针刺眶内穴位结合头针治疗视神经萎缩的疗效观察  

Therapeutic effect of intraorbital acupuncture combined with scalp acupuncture treating optic atrophy

作　　者：蔡萧君[1] 王丽媛[1] 赵晓龙[1] 

机构地区：[1]黑龙江中医药大学,哈尔滨150040

出　　处：《中国中医眼科杂志》2015年第4期236-240,共5页China Journal of Chinese Ophthalmology

摘　　要：目的观察针刺眶内穴位结合头针治疗视神经萎缩的疗效。方法将90例视神经萎缩患者(111只眼)随机分为2组,治疗组30例(36只眼)采用针刺眶内穴位结合头针治疗;眶内对照组30例(38只眼)单用针刺眶内穴位治疗;头针对照组30例(37只眼)单用针刺头部穴位治疗。各组均以2周(14 d)为1个疗程,连续观察2个疗程。结果治疗组总有效率83.33%,眼针对照组总有效率60.53%,头针对照组总有效率64.86%,治疗组总有效率明显好于眶内对照组和头针对照组,差异有统计学意义(P<0.05);治疗后,治疗组视力、视野的平均光敏感度和平均缺损以及视觉诱发电位P100波的振幅和潜伏期的改善程度均明显优于眶内对照组和头针对照组,差异有统计学意义(P<0.05)。结论针刺眶内穴位结合头针治疗视神经萎缩具有较好的临床疗效,在改善患眼视力、视野及提高视神经传导功能方面,好于普通针刺或头针治疗。OBJECTIVE To observe the therapeutic effect of intraorbital acupuncture combined with scalp acupuncture to treat optic atrophy. METHODS Ninety optic atrophy patients （111 eyes） were randomized divided into 3 groups. The treatment group （30 cases, 36 eyes） was treated by intraorbital acupuncture and scalp acupunc-ture, the intraorbital acupuncture control group （30 cases, 38 eyes） was treated only by intraorbital acupuncture, and the scalp acupuncture control group （30 cases, 37 eyes） was treated only by scalp acupuncture. All groups treated 2 weeks （14 days） as a course, continuous observation of 2 courses. RESULTS The total effective rate was 83.33%in the treatment group, 60.53%in the intraorbital acupuncture control group and 64.86%in the scalp acupuncture con-trol group, and the total effective rate of treatment group was significantly superior to that of the other 2 groups （P〈0.05）. Of treatment group,the improvement of vision, average light sensitivity and defects of visual field, amplitude and peak latencies of visual evoked potential （VEP） P100 wave after treatment were significantly better than the other 2 groups （P〈0.05）. CONCLUSIONS Intraorbital acupuncture combined with scalp acupuncture had better efficacy for optic atrophy, and was effective in improving the vision, average light sensitivity and defects of visual field, en-hancing the optic nerve fiber conduction velocity and the strength of the excitement of visual impulse.

关 键 词：视神经萎缩 针刺治疗 眶内穴位 视野 视觉诱发电位 

分 类 号：R774.63[医药卫生—眼科]