基于“开导之后宜补论”中药离子导入治疗儿童肝肾不足型弱视的临床观察

发布时间：2018-01-02 08:12

本文关键词：基于“开导之后宜补论”中药离子导入治疗儿童肝肾不足型弱视的临床观察　出处：《长春中医药大学》2016年硕士论文　论文类型：学位论文

【摘要】：目的:观察基于“开导之后宜补论”中药离子导入治疗儿童肝肾不足型弱视的临床疗效。方法:收集2015年01月-2016年01月在长春中医药大学附属医院眼科门诊就诊的48例弱视患儿(中医辨证为肝肾不足型),年龄4~9岁。分组采用随机分组法,将患儿分为治疗组(基于“开导之后宜补论”中药离子导入+基础治疗)24例,对照组(补肝益肾中药离子导入+基础治疗)24例。观察两组患儿治疗前后的临床疗效,主要观察患儿视力的变化,进行疗效对比。结果:治疗组24例35只眼经治疗后,基本治愈20眼,进步14眼,无效1眼,总有效率为97.14%。对照组24例34眼经治疗后,基本治愈9眼,进步16眼,无效9眼,总有效率73.52%.两组存在统计学差异((p㩳0.05),治疗组疗效较对照组有效。研究进行期间,两组患儿均未出现明显不良反应。结论:1、弱视的治疗效果与治疗年龄相关,采用基于“开导之后宜补论”中药离子导入治疗4-6岁弱视患儿的疗效优于7-9岁弱视患儿,在儿童配合的情况下年龄越小,治疗效果越好。2、弱视的治疗效果与弱视的轻重程度有紧密的联系,采用基于“开导之后宜补论”中药离子导入治疗轻、中度弱视的疗效优于重度弱视,弱视程度越重,治疗的效果会相对较差。3、弱视的类型影响疗效,采用基于“开导之后宜补论”中药离子导入治疗屈光不正性弱视的治疗效果要比屈光参差性弱视的效果好。4、采用基于“开导之后宜补论”中药离子导入治疗儿童肝肾不足型弱视的治疗效果明显优于对照组,且治疗期间未出现明显副作用,患儿易接受。提高弱视治疗的有效率,是对现代医学治疗本病的一个补充,临床上值得推广应用。
[Abstract]:Objective: To observe the clinical curative effect of enlighten Yi "iontophoresis of Chinese medicine treatment of children with amblyopia based on" liver and kidney deficiency. Methods: from 2015 01 months -2016 years 01 months in 48 cases of children with amblyopia ophthalmology clinic of the Affiliated Hospital of Changchun University of Traditional Chinese Medicine (TCM for liver and kidney deficiency type), age 4~9 group randomly. And the patients were divided into treatment group (based on "enlighten Yi of" traditional Chinese medicine iontophoresis plus basic treatment control group (24 cases), nourishing liver and kidney of traditional Chinese medicine iontophoresis plus basic treatment) of 24 cases. Observe the clinical curative effect of the two groups before and after treatment, observed the changes in visual acuity, the effects were compared. Results: the treatment group of 24 eyes of 35 patients after treatment, 20 eyes recovered, 14 eyes improved, 1 eyes were invalid, the total effective rate was 97.14%. in 34 eyes of 24 cases in the control group after treatment, 9 eyes recovered, 16 eyes improved, 9 eyes were invalid, the total efficiency of 73.52% There was a significant difference between the two groups. ((P? 0.05), the efficacy of the treatment group than the control group. During the study period, there were no obvious adverse reactions in the two groups. Conclusion: 1. The curative effect of amblyopia treatment correlated with age, 4-6 years after treatment should be adopted to enlighten children with amblyopia of "traditional Chinese medicine iontophoresis the age of children with amblyopia is more effective than 7-9 based on" in children with the situation the younger the better treatment of.2, is closely related to the severity and the therapeutic effect of amblyopia, the channel after the appropriate filling of the traditional Chinese medicine iontophoresis light based on "effect of moderate amblyopia was superior to that of severe amblyopia, the higher the degree of amblyopia heavy, the treatment effect will be relatively poor.3, is influenced by the type of amblyopia, the refractive amblyopia difference than ginseng after enlighten appropriate filling theory" of traditional Chinese medicine iontophoresis in treatment of ametropic amblyopia treatment effect based on " Good.4, the channel should be significantly better than the treatment effect after repair on iontophoresis of Chinese medicine treatment of children with liver and kidney deficiency type of amblyopia, and based on the control group during treatment showed no obvious side effects, easily accepted by children. To improve the efficiency of the treatment of amblyopia, is a complement to the modern medical treatment of this disease, it is worthy of popularization and application clinical.

【学位授予单位】：长春中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R272

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