电项针联合局部针刺治疗视网膜中央动脉阻塞的效果  

Effect of electric nape acupuncture combined with local acupuncture on central retinal artery occlusion

作　　者：刘慧慧[1] 曹燚[1] 蒋巍 孙忠人[1] 教传旭 赵韦莹 LIU Huihui;CAO Yi;JIANG Wei;SUN Zhongren;JIAO Chuanxu;ZHANG Weiying(Department of Acupuncture,Second Affiliated Hospital of Heilongjiang University of Chinese Medicine,Heilongjiang Province,Harbin 150040,China;Massage Science Teaching and Research Section,First Affiliated Hospital of Heilongjiang University of Chinese Medicine,Heilongjiang Province,Harbin 150036,China)

机构地区：[1]黑龙江中医药大学附属第二医院针灸科,黑龙江哈尔滨150040 [2]黑龙江中医药大学附属第一医院推拿学教研室,黑龙江哈尔滨150036

出　　处：《中国医药导报》2021年第16期133-136,共4页China Medical Herald

基　　金：黑龙江省中医药科研项目(ZHY2020-104);黑龙江中医药大学科研基金项目(201713);黑龙江中医药大学大学生科技创新项目(2020-20)。

摘　　要：目的观察电项针联合局部针刺对视网膜中央动脉阻塞(CRAO)的疗效。方法2018年2月—2020年11月黑龙江中医药大学附属第二医院就诊的40例(眼)CRAO患者,应用随机数字表法将其分为对照组与治疗组,每组各20例(眼)。对照组给予口服药物、局部针灸、对症基础治疗;治疗组在对照组基础上联合电项针疗法,两组共计治疗8周。两组分别在治疗前、治疗8周后进行视力、视野、视网膜中央动脉的血流情况进行评定。结果治疗前,两组最佳矫正视力比较,差异无统计学意义(P>0.05),治疗后两组最佳矫正视力较治疗前升高,且治疗组高于对照组,差异均有统计学意义(P<0.05)。治疗前,两组视野缺损情况比较,差异无统计学意义(P>0.05),治疗后两组视野缺损情况较治疗前降低,且治疗组低于对照组,差异均有统计学意义(均P<0.05)。治疗前两组收缩期峰值流速、舒张末期流速比较,差异无统计学意义(P>0.05),治疗后两组收缩期峰值流速、舒张末期流速较治疗前升高,且治疗组高于对照组,差异均有统计学意义(P>0.05)。结论电项针联合局部针刺可以改善CRAO患者的视力情况。Objective To observe the effect of electric nape acupuncture combined with local acupuncture on central retinal artery occlusion(CRAO).Methods A total of 40 cases(eyes)of CRAO patients admitted to Second Affiliated Hospital of Heilongjiang University of Chinese Medicine from February 2018 to November 2020 were divided into control group and treatment group by random number table method,with 20 cases(eyes)in each group.The control group was given oral medicine,local acupuncture,symptomatic basic treatment;The treatment group was combined with electric nape acupuncture therapy on the basis of the control group,and the two groups were treated for eight weeks.The visual acuity,visual field and blood flow of the central retinal artery were evaluated before and eight weeks after treatment in both groups.Results Before treatment,there was no significant difference in the best corrected visual acuity between the two groups(P>0.05).After treatment,the best corrected visual acuity in the two groups was higher than before treatment,and the treatment group was higher than the control group,with statistical significance(P<0.05).Before treatment,there was no significant difference in visual field defect between the two groups(P>0.05).After treatment,the visual field defect in the two groups was lower than before treatment,and the treatment group was lower than the control group,with statistical significance(P<0.05).Before treatment,there were no significant differences in peak systolic flow velocity and end-diastolic flow velocity between the two groups(P>0.05).After treatment,the peak systolic flow velocity and end-diastolic flow velocity in the two groups were higher than before treatment,and the treatment group was higher than the control group,with statistical significance(P<0.05).Conclusion Electric nape acupuncture combined with local acupuncture can improve the visual acuity of patients with CRAO.

关 键 词：视网膜中央动脉阻塞 电项针 最佳矫正视力 球后注射 

分 类 号：R246.82[医药卫生—针灸推拿学]