耳穴推拿、针刺联合贴压治疗中青年女性视疲劳的疗效观察  

Observation on the therapeutic effect of auricular acupoint massage and acupuncture combined with sticking pressure on middle-aged and young women with visual fatigue

作　　者：许玉霞 杨永升[1] 马丽爽[1] 卞云影 郭昊仙 李丽红 毕徐齐 王东红[1] XU Yuxia;YANG Yongsheng;MA Lishuang;BIAN Yunying;GUO Haoxian;LI Lihong;BI Xuqi;WANG Donghong(Eye Hospital,China Academy of Chinese Medical Sciences,Beijing 100040,China)

机构地区：[1]中国中医科学院眼科医院,北京100040

出　　处：《中国中医眼科杂志》2022年第5期358-363,共6页China Journal of Chinese Ophthalmology

摘　　要：目的观察耳穴推拿、针刺联合贴压法治疗中青年女性视疲劳的临床疗效。方法选取2020年9月—2021年7月中国中医科学院眼科医院诊治的中青年女性视疲劳患者60例(120只眼),随机分为治疗组和对照组,对照组予七叶洋地黄双苷滴眼液治疗,每日3次;治疗组予耳穴推拿、针刺联合贴压治疗,每周1次;2组均治疗28 d。分别于治疗前、治疗后1 d、治疗后28 d记录2组的视疲劳症状评分、视疲劳起始时间以及日视疲劳次数。结果(1)临床疗效:治疗后1 d和28 d,治疗组临床有效率均优于对照组,差异均有统计学意义(χ^(2)_(1d)=15.674,P=0.000;χ^(2)_(28d)=6.986,P=0.030)。(2)视疲劳症状评分:治疗后1 d和28 d,2组较治疗前眼部、眼外症状评分均降低,均有统计学意义(P<0.05)。2组间比较,治疗1 d,治疗组视疲劳眼部及眼外症状评分均低于对照组(t_(眼部)=2.152,P=0.036;t_(眼外)=2.102,P=0.040);治疗后28 d,治疗组眼外症状评分低于对照组,差异有统计学意义(t=2.223,P=0.031),而2组间比较,眼部症状差异无统计学意义(P>0.05)。(3)视疲劳起始时间:治疗1 d较治疗前,治疗组起始时间延长,差异有统计学意义(Z=-4.575,P=0.000),而对照组差异无统计学意义(P>0.05)。治疗后28 d,2组较治疗前视疲劳起始时间均有延长,均有统计学意义(Z_(治疗组)=-4.575,Z_(对照组)=-3.666,均P=0.000)。2组间比较,治疗1 d,治疗组优于对照组,差异有统计学意义(Z=-1.968,P=0.049);治疗后28 d,差异无统计学意义(P>0.05)。(4)日视疲劳次数:2组治疗后1 d和28 d,较治疗前日视疲劳次数均减少,均有统计学意义(治疗组:Z_(1d)=-4.554,Z_(28d)=-4.607,均P=0.000;对照组:Z_(1d)=-2.567,P=0.010;Z_(28d)=-3.083,P=0.002)。2组间比较,治疗组日视疲劳次数均少于对照组,差异有统计学意义(Z_(1d)=-2.564,P=0.010;Z_(28d)=-2.537,P=0.011)。(5)不良反应:2组患者均未出现不良反应。结论耳穴推拿、针刺联合贴压法治疗视疲劳的总OBJECTIVE To observe the clinical effect of auricular acupoint massage and acupuncture combined with sticking pressure on middle-aged and young women with visual fatigue.METHODS Sixty middle-aged and young female patients with visual fatigue(120 eyes)treated in the Eye Hospital of China Academy of Chinese Medical Sciences from September 2020 to July 2021 were selected.They were randomly divided into the treatment group(TG)and the control group(CG).The CG was treated with esculin and digitalisglycosides eye drops 3 times a day,while the TG was treated with auricular massage and acupuncture combined with pressing therapy,once a week.Both groups were treated for twenty-eight days.The symptom scores of visual fatigue,the onset time,and the frequency of daily visual fatigue in the two groups were recorded before,one day after treatment,and twenty-eight days after treatment,respectively.RESULTS(1)Clinical efficacy:The clinical effective rate in the TG at one day and twenty-eight days after treatment was better than that in the CG(χ^(2)_(1d)=15.674,P=0.000;χ^(2)_(28d)=6.986,P=0.030),and the differences were both statistically significant.(2)Symptom scores of visual fatigue:At one and twenty-eight days after treatment,the ocular symptom scores(OSS)and extraocular symptom scores(ESS)in both groups were lower than those before treatment,and the differences were all statistically significant(P<0.05).After one day after treatment,the scores of ocular and extraocular symptoms in the TG were lower than those in the CG(tOSS=2.152,P=0.036;tESS=2.102,P=0.040).At twenty-eight days after treatment,the extraocular symptom scores of the TG were lower than those of the control group,and the difference was statistically significant(t=2.223,P=0.031),while there was no statistically significant difference in ocular symptoms between the two groups(P>0.05).(3)The onset time of visual fatigue:The onset time of visual fatigue in the TG after treatment for one day was longer than that before treatment,and the difference was statistically si

关 键 词：视疲劳 肝劳 耳针 耳穴推拿 耳穴贴压 七叶洋地黄双苷 

分 类 号：R246.82[医药卫生—针灸推拿学]