施图伦联合穴位按摩治疗儿童VDT视疲劳的疗效观察  

Clinical observation of Stullen eye drops combined with acupoint massage on video display terminal in children for asthenopia

作　　者：赵素琴 孙志贤 赵林 许燕燕 

机构地区：[1]荥阳市妇幼保健院,荥阳450199

出　　处：《中国中医眼科杂志》2013年第2期111-114,共4页China Journal of Chinese Ophthalmology

摘　　要：目的观察七叶洋地黄双苷滴眼液(施图伦滴眼液)联合眼部穴位按摩治疗儿童视频终端(visualdisplay terminal,VDT)视疲劳的效果。方法随机数字表法将106例VDT视疲劳患儿分为对照组和研究组各53例,对照组采用施图伦滴眼液点眼,1滴/次,3～4次/d,研究组在使用施图伦滴眼液的同时,按摩眼周的丝竹空、承泣、攒竹、睛明、四白穴,2次/d,4周后评价疗效。结果 (1)泪膜破裂时间(tear break-up time,BUT)和泪液分泌试验(Schirmer I test,SIT):干预前研究组的BUT及SIT分别为(7.75±2.69)s和(9.47±3.03)mm,对照组为(7.89±2.58)s和(9.53±2.57)mm,差异无统计学意义(P>0.05)。干预后研究组为(10.28±3.79)s和(12.25±3.10)mm,对照组为(9.21±3.44)s和(10.47±3.26)mm,均较干预前增加(P<0.01),研究组高于对照组(P<0.05)。(2)瞬目次数:干预前研究组(18.67±5.24)次/min,对照组(18.05±6.34)次/min,差异无统计学意义(t=1.063,P=0.290)。干预后研究组(13.58±5.58)次/min,对照组(16.32±6.366)次/min,均较干预前降低(P=0.000),研究组低于对照组(t=2.353,P=0.021)。(3)临床疗效:研究组显效34例(64.15%),有效17例(32.08%),无效2例(3.77%),对照组显效24例(45.28%),有效21例(39.62%),无效8例(15.09%),差异有统计学意义(Z=-2.219,P=0.026)。结论施图伦滴眼液配合眼周穴位按摩对VDT视疲劳患儿眼表环境和临床症状的改善优于单用施图伦滴眼液。OBJECTIVE To observe the clinical effect of digitalisglycosides eye drops （Stullen eye drops） combined with acupoint massage on video display terminal （VDT） in children for asthenopia. METHODS One hundred and six children with VDT asthenopia were divided into control group （n=53） and study group （n=53）, control group received the intervention by Stullen eye drops, 1 drop each, 3-4 times daily. Study group was given similar treatment followed by massage on acupoints Sizhukong （SJ23）, Chengqi （BL1）, Cuanzhu （BL2）, Jingming （BL2）, Sibai （ST2） around the eyes, 2 times daily. The effect was evaluated after 4 weeks. RESULTS （1） Tear break-up time （BUT） and Schirmer I test （SIT）： Before intervention, the BUT and SIT was （7.75＋_2.69） s and （9.47-＋ 3.03） mm in study group, and （7.89-＋2.58） s and （9.53_＋2.57） mm in control group respectively. There was no sig- nificant difference between two groups （P〉0.05）. After intervention, the BUT and SIT was （10.28＋_3.79） s and （12.25-＋3.10） mm in study group, and （9.21＋_3.44） s and （10.47＋_3.26） mm in control group respectively. The BUT and SIT after intervention in both groups were increased compared to those before intervention （P〈0.01）, and the BUT and SIT of study group was higher than that of control group （P〈0.05）. （2） blink： Before intervention, blink fre- quency of study group and control group was （18.67＋_5.24）/min and （18.05-＋6.34）/rain, respectively. There was no significant difference between two groups （t= 1.063, P=0.290）. After intervention, blink frequency of study group and control group was （13.58_＋5.58）/min and （16.32_＋6.366）/rain respectively, blink frequency after intervention in both groups was decreased compared to those before intervention （P=0.000）, and the blink frequency of study group was lower than that of control group （t=2.353,P=0.021）. （3）clinical effect： The results were significantly effec

关 键 词：视频终端 视疲劳 儿童 施图伦滴眼液 穴位按摩 

分 类 号：R245.9[医药卫生—针灸推拿学]