眶内三针刺法治疗眼外直肌麻痹的临床疗效观察

发布时间：2018-08-09 19:11

【摘要】：目的:观察眶内三针刺法与传统针刺疗法对眼外直肌麻痹的临床疗效,寻求临床行之有效的眼外直肌麻痹的治疗方案。方法:将40例符合纳入标准的眼外直肌麻痹患者按随机数字表法分为2组:每组20例,治疗组采用眶内三针刺法,对照组采用传统针刺疗法。治疗组以眶内三针刺法治疗(选穴外直肌穴、球后穴、上球后穴),对照组以传统针刺(针灸治疗学第二版教材)的针刺方法治疗。每组患者每天治疗1次,每次留针30分钟,6次一个疗程,4个疗程后统计疗效。两组患者在治疗前及治疗后进行眼肌麻痹指数的测量,在治疗后进行眼肌麻痹恢复指数的测量。用SPSS19.0统计软件将所得数据进行统计学分析。结果:1.两组患者眼肌麻痹指数结果经独立t检验,治疗前治疗组与对照组不具有差异性,P0.05;经配对t检验,治疗组治疗前与治疗后眼肌麻痹指数具有显著差异性,P0.01;经配对t检验,对照组治疗前与治疗后眼肌麻痹指数具有显著差异性,p0.01;经配对t检验,治疗后治疗组与对照组相比较眼肌麻痹指数具有差异性,P0.05,且治疗组优于对照组。2.治疗后两组患者眼肌麻痹恢复指数结果经配对t检验,治疗组与对照组具有显著差异性,P0.01,且治疗组优于对照组。3.治疗组总有效率为95.00%,对照组为70.00%,经Ridit检验,两组疗效相比较具有差异性,P0.05,且治疗组优于对照组。结论:1.眶内三针刺法与传统针刺均能改善患者眼外直肌麻痹症状。2.眶内三针刺法治疗眼外直肌麻痹疗效优于传统针刺治疗。
[Abstract]:Objective: to observe the clinical effect of intraorbital three-needle acupuncture and traditional acupuncture on extraocular rectus palsy and to seek effective treatment scheme for extraocular rectus palsy. Methods: forty patients with extraocular rectus palsy were randomly divided into two groups: 20 cases in each group. The treatment group was treated with three intraorbital acupuncture and the control group was treated with traditional acupuncture. The treatment group was treated with three intraorbital acupuncture points (the external rectus point, the back ball point, and the upper ball point), while the control group was treated with the traditional acupuncture method (the second edition of acupuncture therapy). The patients in each group were treated once a day for 30 minutes and 6 times for a course of treatment. The ophthalmoplegia index was measured before and after treatment, and the recovery index of ophthalmoplegia was measured after treatment. The data were analyzed by SPSS19.0 software. The result is 1: 1. After independent t test, there was no difference between the treatment group and the control group before treatment (P 0.05), and by paired t test, the ophthalmoplegia index before and after treatment in the treatment group was significantly different (P 0.01), and by the paired t test, the ophthalmoplegia index of the treatment group was significantly different from that of the control group (P < 0.05). The index of ophthalmoplegia in the control group was significantly different from that in the control group before and after treatment (P 0.01), and after paired t test, the index of ophthalmoplegia in the treatment group was higher than that in the control group (P 0.05), and the treatment group was superior to the control group (P 0.05). After treatment, the recovery index of ophthalmoplegia in the two groups was significantly different from that in the control group by paired t test, and the treatment group was superior to the control group. The total effective rate of the treatment group was 95.00 and that of the control group was 70.00.The Ridit test showed that there was a difference between the two groups (P 0.05), and the treatment group was superior to the control group. Conclusion 1. Both orbital and traditional acupuncture can improve the symptoms of extraocular rectus palsy. The effect of intraorbital three-needle acupuncture in treating extraocular rectus paralysis is better than that of traditional acupuncture.
【学位授予单位】：黑龙江中医药大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R246.82

【相似文献】

相关期刊论文 前10条

1 ;急性胰腺炎致多发性关节炎眼外直肌麻痹一例[J];安徽医学;1987年02期

2 白坤歧;赵国庆;;鼻咽癌误诊为右眼外直肌麻痹1例[J];临床误诊误治;1990年03期

3 贾洪亮;中西医结合治疗眼外直肌麻痹1例[J];江西中医药;1994年S2期

4 吕菊梅，徐亲;电针治疗眼外直肌麻痹35例临床观察[J];上海中医药杂志;1996年03期

5 丰香兰;颅脑损伤致双眼外直肌麻痹1例[J];眼外伤职业眼病杂志(附眼科手术);1997年06期

6 盖修海;铅中毒伴左眼外直肌麻痹、视乳头水肿1例报告[J];中国工业医学杂志;1994年04期

7 刘桂芬;超短波并红外线治疗眼外直肌麻痹2例报告[J];现代康复;2001年12期

8 高玉山,彭尔爽,王淑文;额部带状疱疹并发右眼外直肌麻痹一例　[J];中华皮肤科杂志;1995年05期

9 刘明清,谢小明,黄启嵩;针刺治疗眼外直肌麻痹临床观察[J];上海针灸杂志;2005年02期

10 宋仕杰,尹泉潮;M銉bius综合征伴发Guillain-Barre综合征1例[J];陕西医学杂志;1987年03期

相关硕士学位论文 前2条

1 王欢;眶内三针刺法治疗眼外直肌麻痹的临床疗效观察[D];黑龙江中医药大学;2017年

2 项鑫;电针治疗眼外直肌麻痹的临床研究[D];长春中医药大学;2014年

，

本文编号：2175035