针刺联合常规疗法治疗前部缺血性视神经病变的疗效观察

发布时间：2018-08-04 08:53

【摘要】：目的:本研究旨在客观评价针刺联合常规疗法治疗前部缺血性视神经病变(AION)的疗效。材料与方法:将符合纳入标准的60例前部缺血性视神经病变患者,随机分为实验组和对照组,对于实验组患者采用针刺联合常规治疗,针刺穴位:睛明、太阳、百会、合谷、足三里;针对对照组患者则单纯应用常规治疗:局部应用糖皮质激素,静脉滴注及皮下注射改善循环扩血管、营养神经药,口服B族维生素,应用降眼压眼水点眼,治疗15天后观察两组治疗前后患者的最佳矫正视力、视野的提高程度,评价临床疗效。结果:实验组和对照组的视野平均缺损(MD)和最佳矫正视力在治疗后与治疗前相比,均具有统计学差异,P0.05;视野MD和最佳矫正视力分别在治疗后进行两组间对比,均具有统计学差异,P0.05;两组间视野MD、最佳矫正视力在治疗前后的差值对比,经统计学分析,均具有显著差异,P0.01,说明经治疗后针刺联合常规治疗组在视野平均缺损和最佳矫正视力的的改善均优于常规治疗组;针刺联合常规治疗组中患者治愈6例,显效14例,有效11例,无效3例,总有效率91.17%,常规治疗组中治愈2例,显效7例,有效19例,无效6例,总有效率82.35%,经秩和检验,Z=2.594,P=0.009(P0.05),两组疗效差异有统计学意义,针刺联合常规治疗组疗效优于常规治疗组。结论:针刺联合常规疗法治疗前部缺血性视神经病变的临床疗效较单纯应用常规治疗要好,在常规治疗的基础上加以针刺,能够更好的提升患者的最佳矫正视力,减轻视野平均缺损,促进患者视神经的恢复。
[Abstract]:Objective: to evaluate the efficacy of acupuncture combined with conventional therapy in the treatment of anterior ischemic optic neuropathy (AION). Materials and methods: sixty patients with anterior ischemic optic neuropathy were randomly divided into experimental group and control group. Zusanli; for the patients in the control group, only routine treatment was used: local administration of glucocorticoid, intravenous drip and subcutaneous injection to improve circulation and vasodilator, nutrition and neurodrugs, oral administration of group B vitamins, and eye drops of ocular pressure relief. After 15 days of treatment, the best corrected visual acuity and visual field were observed before and after treatment, and the clinical efficacy was evaluated. Results: the mean visual field defect (MD) and best corrected visual acuity (BCVA) in the experimental group and the control group were significantly different from those before treatment (P 0.05), the visual field MD and the best corrected visual acuity (BCVA) were compared between the two groups after treatment. There was statistical difference between the two groups (P 0.05). The difference between the two groups of MDS and BCVA before and after treatment was compared by statistical analysis. There were significant differences between the two groups (P 0.01), which indicated that the improvement of mean visual field defect and best corrected visual acuity in the acupuncture combined with routine treatment group was better than that in the conventional treatment group, and 6 cases were cured, 14 cases were effective and 11 cases were effective in the acupuncture combined with routine treatment group. In the routine treatment group, 2 cases were cured, 7 cases were markedly effective, 19 cases were effective, 6 cases were ineffective, and the total effective rate was 82.35%. The difference between the two groups was statistically significant (P0.05). The curative effect of acupuncture combined with routine treatment group was better than that of routine treatment group. Conclusion: the clinical effect of acupuncture combined with conventional therapy for anterior ischemic optic neuropathy is better than that of simple routine treatment. Acupuncture on the basis of routine treatment can better improve the best corrected visual acuity of patients. To reduce the mean defect of visual field and promote the recovery of optic nerve.
【学位授予单位】：辽宁中医药大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R774.6

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