腹针治疗儿童近视眼临床疗效观察  

Clinical observation on therapeutic effect of myopia in children treated with abdominal acupuncture

作　　者：吕晖[1] 王丽平[1] 沈凤仁[1] 冯建茹 胡海[1] 曹丽娟[1] 

机构地区：[1]北京中医药大学附属护国寺中医医院针灸科,北京100035 [2]北京什刹海社区服务中心

出　　处：《中国针灸》2015年第6期567-570,共4页Chinese Acupuncture & Moxibustion

基　　金：北京中医药大学附属护国寺中医医院院级科研课题项目:2011-7;2012年北京市西城区优秀人才培养专项经费资助项目

摘　　要：目的:比较腹针与耳穴贴压治疗儿童近视眼的临床疗效差异。方法:将90例儿童近视眼患儿随机分为腹针组(45例,90只患眼)和耳穴组(45例,90只患眼)。腹针组取中脘、商曲、下脘、天枢、气海、关元,采用腧穴点刺,由中脘开始,顺序向下,以关元结束,不留针,每次均叩刺5min,以皮肤潮红不出血为度;耳穴组取肝、肾、脾、胃、眼区、屏间前、屏间后、枕,予王不留行籽粘贴在选定穴位上,每次选单耳,第二次更换对侧耳,每日自行按压5min。两组均每周治疗2次,治疗10次为一疗程。比较两组治疗前与第一次治疗后20min以及治疗5周和3个月后的视力表所测得视力水平变化情况,并比较两组的临床疗效。结果:1视力表所测得视力水平:腹针组与耳穴组较治疗前均有所改善,腹针组在治疗20min、5周和3个月后均优于耳穴组(4.78±0.16vs 4.69±0.22,P<0.01;4.85±0.16vs 4.79±0.21,P<0.05;4.89±0.13vs 4.71±0.25,P<0.01);2有效率:腹针组在治疗20min、5周和3个月后均优于耳穴组[31.4%(27/86)vs 0%(0/82);81.4%(70/86)vs 60.0%(49/82);88.4%(76/86)vs 51.2%(42/82),均P<0.01]。结论:腹针治疗儿童近视眼在改善患者视力水平方面临床疗效优于耳穴贴压。Objective To observe the clinical effects of myopia in children treated with abdominal acupuncture.Methods Ninety children with myopia were randomly divided into an abdominal acupuncture group（45 cases with 90 ill eyes）and an auricular point group（45 cases with 90 ill eyes）.In the abdominal acupuncture group,Zhongwan（CV 12）,Shangqu（KI 17）,Xiawan（CV 10）,Tianshu（ST 25）,Qihai（CV 6）,Guanyuan（CV 4）were treated with tapping method.The needles were not retained and down to the lower in accordance with the order from Zhongwan（CV 12）to Guanyuan（CV 4）for 5 min,and the erubescence skin without blood was proper.In the auricular point group,vaccaria seeds were pasted at gan（CO12）,shen（CO10）,pi（CO13）,wei（CO4）,yan（LO5）,pingjianqian（TG2i）,pingjianhou（AT1i）and zhen（AT3）;one ear was chosen every time and the other ear the second time with pressing of patient＇s own for 5 min every day.The treatment was given twice a week and 10 treatments were considered as one course in the two groups.The changes of the visual levels in visual chart before treatment,20 min after the first treatment,after 5 weeks＇ and 3 months＇ treatment were compared between the two groups,and the clinical efficacy was compared between the two groups as well.Results ① The visual levels in visual chart were improved in the abdominal acupuncture group and auricular point group,and the effects 20 min after the first treatment,after 5 weeks＇ and 3 months＇ treatment in the abdominal acupuncture group were superior to those in the auricular point group（4.78±0.16 vs 4.69±0.22,P〈0.01;4.85±0.16 vs 4.79±0.21,P〈0.05;4.89±0.13 vs 4.71±0.25,P〈0.01）.② The effective rates 20 min after the first treatment,after 5weeks＇ and 3months＇ treatment in the abdominal acupuncture group were better than those in the auricular point group[31.4%（27/86）vs 0%（0/82）;81.4%（70/86）vs 60.0%（49/82）;88.4%（76/86）vs 51.2%（42/82）,all P〈0.01].Conclusion Abdominal acupuncture

关 键 词：儿童近视眼 腹针疗法 耳穴贴压 

分 类 号：R246.82[医药卫生—针灸推拿学]