针刺对爆裂性眶壁骨折致眼球运动障碍的疗效分析  

Curative effect analysis of acupuncture on eye movement disorders caused by orbital blowout fracture

作　　者：周凌云[1] 刘青松[2] 刘巧英 

机构地区：[1]哈尔滨医科大学附属第一医院针灸科,哈尔滨150001 [2]黑龙江中医药大学,哈尔滨150040 [3]许昌市中心医院,许昌461000

出　　处：《中国中医眼科杂志》2015年第2期91-95,共5页China Journal of Chinese Ophthalmology

基　　金：黑龙江省自然科学基金项目(ZD201211)

摘　　要：目的观察针刺眼外肌穴对爆裂性眶壁骨折致眼球运动障碍的临床疗效。方法将60例(60只眼)爆裂性眶壁骨折致眼球运动障碍患者随机分为2组。针刺组30例,根据眶壁骨折类型选取相应眼外肌穴,每日1次,每次留针30 min,15 d为1个疗程,治疗2个疗程,同时给予常规药物治疗;对照组30例,仅给予常规药物治疗,治疗时间同针刺组。观察2组治疗前后的眼球运动障碍分级、角膜缘移动范围及复像图变化。结果 1.角膜缘移动范围:针刺组治疗前,内、上及下转角膜缘移动范围分别为(4.80±3.01)mm、(3.40±2.50)mm、(4.40±1.54)mm;治疗后的结果为(7.47±2.26)mm、(4.70±1.74)mm、(5.47±0.78)mm。对照组治疗前结果,(5.17±2.78)mm、(3.17土2.49)mm、(4.53±1.41)mm;治疗后结果,(6.17±2.56)mm、(3.57±2.27)mm、(4.70±1.26)mm。2组各项数值均较前改善(P<0.001),且针刺组的各项结果均好于对照组(P<0.001)。2.眼球运动障碍级别:针刺组治疗前,0级、Ⅰ级、Ⅱ级、Ⅲ级的眼数分别为0、5、17、8只眼,治疗后为11、13、1、5只眼。对照组治疗前各分级眼数为0、6、17、7只眼,治疗后为4、13、6、7只眼。2组治疗后眼球运动障碍均较治疗前改善,针刺组好于对照组(P<0.05)。3.临床疗效:针刺组痊愈11只眼,显效9只眼,有效5只眼,无效5只眼,有效率83.33%,痊愈率36.37%;对照组痊愈4只眼,显效5只眼,有效14只眼,无效7只眼,有效率76.67%,痊愈率13.33%。针刺组疗效优于对照组(P<0.05)。结论 1.针刺眼外肌穴可改善角膜缘移动范围及眼球运动障碍级别,明显促进眼外肌功能的恢复。2.针刺眼外肌穴联合常规治疗爆裂性眶壁骨折所致眼球运动障碍有显著疗效,其有效率及痊愈率高于单纯常规药物治疗。OBJECTIVE To observe the acupuncture effect on extra ocular muscle points for eye movement disorders of burst orbital wall fracture. METHODS Sixty eye movement disorder patients with blowout orbital wall fracture were randomly divided into two groups：treatment group （30 cases） selected points on extra ocular muscle, depending on the type of orbital wall fracture, 1 time a day, retaining needle for 30 minutes, 15 days as a course, 2 courses each patient, and conventional drug treatment were given at the same time;Control group （30 cases） was only given routine drug treatment. Before and after treatment, eye movement disorder rating and the corresponding scope of corneal limbus mobile were observed. RESULTS 1.Treatment group： the scope of corneal limbus mobile before treatment, inward moving（4.80±3.01） mm, rebound（3.40±2.50） mm, depression（4.40±1.54） mm;the scope of corneal limbus mobile after treatment , inward moving （7.47±2.26） mm, rebound （4.70±1.74） mm, depression （5.47±0.78） mm. Control group：the scope of corneal limbus mobile before treatment, inward moving （5.17±2.78） mm, rebound （3.17±2.49） mm, depression （4.53±1.41） mm;the scope of corneal limbus mobile after treatment , inward moving （6.17 ±2.56） mm, rebound （3.57 ±2.27） mm, depression （4.70 ±1.26） mm. We compared them within groups, both groups had statistically significance （P＆lt;0.001）; Comparing between the two groups after treatment, the difference was statistically significant （P＆lt;0.001）. 2.The eye movement disorder rating of treatment group：before treatment, level 0, 1, 2, 3, 4 eyes number respectively 0, 5, 17, 8 eyes;after treatment , level 0, 1, 2, 3, 4 eyes number respectively 11, 13, 1, 5 eyes; Control group before treatment, level 0, 1, 2, 3, 4 eyes number respectively 0, 6, 17, 7 eyes, after treatment , level 0, Ⅰ,Ⅱ,ⅢandⅣeyes number respectively 4, 13, 6, 7 eyes. Two groups after treatment eye movement disorder improved. Comparison between the

关 键 词：眼外肌穴 针刺 爆裂性眶壁骨折 眼球运动障碍 

分 类 号：R777.5[医药卫生—眼科]