不同的推拿频率防控近视进展的临床研究  

Clinical Study on Prevention and Control of Myopia with Different Frequencies of Massage

作　　者：钟瑞英[1] 郎建英[2] 张曼曼[1] 李志英[1] ZHONG Ruiying1, LANG Jianying2, ZHANG Manman1, LI Zhiying1(1. Department of Ophthalmology, The First Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou, Guangdong 510405, China; 2. Department of Preventive Medicine, Guangzhou University of Chinese Medicine, Guangzhou, Guangdong 510405, China)

机构地区：[1]广州中医药大学第一附属医院眼科,广东广州510405 [2]广州中医药大学预防医学教研室,广东广州510405

出　　处：《湖南中医药大学学报》2018年第11期1304-1307,共4页Journal of Hunan University of Chinese Medicine

基　　金：广东省科技厅计划项目(2017ZC0146);广州中医药大学第一附属医院"创新强院"工程科研系列项目(7ZWB09)

摘　　要：目的比较不同的推拿频率对近视少年儿童的屈光度和眼轴的影响,探讨有效的防控少年儿童近视进展的推拿治疗间隔时间。方法 156例近视患者随机分为4组,A组38例,每天推拿1次联合配戴远用框架眼镜;B组39例,每3天推拿1次联合配戴远用框架眼镜;C组39例,每7天推拿1次联合配戴远用框架眼镜;D组40例,配戴远用框架眼镜。4组患者每6月复查1次,随访1年,比较4组6月、12月治疗前后屈光度以及12月治疗前后眼轴差值。结果治疗前后屈光度、眼轴差值比较:A、B、C 3组分别与D组比较,差异有统计学意义(P<0.05);A组、B组比较差异无统计学意义(P>0.05)。A组、B组分别与C组比较,差异有统计学意义(P<0.05)。结论推拿能有效控制近视屈光度和眼轴的进展,推拿治疗近视最好在3 d内进行1次推拿联合配戴远用框架眼镜治疗。Objective To compare the effects of different frequeneies of massage on the diopter and axial length of myopic children and to investigate the effective time interval of massage treatment for the prevention and control of myopia in children.Methods A total of 156 patients with myopia were randomly divided into four groups： group A （n=38, massage once a day combined with wearing telescopic frame glasses）, group B （n=39, massage once every 3 days combined with wearing telescopic frame glasses）, group C （n=39, massage once every 7 day-s combined with wearing telescopic flame glasses）, and group D （n=40, wearing telescopic frame glasses）. The patients in the four groups were examined once every 6 months and followed up for 1 year： The changes in diopter after 6 and 12 months of treatment and the change in axial length after 12 months of treatment were compared between the four groups. Results After treatment, there were significant difterenees in the changes in diopter and axial length between groups A, B, and C with group D （P〈0.05）. There were no significant differenees in the changes in the two indices between group A and group B （P〉.05）. There were significant differenees in the changes in the two indices between groups A and B and group C （P〈0.05）. Conclusion Massage can effectively control the progression of diopter and axial length, and the optimal treatment protocol is nmssage once every 3 days combined with wearing telescopic frame glasses.

关 键 词：近视 推拿 屈光度 眼轴 

分 类 号：R195.4[医药卫生—卫生统计学] R778.1[医药卫生—卫生事业管理]