数字化智能调制远红外热灸技术防控儿童近视临床研究  

Clinical Study on Prevention and Control of Children Myopia by Digital Intelligent Modulation Far-infrared Hot Moxibustion Technology

作　　者：邵立功 李萍 张宇杰 亢泽峰[3] 王心爽 王宏彬[5] 韦企平 樊云葳[7] 骆彦君 杨金良 SHAO Ligong;LI Ping;ZHANG Yujie;KANG Zefeng;WANG Xinshuang;WANG Hongbin;WEI Qiping;FAN Yunwei;LUO Yanjun;YANG Jinliang(Eye Health Care Branch of China Health Care Association,Beijing 100048,China;不详)

机构地区：[1]中国保健协会眼保健分会(中国优生优育协会眼病防治技术专业委员会),北京100048 [2]北京联合大学 [3]中国中医研究院眼科医院 [4]黑龙江省林业第二医院 [5]首都医科大学友谊医院 [6]北京中医药大学东方医院 [7]北京儿童医院 [8]复明眼科医院医疗集团 [9]杭州市强眼视光科技研究所

出　　处：《中国医学创新》2022年第22期18-24,共7页Medical Innovation of China

基　　金：中国优生优育儿眼科重点项目科研基金(YBFZJS1801)。

摘　　要：目的:研究数字化智能调制远红外热灸技术对儿童眼屈光系统、眼轴长度、角膜曲率和眼压的影响,为儿童生理性近视防控提供中西医结合眼科学依据和安全有效视功能康复器具。方法:选取2018年1月-2019年12月北京4所小学校志愿者1 014人。志愿者散光度标准≤±1.75 DC,外眼、眼前节及眼底检查没有病理学异常。志愿者随机分组,试验组516人,对照组498人。志愿者年龄7~12岁,男518人,女496人。两组志愿者按照右眼凹球镜屈光度再次分组,试验A组(-0.75~-1.00 DS)205人;试验B组(-1.25~-2.50 DS)141人;试验C组(-2.75~-3.50 DS)111人;试验D组(-3.75~-4.50 DS)59人。对照A组(-0.75~-1.00 DS)207人;对照B组(-1.50~-2.50 DS)125人;对照C组(-2.75~-3.50 DS)106人;对照D组(-3.75~-4.50 DS)60人。试验组和对照组志愿者经快速散瞳后眼屈光度数大于-1.00 DS,裸眼视力小于0.6者配镜矫正。试验组志愿者应用数字化智能控制可调式电恒温远红外热灸明目仪(杭州强眼视光科技研究所)行双眼康复治疗,2次/d,15~25 min/次,治疗周期48周。对照组不施加干预,同步参与试验组检测右眼屈光度、眼轴长度、角膜曲率和眼压观察指标变化。在治疗第24、48周末比较各组右眼屈光度、眼轴长度、角膜曲率和眼压。结果:治疗第24周和第48周末,试验组右眼屈光度、眼轴长度、角膜曲率、眼压4项均优于对照组,差异均有统计学意义(P<0.05)。结论:数字化智能调制电恒温远红外热灸技术模拟有益太阳光成分,起到了科学哺育阳光作用,眼周穴位灸疗和电恒温温热提高了眼周及眼内氧和营养物质代谢,降低了睫状肌紧张痉挛所致虚高近视度数,提高裸眼和矫正视力。作为眼科学中西医结合防控近视仪器,具有科学性、有效性和安全性,中西医科学配套整合技术可以有效抗视疲劳和预防及控制儿童青少年近视发生与进展。Objective:To study the effects of digital intelligent modulation far-infrared hot moxibustion technology on children’s eye refractive system,axial length,corneal curvature and intraocular pressure,and to provide a scientific basis of integrated Chinese and western medicine and a safe and effective visual function rehabilitation instrument for the prevention and control of children’s physical myopia.Method:From January 2018 to December 2019,a total of 1 014 volunteers from 4 primary schools in Beijing were selected.The standard of screening divergence in volunteers was ≤±1.75 DC,and there was no pathological abnormality in outer eyes,anterior section of the eye and fundus examination.The volunteers were randomly divided into experimental group 516 and control group 498.There were 518 males and 496 females from 7 to 12 years old.The two groups were regrouped according to the refraction of the concave ball lens in the right eye.There were 205 volunteers(range from-0.75 DS to-1.00 DS) in experimental group A,141 subjects (range from-1.25 DS to-2.50 DS) in experimental group B,111 subjects (range from-2.75 DS to-3.50 DS) in experimental group C,59 subjects (range from-3.75 DS to-4.50 DS) in experiment group D.There were 207 volunteers (range from-0.75 DS to-1.00 DS) in control group A,125 subjects (range from-1.50 DS to-2.50 DS) in control group B,106 subjects (range from-2.75 DS to-3.50 DS) in control group C,60 subjects (range from-3.75 DS to-4.50 DS) in control group D.In the experimental group and the control group,patients with diopter number greater than-1.00 DS and naked eye visual acuity less than 0.6 after rapid pupil dilation were corrected with glasses.The experimental group was treated with digital intelligent modulation far-infrared hot moxibustion technology for double eyes rehabilitation twice a day,each time 15-25 minutes,and the treatment period was 48 weeks.The control group was not interfered,and was synchronously involved with the experimental group to detect the changes of right eye diopter

关 键 词：近视防控 远红外线 热灸 数字化调制 智能 

分 类 号：R778.11[医药卫生—眼科]