耳穴治疗近视的临床应用规律分析  

Analysis of clinical application regularity of auricular acupoints in treating myopia

作　　者：韩榕 孔谐和 赵峰[4] 杨光 赵越 马晓芃[3] HAN Rong;KONG Xiehe;ZHAO Feng;YANG Guang;ZHAO Yue;MA Xiaopeng(Shanghai Qigong Research Institute,Shanghai 200030,China)

机构地区：[1]上海市气功研究所,上海200030 [2]上海中医药大学上海市中医药研究院太极健康中心,上海200030 [3]上海市针灸经络研究所,上海200030 [4]上海中医药大学附属曙光医院,上海201203

出　　处：《中国中医眼科杂志》2022年第9期691-696,共6页China Journal of Chinese Ophthalmology

基　　金：国家重点基础研究发展计划(2015CB554501);上海领军人才项目(060);上海市卫健委课题[20194Y0210,ZY(2021-2023)-0105]。

摘　　要：目的分析总结耳穴治疗近视的临床应用规律。方法检索从建库到2019年12月31日国内外数据库中耳穴治疗近视的临床文献,按照纳入和排除标准筛选文献并应用Excel 2019、SPSS 21.0和Clementine 12.0软件进行数据分析。结果(1)常用耳穴频次:共纳入文献254篇,应用频次前10位的耳穴依次是眼(LO_(5))、肝(CO_(12))、肾(CO_(10))、屏间后(AT_(11))、屏间前(TG_(21))、心(CO_(15))、神门(TF_(4))、脾(CO_(13))、皮质下(AT_(4))、交感(AH_(6a)),穴位主要分布在耳甲区。(2)关联性分析和聚类分析:眼(LO_(5))、肝(CO_(12))、肾(CO_(10))、屏间前(TG_(21))、屏间后(AT_(11))具有较强的关联性,并在聚类分析中被聚为一类;心(CO_(15))、神门(TF_(4))、脾(CO_(13))、皮质下(AT_(4))、交感(AH_(6a))等穴被聚为另一类。单纯耳穴疗法、耳穴结合推拿为主要治疗方法,王不留行是最常用的贴压药物。每日按压5次以内是最常见的刺激频率,最常用的按压刺激量是每穴10~50次或每次按压总时间1~5 min。治疗时间多在3个月以内,视力是最常用的疗效指标。结论耳穴治疗近视取穴以眼(LO_(5))、肝(CO_(12))、肾(CO_(10))、屏间前(TG_(21))、屏间后(AT_(11))为主,可将耳穴压籽法作为主要干预手段,并应用视力、屈光度及其他眼部参数等多个指标综合评价疗效。OBJECTIVE To analyze and summarize the clinical application regularity of auricular acupoints on the treatment of myopia.METHODS The clinical literature on the treatment of myopia with auricular acupoints in domestic and foreign databases from the establishment of the database to December 31st,2019 were searched,and the literature was screened according to the inclusion and exclusion criteria.The data were analyzed by Excel 2019,SPSS 21.0 and Clementine 12.0 software.RESULTS(1)Frequency of common auricular points:A total of 254 articles were included.The top ten auricular points with the highest frequency of application were Yan(LO_(5)),Gan(CO_(12)),Shen(CO_(10)),Pingjianhou(AT11),Pingjianqian(TG21),Xin(CO_(15)),Shenmen(TF4),Pi(CO13),Pizhixia(AT4)and Jiaogan(AH6a).The auricular points were mainly distributed in the auricular region.(2)Correlation analysis and cluster analysis:The results of correlation analysis and cluster analysis showed that there were strong correlations among Yan(LO_(5)),Gan(CO_(12)),Shen(CO_(10)),Pingjianqian(TG21),Pingjianhou(AT11),which were grouped into one class in cluster analysis,while Xin(CO_(15)),Shenmen(TF4),Pi(CO13),Pizhixia(AT4),Jiaogan(AH6a)and other acupoints were grouped into another class.Simple auricular acupoints and auricular therapy combined with massage were the main treatment methods,and the cowherb seed was the most commonly used drug to stimulate auricular points.The most common stimulation frequency was pressing less than five times per day,and the most commonly used stimulation amount was ten to fifty times per auricular point or the total time of each pressing was one to five minutes.The duration of treatment was mostly within three months,and visual acuity was the most commonly therapeutic index.CONCLUSIONS Yan(LO_(5)),Gan(CO_(12)),Shen(CO_(10)),Pingjianqian(TG21),Pingjianhou(AT11)were mainly selected in auricular therapy for the treatment of myopia.Auricular acupressure could be used as the main intervention method,and multiple indexes such as visual acuity,diopte

关 键 词：耳穴疗法 近视 文献研究 计量分析 

分 类 号：R276.7[医药卫生—中医五官科学] R778.11[医药卫生—中医学]