不同暴露剂量视频终端视疲劳的穴位按摩效果评价  

Efficacy evaluation of acupoints massage on asthenopia of video display terminal under different exposure dose

作　　者：徐艳[1] 顾光霞[1] 杨小生[1] 潘春英[1] 侯文利[1] 赵卫[1] 邢勤[1] 

机构地区：[1]洛阳市疾病预防控制中心,河南洛阳471000

出　　处：《中国针灸》2012年第4期351-353,共3页Chinese Acupuncture & Moxibustion

摘　　要：目的:观察穴位按摩对不同暴露剂量视频终端(VDT)视疲劳的疗效差异。方法:将102例(204眼)VDT视疲劳患者分为低暴露组和高暴露组,每组51例。两组均采用同样的眼局部穴位(攒竹、睛明、丝竹空、四白、太阳)按摩干预,每穴5min,每天1次,疗程1个月。观察干预前后症状积分、泪膜破裂时间(BUT)和泪液分泌试验(SIT)变化情况。结果:(1)症状改善指数与暴露剂量的三次曲线模型的相关系数最大(P=0.000),VDT暴露指数越小,症状改善越明显。低暴露组和高暴露组的症状改善指数分别为(52.31±16.65)%和(28.93±13.35)%,两组间差异有统计学意义(P=0.000)。(2)干预后两组BUT和SIT均升高(P<0.05),在校正了干预前BUT及SIT的影响后,低暴露组比高暴露组BUT平均增加0.826s(P=0.022),SIT平均增加1.029mm(P=0.033)。结论:穴位按摩可改善VDT视疲劳患者的症状和眼生理状况,且低暴露患者的效应更大。Objective To observe the efficacy differences of acupoints massage for asthenopia of video display terminal（VDT） under different exposure dose.Methods One hundred and two cases（204 eyes） were divided into a low exposure group and a high exposure group,fifty-one cases in each group.The same intervention of acupoints massage on Cuanzhu（BL 2）,Jingming（BL 1）,Sizhukong（TE 23）,Sibai（ST 2） and Taiyang（EX-HN 5） were given to the two groups,one acupoint for 5 min and once everyday,one month of which made a course.The symptom score,tear film break-up time（BUT） and Schirmer I test（SIT） were observed before and after treatment.Results （1） The correlation coefficient of cubic curve model of the exposure dose was the biggest with symptom improvement index（P=0.000）,which indicated that the lower VDT exposure index was,the more obvious the symptom improved.The symptom improvement indices of low exposure group and high exposure group,which were（52.31±16.65）% and（28.93±13.35）% respectively,were statistical significant difference（P=0.000）.（2） Compared to before treatment,the levels of BUT and SIT in the two groups were both significantly higher（P0.05）.Compared with the high exposure group,the levels of BUT and SIT in the low exposure group were increased by 0.826 s（P=0.022） and 1.029 mm（P=0.033）,respectively,after the impact of BUT and SIT was corrected before the research.Conclusion The acupoints massage can improve the symptoms and ocular physiology for patients with VDT asthenpia,and it is more effective for the low exposure cases.

关 键 词：视频显示终端 视疲劳 穴位按摩 暴露剂量 临床疗效 

分 类 号：R246.8[医药卫生—针灸推拿学]