韦氏三联九针对肝郁脾虚型老视合并视疲劳患者眼调节作用的影响  

Effect of Wei’s triple nine needling on eye regulation in patients with presbyopia complicated with visual fatigue of liver depression and spleen deficiency

作　　者：张陶陶 金廷恒[1] 夏燕婷[2] 韦企平[2] 李丽[2] 肖艳萍[2] 廖良[2] ZHANG Tao-tao;JIN Ting-heng;XIA Yan-ting;WEI Qi-ping;LI Li;XIAO Yan-ping;LIAO Liang(Ophthalmology Department of Henan Hospital of TCM,Zhengzhou 450002,China;Ophthalmology Department of Dongfang Hospital of Beijing University of CM,Beijing 100078)

机构地区：[1]河南省中医院眼科,郑州450002 [2]北京中医药大学东方医院眼科,北京100078

出　　处：《中国针灸》2022年第6期625-628,653,共5页Chinese Acupuncture & Moxibustion

基　　金：国家自然科学基金资助项目:81973909;北京中医药大学东方医院1166中青年专家项目:040204001001002033。

摘　　要：目的:比较韦氏三联九针联合七叶洋地黄双苷滴眼液和单纯七叶洋地黄双苷滴眼液治疗肝郁脾虚型老视合并视疲劳的临床疗效。方法:将46例(92只眼)肝郁脾虚型老视合并视疲劳患者随机分为观察组(23例)和对照组(23例,脱落2例)。观察组予韦氏三联九针联合七叶洋地黄双苷滴眼液治疗,穴取上明、承泣、攒竹透睛明、丝竹空透太阳等,针刺隔日1次,每周3次,滴眼液每天3次,每次1滴;对照组仅予七叶洋地黄双苷滴眼液治疗。两组均7d为一疗程,治疗2个疗程。分别于治疗前、治疗1周、治疗2周观察两组患者视疲劳核心症状评分、调节幅度、调节滞后量及最佳平均矫正视力。结果:与治疗前比较,两组患者治疗1、2周后视疲劳核心症状评分均降低(P<0.05);观察组治疗2周后调节幅度增加(P<0.05),对照组治疗1、2周后调节幅度增加(P<0.05);观察组治疗1、2周后调节滞后量下降(P<0.05)。治疗2周后,观察组视疲劳核心症状评分低于对照组、调节幅度高于对照组(P<0.05);两组治疗1、2周后调节滞后量及最佳平均矫正视力比较差异无统计学意义(P>0.05)。结论:韦氏三联九针联合七叶洋地黄双苷滴眼液治疗肝郁脾虚型老视合并视疲劳可改善患者视疲劳及眼的调节能力,疗效优于单纯七叶洋地黄双苷滴眼液。Objective To compare the clinical efficacy between Wei’s triple nine needling combined with esculin and digitalis glycosides eye drops and esculin and digitalis glycosides eye drops alone for presbyopia complicated with visual fatigue of liver depression and spleen deficiency.Methods Forty-six cases(92 eyes)with presbyopia complicated with visual fatigue of liver depression and spleen deficiency were randomly divided into an observation group(23 cases)and a control group(23 cases,2 cases dropped off).The cases in the observation group were treated with Wei’s triple nine needling and esculin and digitalis glycosides eye drops.The acupoints included Shangming(Extra),Chengqi(ST 1),Cuanzhu(BL 2)to Jingming(BL 1),Sizhukong(TE 23)to Taiyang(EX-HN 5),etc;the needling was given once every other day,three times a week,and the eye drops were given one drop each time,three times a day.The cases in the control group were only treated with the eye drops.Both groups were treated for 7 days as one course of treatment,and 2 courses of treatment were given.The visual fatigue core symptoms score,adjustment amplitude,adjustment lag and best average corrected visual acuity were observed in the two groups before treatment,1 week and 2 weeks into treatment,respectively.Results Compared before treatment,the visual fatigue core symptoms scores in the two groups were decreased after 1-week and 2-week treatment(P<0.05);in the observation group,the adjustment amplitude was increased after 2-week treatment(P<0.05),while in the control group,the adjustment amplitude was increased after 1-week and 2-week treatment(P<0.05);in the observation group,the adjustment lag was decreased after 1-week and 2-week treatment(P<0.05).After 2-week treatment,the visual fatigue core symptoms score in the observation group was lower than that in the control group,and the adjustment amplitude was higher than that in the control group(P<0.05).There were no significant differences in adjustment lag and best average corrected visual acuity between the two grou

关 键 词：老视合并视疲劳 肝郁脾虚证 韦氏三联九针 针刺疗法 七叶洋地黄双苷滴眼液 调节幅度 调节滞后量 视力 

分 类 号：R246.8[医药卫生—针灸推拿学]