中医耳穴磁珠贴压对小学生视力不良的干预效果观察  

Observation on the Intervene Effect of Elementary Student in Poor Vision Treated by Auricular Point Sticking

作　　者：朱佩芳[1] 邱勤凤 徐凯威 张怡[1] 

机构地区：[1]上海市浦东新区花木社区卫生服务中心,上海201204

出　　处：《中国初级卫生保健》2015年第11期98-99,共2页Chinese Primary Health Care

基　　金：上海市浦东新区卫生系统学科带头人培养项目(PWRd2014-17)

摘　　要：目的观察中医耳穴磁疗贴压干预小学生视力不良的效果,探索中医适宜技术在社区公共卫生中的应用与推广效果,为开展小学生中医近视防治工作提供依据。方法采用整群抽样方法,抽取花木社区3所小学开展视力检查,对筛查出双眼裸眼视力≤4.9,且经家长签署知情同意书的视力不良学生进行12次中医耳穴磁珠贴压干预;在第6次干预、第12次干预后检查视力,分析干预效果。结果在3所小学1 837名学生中筛查出双眼裸眼视力≤4.9的学生577名,经家长知情同意参与耳穴磁珠贴压干预的视力不良学生有203名(406只患眼),参与率为35.00%;初筛时平均视力为4.77;6次贴压干预后,平均视力为4.78;12次贴压干预后,平均视力为4.88;117只患眼远视力提高2排以上,有效率为28.81%。χ2检验结果显示,视力提升和有效率均有统计学意义(P<0.01)。结论中医耳穴磁珠贴压干预学生视力不良有一定的疗效,且操作简便、安全,可提高学生对近视控制的参与度,进一步促进用眼卫生习惯的养成;学生家长对中医近视防治的认知还有待提高。建议结合学校卫生工作,在学校、家庭和社区由学生、家长因地制宜地开展耳穴磁珠贴压技术,实现家、校联动的中医近视防治。OBJECTIVE To observe the effect of elementary student in poor vision treated by auricular point sticking,explore Chinese medicine appropriate technology＇ s application and promotion of public health in the community and provide evidence for primary prevention of myopia by TCM.METHOD There are 3 primary schools were selected to accept visual inspection by cluster sampling method.After parents signed informed consent,students in poor vision（UCVA≤4.9） accepted auricular point sticking 12 times;after visual acuity after 6th and 12 th treatment changed from 4.77 to 4.78 and 4.88.RESULT There were 577 students were diagnosed with poor vision among the 1 837 students.After parents signed informed consent,only 203 students,406 diseased eyes,accepted auricular point sticking.Participation rate is 35.00%.The average visual acuity was 4.77 in the first visual inspection;4.78 in the 6th inspection,and 4.88 in the 12 th inspection.117 eyes with visual acuity improved far more than two rows.Participation rate was28.81%.The results showed promotion of vision and participation were statistically significant（P〈0.01） by using Chi-square test.CONCLUSION It was effective,simple and safe for elementary student in poor vision to treated by auricular point sticking,which could help the students to control of myopia,improve the participation and develop good habits with the eyes.Parents awareness of Chinese medicine myopia would be improved.Proposal Students and parents would carry out auricular point sticking in everywhere and achieve the circumstances of home-school collaboration.

关 键 词：耳穴磁珠贴压 视力不良 干预 效果 

分 类 号：R778[医药卫生—眼科]