针刺联合甲钴胺治疗后天性麻痹性斜视  

Acupuncture combined methylcobalamin treating acquired paralytic strabismus

作　　者：沈志新[1] 翁文庆[1] 高恩芳 

机构地区：[1]嘉兴市中医医院,浙江省嘉兴市314000

出　　处：《中国中医眼科杂志》2015年第6期426-428,共3页China Journal of Chinese Ophthalmology

摘　　要：目的对比观察针刺联合甲钴胺、单纯针刺和单纯甲钴胺治疗后天性麻痹性斜视的临床疗效。方法后天性麻痹性斜视患者128例,在病因治疗的基础上分为3组,甲钴胺治疗组(A组)21例、单纯针刺治疗组(B组)43例、针刺联合甲钴胺治疗组(C组)64例。A组予甲钴胺治疗,肌肉注射及口服交替各14 d为1个疗程,共3个疗程;B组予针刺治疗,14 d为1个疗程,间隔14 d再行下一个疗程,共治疗3个疗程;C组同时予针刺及甲钴胺治疗,3个疗程。比较各组疗效。结果 A组,痊愈5例,好转9例,无效7例,总有效率66.7%(14/21);B组,痊愈16例,好转14例,无效13例,总有效率69.8%(30/43);C组,痊愈36例,好转23例,无效5例,总有效率92.2%(59/64)。组间差异有统计学意义(P<0.05)。结论在病因治疗基础上,针刺联合甲钴胺治疗后天性麻痹性斜视有较好疗效,优于单纯针刺治疗或甲钴胺治疗。OBJECTIVE To compare the effect and advantage among acupuncture combined with methylcobalamin, acupuncture or methylcobalamin only for the treatment of acquired paralytic strabismus. METHODS One hundred and twenty-eight patients were divided into three groups randomly, group A（only methylcobalamin, 21cases）, group B（only acupuncture, 43 cases）, group C（acupuncture combined with methylcobalamin, 64 cases）.Group A, intramuscular or oral methylcobalamin by turns for 2 weeks, 2 weeks as a treatment course, 3 courses in all.Group B, acupuncture 1 time daily, 14 days as a treatment course, 14 days interval between each course, 3 courses in all. Group C, both acupuncture and methylcobalamin, 3 treatment courses in all. RESULTS Group A,14 patients were recovered, the total percentage of effectiveness was 66.7%; Group B, 30 patients were recovered, the total percentage of effectiveness was 69.8%; Group C, 59 patients were recovered,the total percentage of effectiveness was92.2%. There were significant differences（P〈 0.05）. CONCLUSIONS The effect of acupuncture combined with methylcobalamin for the treatment of acquired paralytic strabismus was certain and more effective than acupuncture or methylcobalamin only.

关 键 词：眼肌麻痹 甲钴胺 针刺 

分 类 号：R777.45[医药卫生—眼科]