针灸辅助奥拉西坦治疗糖尿病性眼肌麻痹风邪中络证患者的效果  

Effects of Oxiracetam in treatment of diabetic ophthalmoplegia patients with wind striking collateral syndrome assisted by acupuncture

作　　者：刘瑞芳 LIU Ruifang(Department of Acupuncture and Massage of Zhumadian Hospital of Traditional Chinese Medicine,Zhumadian 463000 Henan,China)

机构地区：[1]驻马店市中医院针灸推拿科,河南驻马店463000

出　　处：《中国民康医学》2022年第22期103-105,109,共4页Medical Journal of Chinese People’s Health

摘　　要：目的:探讨针灸辅助奥拉西坦治疗糖尿病性眼肌麻痹风邪中络证患者的效果。方法:选取2019年6月至2021年6月该院收治的80例糖尿病性眼肌麻痹风邪中络证患者进行前瞻性研究,按照随机数字表法分为对照组和观察组各40例。对照组予以奥拉西坦治疗,观察组在对照组基础上联合针灸治疗。比较两组疗效,治疗前后睑裂高度、视力水平、斜视角度、中医证候积分,以及不良反应发生率。结果:观察组治疗总有效率为95.00%(38/40),高于对照组的77.50%(31/40),差异有统计学意义(P<0.05);治疗后,观察组睑裂高度、视力水平均高于对照组,斜视角度小于对照组,中医证候积分低于对照组,差异有统计学意义(P<0.05);两组不良反应发生率比较,差异无统计学意义(P>0.05)。结论:针灸辅助奥拉西坦治疗糖尿病性眼肌麻痹风邪中络证患者可提高治疗总有效率,缓解临床症状,改善视力水平,降低中医证候积分,且安全性良好。Objective:To investigate effects of Oxiracetam in treatment of diabetic ophthalmoplegia patients with wind striking collateral syndrome assisted by acupuncture.Methods:From June 2019 to June 2021,80 patients with diabetic ophthalmoplegia with wind striking collateral syndrome admitted to the hospital were selected for the prospective study.They were divided into control group and observation group according to the random number table method,40 cases in each.The control group was treated with Oxiracetam,while the observation group was treated with acupuncture on the basis of that of the control group.The efficacy,the palpebral fissure height,the visual acuity,the squint angle,the TCM syndrome score,and the incidence of adverse reactions were compared between the two groups before and after the treatment.Results:The total effective rate of treatment in the observation group was 95.00%(38/40),which was higher than 77.50%(31/40)in the control group,and the difference was statistically significant(P<0.05).After the treatment,the palpebral fissure height and the visual acuity in the observation group were higher than those in the control group,the squint angle was smaller than that in the control group,the TCM syndrome score was lower than that in the control group,and the differences were statistically significant(P<0.05).However,there was no significant difference in the incidence of adverse reactions between the two groups(P>0.05).Conclusions:Oxiracetam in the treatment of diabetic ophthalmoplegia patients with wind striking collateral syndrome assisted by acupuncture can improve the total effective rate of treatment,relieve the clinical symptoms,improve the visual acuity,reduce the TCM syndrome scores,and have good safety.

关 键 词：针灸 奥拉西坦 糖尿病性眼肌麻痹 风邪中络证 中医证候积分 睑裂高度 斜视角度 

分 类 号：R777.4[医药卫生—眼科]