜、眼球活动障碍、复视、第一斜视角大于第二斜视角、代偿头位,并评价临床疗效。结果治疗组临床疗效治愈率为40.0%,总有效率为93.4%,对照组分别为10.0%、66.7%,治疗组总有效率及治愈率均显著高于对照组(P0.05)。治疗组治疗后眼部症状总评分及复视、眼位偏斜、眼球活动障碍评分改善情况均优于对照组(P0.05)。结论针刺联合西药治疗后天性麻痹性斜视疗效优于单纯西药治疗,可显著改善眼部症状。
[Abstract]:Objective to observe the clinical effect of acupuncture combined with western medicine in treating acquired paralytic strabismus. Methods 60 patients with acquired paralytic strabismus were randomly divided into treatment group (n = 30) and control group (n = 30). The control group was treated with compound anisodine injection by subcutaneous injection of superficial temporal artery and oral nutrition nerve drug. The treatment group was treated with acupuncture on the basis of the control group and both groups were treated for 4 weeks. Before and after treatment, the ocular symptom scores were observed, including eye position deviation, eye movement disorder, diplopia, the first oblique angle was larger than the second oblique angle, the compensatory head position, and the clinical effect was evaluated. Results the cure rate and total effective rate of the treatment group and the control group were 40.0 and 93.40.The total effective rate and cure rate of the treatment group were significantly higher than that of the control group respectively (P 0.05). After treatment, the total score of ocular symptoms, diplopia, deviation of eye position and the improvement of the score of ocular movement disorder in the treatment group were better than those in the control group (P 0.05). Conclusion the therapeutic effect of acupuncture combined with western medicine on acquired paralytic strabismus is better than that of western medicine alone, and can significantly improve ocular symptoms.
【作者单位】： 北京市第一中西医结合医院;中国中医科学院望京医院;
【基金】：北京市中医药科技发展基金(QN2014-20)
【分类号】：R777.41
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本文编号：1955461