壮医经筋疗法治疗视屏终端视疲劳疗效观察  

Efficacy on visual display terminal syndrome treated with jingjintherapy of Zhuang medicine

作　　者：朱林平[1] 杨金平[1] 杨稀月[2] 覃峰[3] 吴东平[3] 黄格朗[4] ZHU Linping YANG Jinping YANG Xiyue QIN Feng WU Dongping HUANG Gelang(Ultra sound Department Rehabilitation Department, Academy of Prevention and Treatment for Occupational Disease of the Guangxi Zhuang Autonomous Region. Nanning 530021, China Ultrasound Department Rehabilitation Department, Guigang Municipal People＇s Hospital of the Guangxi Zhuang Autonomous Region)

机构地区：[1]广西壮族自治区职业病防治研究院超声科,南宁530021 [2]广西壮族自治区贵港市人民医院超声科 [3]广西壮族自治区职业病防治研究院康复科,南宁530021 [4]广西壮族自治区贵港市人民医院康复科

出　　处：《中国针灸》2017年第2期181-184,共4页Chinese Acupuncture & Moxibustion

基　　金：广西科学研究与技术开发基金资助项目:桂科攻15248003-10;广西医疗卫生重点科研课题:2012042;广西中医药科技专项科研课题:GZPT1244

摘　　要：目的:观察壮医经筋疗法治疗视屏终端视疲劳的疗效,并探讨其作用机制。方法:对65例从事视屏监控作业并诊断为视疲劳的患者采用壮医经筋三联疗法,即手法理筋、针刺和拔罐,于眶膈筋区、颞筋区、额筋区、耳前筋区、百会筋区进行治疗,每次时间40min,隔天或3d施治1次,治疗10~14次。观察患者治疗前后眼部不适症状评分及球后血流动力学的改变,并评价临床疗效。结果:治疗后,患者眼部不适症状评分较治疗前明显降低(均P<0.05),总有效率为84.6%(55/65);睫状前动脉(ACA)、视网膜中央动脉(CRA)的收缩期峰值流速(PSV)、舒张末期血流速度(EDV)明显提高,治疗前后差异均有统计学意义(均P<0.05)。结论:壮医经筋疗法可减轻视疲劳患者眼部不适症状,提高视觉质量,其作用机制与改善患者眼部微循环有关。Objective To observe the efficacy and explore the effect mechanism on visual display terminal syndrome treated with jingjintherapy of Zhuang medicine.Methods Sixty-five patients of visual fatigue induced by the visual display terminal operation were treated with jingjin trigeminy therapy of Zhuang medicine,e.g.massage manipulation,acupuncture and cupping;acting on the specific stimulating areas in Zhuang medicine,relevant with orbit,temple,forehead,ear and Baihui（GV 20）.Each treatment lasted 40 min,once every two or three days.Totally,10 to 14treatments were required.The scores of visual symptoms and the ocular hemodynamics before and after treatment were observed,and clinical effect were evaluated in the two groups.Results After treatment,the scores of visual symptoms were reduced apparently as compared with those before treatment（all P〈0.05）.The total effective rate was 84.6%（55/65）.The peak systolic velocity（PSV）,the end diastolic velocity（EDV）in anterior ciliary artery（ACA）and the central retinal artery（CRA）were improved obviously,indicating the significant differences before and after treatment（all P〈0.05）.Conclusion The jingjintherapy of Zhuang medicine alleviates the visual symptoms in patients of visual fatigue and improves visual quality.The effects are related to the improvement of ocular microcirculation.

关 键 词：视屏显示终端 视疲劳 壮医经筋疗法 血流动力学 

分 类 号：R246.8[医药卫生—针灸推拿学]