针刺治疗原发性开角型青光眼的临床效果  

Clinical effect of acupuncture on primary open-angle glaucoma

作　　者：李瑞玲[1] 俞莹[2] 李一婧[3] 陆欣玲[1] LI Ruiling;YU Ying;LI Yijing;LU Xinling(Department of Outpatient,Shanghai University of Traditional Chinese Medicine,Shanghai201203,China;Department of Ophthalmology,Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine,Shanghai201203,China;Department ofAcupuncture,Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine,Shanghai201203,China)

机构地区：[1]上海中医药大学门诊部,上海201203 [2]上海中医药大学附属曙光医院眼科,上海201203 [3]上海中医药大学附属曙光医院针灸科,上海201203

出　　处：《中国医药导报》2021年第12期146-149,共4页China Medical Herald

基　　金：上海市卫生和计划生育委员会科研课题(201740036)。

摘　　要：目的观察针刺治疗原发性开角型青光眼(POAG)的临床效果。方法选取2019年1月—2020年5月于上海中医药大学附属曙光医院眼科、针灸科门诊就诊的POAG患者40例(69眼),按照随机数字表法将其分为对照组(20例,34眼)和针刺组(20例,35眼)。对照组予以前列腺素制剂滴眼液和弥可保常规治疗。针刺组在前列腺素制剂滴眼液和弥可保常规治疗基础上,配合针刺治疗:取患者双侧合谷(LI4)、睛明(BL1)、球后(Ex-HN07)。一周针刺3次,连续治疗12次为1个疗程。观察两组治疗前后视力、眼压、视野及生活质量的改善情况。结果治疗前,两组眼压、视力比较,差异无统计学意义(P>0.05)。治疗后,两组眼压与治疗前比较均降低,差异有统计学意义(P<0.05);两组眼压组间比较,差异无统计学意义(P>0.05)。两组治疗前后组内和组间视力、视野比较,差异无统计学意义(P>0.05)。治疗前,两组青光眼生活质量(GQL-15)评分比较,差异无统计学意义(P>0.05)。治疗后,两组GQL-15评分均较治疗前降低,且针刺组低于对照组,差异均有统计学意义(均P<0.05)。针刺组总有效率高于针刺组,差异有统计学意义(P<0.05)。结论针刺特定穴位可有效改善POAG引起的眼压升高及生活量表中的患者自我症状,其对视力及视野的改善不明显,这可能与治疗疗程及样本量有关。Objective To observe the clinical effect of acupuncture on primary open-angle glaucoma(POAG).Methods A total of 40 cases(69 eyes)of POAG patients were selected from the Department of Ophthalmology and Acupuncture,Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine from January 2019 to May 2020.According to the random number table method,they were divided into control group(20 cases,34 eyes)and acupuncture group(20 cases,35 eyes).The control group was treated with Prostaglandin Eye Drops and Micoraphenol routine treatment.Acupuncture group was combined with acupuncture treatment on the basis of Prostaglandin Eye Drops and Micoraphenol routine treatment.Bilateral hégǔ(LI4),jīngmíng(BL1)and qiúhòu(EX-HN07)of patients were collected.Acupuncture was performed three times a week for 12 consecutive times as a course of treatment.The improvement of visual acuity,intraocular pressure,visual field and quality of life in the two groups before and after treatment were observed.Results Before treatment,there were no significant differences in intraocular pressure and visual acuity between the two groups(P>0.05).After treatment,intraocular pressure in both groups was decreased compared with before treatment,the difference was statistically significant(P<0.05).There was no significant difference in intraocular pressure between the two groups(P>0.05).There were no significant differences in visual acuity and visual field between the two groups before and after treatment(P>0.05).Before treatment,there was no significant difference in glaucoma quality of life(GQL-15)scores between the two groups(P>0.05).After treatment,GQL-15 scores in both groups were lower than before treatment,and the acupuncture group was lower than the control group,the differences were statistically significant(all P<0.05).The total effective rate of acupuncture group was higher than that of acupuncture group,and the difference was statistically significant(P<0.05).Conclusion Acupuncture at specific acupoints can effecti

关 键 词：原发性开角型青光眼 针刺 视野 眼压 

分 类 号：R246.82[医药卫生—针灸推拿学]