应用红外眼动仪探索眼肌麻痹患者针刺治疗的作用

发布时间：2018-09-04 13:24

【摘要】：[目的]通过针刺治疗眼肌麻痹患者,应用红外眼动仪记录其眼球扫视运动的轨迹,观察分析患者治疗前后眼球扫视运动的时间、幅度、速度等的变化,探索针刺治疗的作用。[方法]1.随机选择30例眼肌麻痹患者,进行针刺治疗,使用红外眼动仪分别记录针刺治疗前、后15分钟眼球扫视运动数据,比较针刺治疗前、后眼球扫视运动轨迹及各项指标的变化,观察针刺治疗对眼肌麻痹患者眼球运动功能的影响。30例眼肌麻痹患者中只有13例患者符合条件入选临床疗效评估,选择每个患者单次15分钟内双眼的幅度差、峰速度差和时间差作为评估患者眼球运动功能的基本参数,其中幅度差和峰速度差又可以分为水平(X)和垂直(Y)两个分量,故每个患者单次单方向总共有(1)X分量幅度差、(2)X分量峰速度差, (3)Y分量幅度差、(4)Y分量峰速度差和(5)时间差五个评价参数作为观察指标。2.选择30位眼球运动正常的成年人,运用眼动仪记录15分钟眼球扫视运动数据,建立正常人眼球运动的各项功能数据,并与眼肌麻痹患者的眼球运动数据进行比较。[结果]1.通过针刺治疗前后比较,所有13例眼肌麻痹患者自身的五项眼球运动功能指标中,有4例患者5项指标均有显著变化,7例患者有2-4项指标显著变化,仅有1项指标具有显著变化的为2人。2.所有13例患者,针刺治疗前,其眼动麻痹方向的五项眼动功能指标中,有三项与正常组无差异的有1人,两项与正常组无差异的1人,一项与正常组无差异的7人,其他4人五项功能障碍评分均显著区别于正常人,说明针刺治疗的13例患者的眼动功能均在不同程度上异于正常人。3.13例患者中,经过针刺治疗后,12例患者五项眼球运动指标均有不同程度的部分提升,1例患者五项眼球运动指标均无提升。13例中,5例患者一项指标趋于正常,1例患者两项指标趋于正常,1例患者三项指标趋于正常,说明针刺治疗对眼肌麻痹患者眼球运动功能恢复具有一定的促进作用。[结论]1.针刺治疗可以促进眼肌麻痹患者眼球扫视运动时间、幅度、速度等的改善。2.通过比较正常成年人与眼肌麻痹患者的一系统眼球运动数据,初步说明针刺治疗具有帮助患者的眼球运动功能逐步趋于正常的趋势。
[Abstract]:[objective] to observe and analyze the changes of time, amplitude and speed of eye scan motion before and after acupuncture treatment in patients with ophthalmoplegia by using infrared eye movement instrument, and to explore the effect of acupuncture therapy. [methods] 1. Thirty patients with ophthalmoplegia were randomly selected to be treated with acupuncture. The data of ocular motion before and 15 minutes after acupuncture were recorded by infrared eye movement instrument. The changes of the track and indexes of eye scan were compared before and after acupuncture treatment. Objective: to observe the effect of acupuncture on ocular movement in patients with ophthalmoplegia. Only 13 of 30 patients with ophthalmoplegia were selected to evaluate the clinical efficacy. The peak velocity difference and the time difference are the basic parameters to evaluate the eye movement function. The amplitude difference and the peak velocity difference can be divided into two components: horizontal (X) and vertical (Y). Therefore, there were (1) X component amplitude difference, (2) X component peak velocity difference, (3) Y component amplitude difference, (4) Y component peak velocity difference and (5) time difference. Thirty adults with normal eye movement were selected and 15 minutes of eye motion data were recorded by eye movement instrument. The functional data of eye movement in normal subjects were established and compared with those of ophthalmoplegia patients. [result] 1. After acupuncture treatment, there were significant changes in 5 indexes of eyeball movement in all 13 patients with ophthalmoplegia and 2-4 indexes in 7 patients. Only one indicator showed significant change in 2. 2. All 13 patients, before acupuncture treatment, three of the five indexes of eye movement function in the direction of eye movement paralysis had no difference with the normal group (1 person), two items had no difference with the normal group (1 case), and one item had no difference with the normal group (7 cases). The scores of the other 4 persons and 5 items of dysfunction were significantly different from those of the normal subjects, indicating that the eye movement function of 13 patients treated with acupuncture was different from that of the normal subjects in varying degrees. After acupuncture treatment, all the five indexes of eyeball movement in 12 patients had different degrees of partial elevation. None of the five indexes of eyeball movement of 13 patients had been raised. One index of 5 patients in 13 cases tended to be normal and 1 patient had two indexes. The three indexes of 1 normal patient tended to be normal, It shows that acupuncture therapy can promote the recovery of eye movement function in patients with ophthalmoplegia. [conclusion] 1. Acupuncture therapy can promote the improvement of time, amplitude and speed of eye movement in patients with ophthalmoplegia. By comparing the systematic eye movement data between normal adults and patients with ophthalmoplegia, it is preliminarily indicated that acupuncture treatment has the tendency of helping the patients' eye movement function gradually to be normal.
【学位授予单位】：昆明医科大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R246.82

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