眼三针配合耳穴治疗青少年近视短期疗效观察

发布时间：2019-06-28 17:04

【摘要】：目的：通过观察眼三针配合耳穴及眼眶外经穴配合耳穴治疗青少年近视的短期治疗的影响,探究两种治疗方法的临床疗效、安全性、依从性,对比两组治疗的差异。方法：本研究采用完全随机分配的信封法,拟纳入近视患者72例,随机分为试验组(眼三针配合耳穴贴压治疗组)36例和对照组(眼眶外经穴配合耳穴贴压治疗组)36例。2组均以双侧取穴,5次为1疗程,疗程结束后休息2天进行下一疗程,连续治疗2个疗程。其中试验组取眼Ⅰ、眼Ⅱ、眼Ⅲ穴,配合耳穴眼、肝治疗,对照组取攒竹、瞳子髂、四白,配合耳穴眼、肝治疗。观察治疗前与治疗1次后、治疗5次后、治疗10次后视力,治疗前与治疗5次后、治疗10次后眼部临床症状各项(视物不持久、干涩不适、异物感、酸胀不适、畏光流泪)评分、眼部临床症状总积分,安全性分析、依从性分析,以对比疗效。结果：1.研究共纳入受试者72例,试验组35例,对照组37例。研究中试验组剔除／脱失5例,对照组剔除／脱失6例,最终完成61例,其中试验组30例(59只眼),对照组31例(62只眼)。2.两组在性别、年龄上比较,P0.05,差异无统计学意义；两组治疗前视力、眼部临床症状各项评分及总积分比较,P0.05,差异无统计学意义。3.治疗完成后,两组进行治疗前后组内的比较：视力治疗前与治疗1次后、治疗5次后、治疗10次后比较,P0.05,差异有统计学意义；眼部临床症状各项评分、眼部临床症状总积分治疗前与治疗5次后、治疗10次后比较,P0.05,差异有统计学意义。4.治疗完成后,两组进行治疗前后组间的比较：治疗1次后、治疗5次后、治疗10次后比较,P0.05,两组视力无显著差异；治疗5次后、治疗10次后比较视物不持久、干涩不适、酸胀不适、畏光流泪评分,P0.05,差异有统计学意义,试验组优于对照组；治疗5次后、治疗10次后比较异物感评分,P0.05,差异无统计学意义；眼部临床症状总积分治疗5次后、治疗10次后比较,P0.05,差异有统计学意义,且试验组相较对照组起效快且疗效较显著。5.总疗效评定：试验组痊愈4例,有效34例,无效21例,总有效率64.41%；对照组痊愈5例,有效34例,无效23例,总有效率62.90%。结论：1. 眼三针配合耳穴及眼眶外经穴配合耳穴治疗青少年近视的短期治疗均有较好的疗效；2. 针刺眼三针配合耳穴优于针刺眼眶外经穴配合耳穴；3.两种疗法对视力的疗效相当；4.两种疗法对于异物感评分疗效相当；5.对于视物不持久、干涩不适、酸胀不适、畏光流泪症状评分及眼部临床症状总积分,针刺眼三针配合耳穴优于针刺眼眶外经穴配合耳穴,且起效较快；6.两种疗法的安全性及依从性均较好；针刺可以作为改善视功能的辅助治疗手段,可延缓近视的发展,帮助患者更好的预防和恢复,在此方面眼三针配合耳穴治疗起效更快。
[Abstract]:Objective: to investigate the clinical efficacy, safety and compliance of the two methods by observing the short-term treatment of juvenile myopia with three eye needles combined with auricle points and orbital meridians points, and to compare the differences between the two groups. Methods: 72 myopic patients were randomly divided into experimental group (treatment group, n = 36) and control group (treatment group, n = 36). The two groups were treated with bilateral acupoint selection for 5 times as a course of treatment, and the next course of treatment was carried out for 2 days after the end of the course of treatment, and the next course of treatment was carried out for 2 consecutive courses of treatment. In the experimental group, eyes 鈪，

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