“过眼热”手法为主针刺治疗儿童弱视

发布时间：2018-08-18 08:10

【摘要】：目的:观察"过眼热"手法与平补平泻法治疗弱视的临床疗效差异。方法:选择符合弱视诊断标准的患儿68例,用随机数字表法分为观察组和对照组,各34例(68只眼)。观察组取鱼腰、太阳、瞳子毼、睛明、攒竹、承泣采用平补平泻法,肝俞、肾俞、光明采用捻转补法,双侧风池采用"过眼热"手法;对照组取穴与观察组相同,除风池穴采用平补平泻法,其他穴位针刺方法与观察组一致,两组均每天治疗1次,5次为一疗程,共治疗4个疗程。4个疗程后随访半年观察两组患儿视力改善情况。结果:屈光不正性弱视中观察组和对照组有效率分别为92.0%(23/25)、70.4%(19/27);屈光参差性弱视中观察组和对照组有效率分别为85.7%(18/21)、55.0%(11/20);斜视性弱视中观察组和对照组有效率分别为66.7%(12/18)、29.4%(5/17),各类型弱视观察组的疗效均优于对照组(均P0.05)。结论:"过眼热"手法治疗弱视疗效优于平补平泻法,可明显改善患儿的视力情况。
[Abstract]:Objective: to observe the difference of clinical curative effect between "over the eyes heat" manipulation and the treatment of amblyopia. Methods: 68 children with amblyopia were randomly divided into observation group (n = 34) and control group (n = 68). In the observation group, the waist of fish, sun, pupil, clear, saving bamboo, and sobbing were taken by the method of flat tonifying and purging, Ganshu, Shenshu and Guangming by twirling and tonifying, and by the technique of "passing eyes heat" in both sides of the wind pond, while the points taken in the control group were the same as those in the observation group. In addition to Fengchi acupoint, the other acupuncture methods were the same as those in the observation group. The two groups were treated once a day for 5 times a course of treatment for a total of 4 courses of treatment. The visual acuity of the two groups were followed up for half a year after 4 courses of treatment. Results: the effective rates of the observation group and the control group were 92.0% (23 / 25) and 70.4% (19 / 27) respectively, the effective rates of the observation group and the control group were 85.7% (18 / 21) and 55.0% (11 / 20) respectively, the effective rates of the observation group and the control group in strabismus amblyopia were 66.7% (1218) or 29.4% (5 / 17), respectively. The effect of amblyopia observation group was better than that of control group (P0.05). Conclusion: the treatment of amblyopia by "passing eye heat" is better than that of Pingbu Pingxiao, which can obviously improve the visual acuity of children with amblyopia.
【作者单位】：甘肃中医药大学针灸推拿学院;西安市工会医院康复医学部;甘肃中医药大学中西医结合学院;
【基金】：国家中医药管理局甘肃郑氏针法学术流派传承工作室项目:2305135901
【分类号】：R246.82

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