艾灸联合综合疗法治疗大龄儿童弱视疗效分析  

Moxibustion and comprehensive therapy on elder children with amblyopia

作　　者：沈媛[1] 张小林[1] 董丽洁[1] 张海龙[1] 

机构地区：[1]广州市花都区妇幼保健院,510800

出　　处：《中国斜视与小儿眼科杂志》2013年第1期28-28,29-30,33,共4页Chinese Journal of Strabismus & Pediatric Ophthalmology

摘　　要：目的探讨艾炙用于大龄儿童弱视的治疗效果。方法采用随机对照研究方法，将2007年12月至2010年10月在我院眼科门诊确诊为弱视患儿106例（160只眼），年龄8～15岁，随机分为两组：A组53例（79只眼）使用艾炙、红光闪烁、光栅、光刷、后像、联合遮盖治疗，B组53例（81只眼）使用红光闪烁、光栅、光刷、后像、联合遮盖治疗。分别在治疗前及治疗后1个月、3个月、6个月、12个月检测矫正视力和治疗后6个月检查远、近立体视。结果治疗前两组在年龄、性别、弱视类型、注视性质、弱视程度、两组视力之间差异均无统计学意义（P〉0．05）；治疗后6个月，两组矫正视力对比治疗前均有明显提高（P〈0．05），A组71只眼有效（基本治愈12只眼，进步59只眼），有效率为89．9％；B组54只眼有效（基本治愈17只眼，进步47只眼），有效率66．7％；A组疗效明显优于B组，两组有效率差异有统计学意义（χ2=12．61，P〈0．01）；治疗后6个月，两组远、近立体视均有提高，A组近立体视正常率及远立体视检出率高于B组，差异有统计学意义（P〈0．05）。结论艾炙联合综合弱视疗法可显著改善大龄弱视儿童的矫正视力和立体视觉。Objective To investigate the therapeutic effect of moxibustion and comprehensive therapy on elder children with amblyopia. Methods Total 106 patients （160eyes） with amblyopia （aged from 8 years to 15years） in our hospital from December 2007 to October 2010 were randomly divided into two groups：groups A （moxibustion） and groups B,53 case in each group. All groups had been added with red light flicker, luster , light brush ,after image combined with occlusion theraphy, in addition the moxibustion was performed in group A.Visuai acuity were examined at pre-therapy and 1 month, 3months, 6months, 12months after therapy. The stereoaeuity were observed at 6 months. Rusults there was no ststistical difference in age, gender, gazing nature,types and degrees of ambly- opia, vision correction between two groups before therapy （P〉 0.05 ）; After therapy at 6 months, the visual acuity in two groups had been improved compared with those of pre-therapy,（P〈0.05）; The total effective power in group A （heal/ng：12 eyes; effective：59 eyes） was 89.9 %, and in group B was 66.7 % （ healing：17 eyes; effective： 47 eyes） ,there was statisticai difference （χ2 =12.6,P〈 0.01）;After therapy at 6 months ,both near and far stereoacuity were significantly improved. The detection rates of far and near stereoaeuity were statistical difference between two groups （P〈 0.05）.Conclusions Moxibustion and comprehensive therapy is effective and reliable therapeutic tool on elder children with amblyopia.

关 键 词：弱视 艾炙 大龄儿童 

分 类 号：R777.44[医药卫生—眼科]