头皮针埋线治疗青少年假性近视的临床疗效观察

发布时间：2019-03-09 16:58

【摘要】：目的初步观察和总结头皮针埋线治疗青少年假性近视的疗效,明确其治疗优势,为该病种提供一种简单安全有效的治疗方案。方法收集2015年10月1日至2016年7月1日在浙江省中山医院针灸科及眼科门诊就诊的10～16岁符合“假性近视”的青少年患者30例(60只眼)。将患者随机分为治疗组和对照组。治疗组给予头皮针穴(双侧枕上旁线)埋线治疗,对照组给予阿托品滴眼液滴眼治疗,疗程均为一个月。观察两组病人在治疗前和治疗后裸眼远视力和近视屈光度的变化。结果(1)两组治疗均能明显提高青少年假性近视患者的远视力,p0.05,治疗组优于对照组；随访3个月后治疗组与对照组疗效有显著性差异,p=0.043(p0.05),治疗组明显优于对照组。(2)两组治疗均能降低散瞳前眼的屈光度,p=0.000(p0.01),但对散瞳后屈光度无明显影响,p0.05,两组间未呈现明显差异。(3)两组治疗总有效率治疗组为96%(治疗后)、96%(随访3个月),对照组为86%(治疗后)、30%(随访3个月),表明临床综合疗效的评定以治疗组为优,且疗效较对照组持久。(5)不良反应的发生率对照组为17%(5只眼),治疗停止则不良反应消失。而治疗组未见明显不良反应,两组间有显著差异。结论头皮针埋线治疗青少年假性近视有较好的疗效,能显著改善患者的各项眼部指标及临床症状,具有改善视力的良好作用,且安全无毒副作用,疗效持久,值得临床推广应用。
[Abstract]:Aim to observe and summarize the curative effect of scalp needle embedding therapy on juvenile pseudomyopia, and to provide a simple, safe and effective treatment scheme for this disease. Methods from Oct. 1, 2015 to July 1, 2016, 30 adolescent patients (60 eyes) with pseudomyopia were enrolled in the acupuncture department and ophthalmology clinic of Zhongshan Hospital in Zhejiang Province. The patients were randomly divided into treatment group and control group. The treatment group was treated with scalp acupuncture (bilateral superior supraoccipital line) embedding, and the control group was treated with atropine eye drops. The course of treatment was one month. The changes of distant naked vision and myopic diopter were observed before and after treatment in the two groups. Results (1) both groups could significantly improve the distant vision of juvenile pseudomyopic patients, p0.05, the treatment group was superior to the control group; After 3 months of follow-up, there was significant difference between the treatment group and the control group (p0.05), and the treatment group was obviously superior to the control group. (2) both groups could reduce the diopter of the eyes before mydriasis, p = 0.000 (p0.01). (3) the total effective rate of the two groups was 96% (after treatment), 96% (follow-up for 3 months), 86% (after treatment), and 86% (after treatment) in the control group, and there was no significant difference in the diopter after mydriasis between the two groups. 30% (follow-up for 3 months) showed that the treatment group was better than the control group, and the curative effect was longer than that of the control group. (5) the incidence of adverse reactions in the control group was 17% (5 eyes), and the side effects disappeared when the treatment stopped. There was no obvious adverse reaction in the treatment group, and there was a significant difference between the two groups. Conclusion scalp needle embedding has a good curative effect on juvenile pseudomyopia, can significantly improve the eye index and clinical symptoms of the patients, has a good effect on improving visual acuity, and has no side effects and safety, and the curative effect is lasting, and there are no side effects and safety in the treatment of juvenile pseudomyopia. It is worth popularizing and applying in clinic.
【学位授予单位】：浙江中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R246.82

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