穴位埋线治疗顽固性葡萄膜炎临床观察  

Clinical Observation of Catgut Implantation at Acupuncture Point Therapy in Treating Intractable Uveitis

作　　者：蒋红芬 蒋秋儿 

机构地区：[1]奉化市中医医院眼科病区,浙江奉化315500

出　　处：《新中医》2017年第2期141-143,共3页New Chinese Medicine

摘　　要：目的:观察中医穴位埋线治疗顽固性葡萄膜炎患者的临床疗效及其对患者免疫功能的影响。方法:将顽固性葡萄膜炎患者80例(119眼)按照随机数字表法随机分为观察组40例(61眼)与对照组40例(58眼)。对照组采用免疫抑制剂治疗,观察组在对照组治疗方案的基础上结合中医穴位埋线治疗。2组疗程均为12周。比较2组治疗疗效,治疗前后免疫功能指标变化,视力恢复时间及随访6月的复发情况。结果:临床疗效观察组总有效率90.00%,高于对照组67.50%,差异有统计学意义(P<0.05);治疗后,2组CD3+、CD4+、CD4+/CD8+增加,差异均有统计学意义(P<0.05);且观察组CD3+、CD4+、CD4+/CD8+高于对照组,差异均有统计学意义(P<0.05);观察组视力恢复时间快于对照组,差异有统计学意义(P<0.05);观察组复发率62.50%,高于对照组17.50%,差异有统计学意义(P<0.05)。结论:中医穴位埋线治疗顽固性葡萄膜炎患者临床疗效良好,且可增强患者机体免疫功能。Objective：To observe clinical effect of catgut implantation at acupuncture point therapy in patients with intractable uveitis and its effect on the immune function of patients.Methods：Selected 80（119 eyes） patients with intractable uveitis,and divided into the observation group of 40 cases（61 eyes） and the control group of 40 cases（58 eyes）,according to the random number table method.The control group was given the therapy of immunosuppressive agents,and the observation group was given the therapy of catgut implantation at acupuncture point based on the treatment of the control group. Treatment of the two groups both lasted for twelve weeks.Compared change in clinical effect,immunity index before and after treatment,time of visual recovery and recurrence situation of the two groups in the six months follow-up.Result：The total effective rate of the observation group was 90.00%,higher than the 67.50%of the control group,the difference being significant（P 〈 0.05）.After treatment,CD3＋,CD4＋,CD4＋/CD8＋ of the two groups were increased,the difference being significant（P 〈0.05）.CD3＋,CD4＋,CD4＋/CD8＋ of the observation group were higher than that of the control group,the difference being significant（P 〈 0.05）.Visual recovery time of the observation group was faster than that of the control group,the difference being significant（P 〈 0.05）.Recurrence rate of the observation group was 62.50%,higher than the 17.50% of the control group,the difference being significant（P 〈 0.05）.Conclusion：Catgut implantation at acupuncture point therapy can improve immune functionin patients with intractable uveitis,which has a good clinical efficacy.

关 键 词：顽固性葡萄膜炎 穴位埋线 免疫功能 视力恢复时间 

分 类 号：R773[医药卫生—眼科]