针刺治疗麻痹性斜视疗效观察  

Clinical observation on acupuncture for treatment of paralytic strabismus

作　　者：张淑杰[1] 李淑荣[1] 李俊松[1] 刘靖[2] 宋日新[1] 

机构地区：[1]大庆油田总医院中西医结合科,黑龙江大庆163000 [2]大庆龙南医院

出　　处：《中国针灸》2009年第10期799-803,共5页Chinese Acupuncture & Moxibustion

摘　　要：目的:对比针刺眼周穴为主与西药治疗麻痹性斜视的疗效差异。方法:将100例麻痹性斜视患者随机分为两组。针刺组58例采用针刺眼周穴为主,穴取睛明、瞳子髎、上明等;西药组42例采用口服弥可保、维生素B1的方法治疗。治疗5个疗程后,观察两组疗效。结果:针刺组总有效率为94.8%,优于西药组的85.7%(P<0.01);针刺组对动眼神经及外展神经的治疗效果明显优于西药组(P<0.05);同视机检测结果比较及对眼裂、瞳孔的改善,均针刺组优于西药组(P<0.01,P<0.05),对麻痹眼肌功能的改善,除上斜肌外,对内直肌、外直肌等功能的改善,均针刺组优于西药组(P<0.01,P<0.05)。结论:针刺眼周穴为主的治疗方法可有效地治疗麻痹性斜视。Objective To compare therapeutic effects of acupuncture at local points of eye and western medicine on paralytic strabismus. Methods One hundred cases were randomly divided into an acupuncture group and a medication group. The acupuncture group （58 cases） was treated with acupuncture at local points of eye, Jingming （BL 1）, Tongziliao （GB 1）, Shangming （Extra） etc. were selected; and the medication group （42 cases） was treated with oral administration of Methycobal and Vitamin 13i. After treatment of 5 courses, the therapeutic effects in the two groups were observed. Results The total effective rate of 94.8% in the acupuncture group was superior to that of 85.7% in the medication group （P〈0.01） ; the therapeutic effects of the acupuncture group for treatment of oculomotor nerve and abducent nerve were significantly better than that of the medication group （P〈0.05）; the acupuncture group was better than the medication group in synoptophore examination results and improvement of rima oculi and pupil （P〈0.01, P〈0.05）, the acupuncture group was superior to the medication group in improvement of the function of paralysis eye muscle, including medial rectus and lateral rectus except superior oblique （P〈0. 01, P〈0.05）. Conclusion Acupuncture on local points of eye is an effective therapy for paralytic strabismus.

关 键 词：针刺疗法 斜视 眼肌麻痹 

分 类 号：R246.82[医药卫生—针灸推拿学]