针刺联合腹针特定电磁波治疗仪治疗青少年近视之心阳不足证的临床观察  

Clinical observation on acupuncture combined with abdominal acupuncture specific electromagnetic wave therapeutic apparatus in the treatment of myopia in adolescents with heart-Yang deficiency syndrome

作　　者：韩贯宇 张有花[1] 解孝锋[1] 毕宏生[1] HAN Guanyu;ZHANG Youhua;XIE Xiaofeng;BI Hongsheng(Shandong Academy of Eye Disease Prevention and Therapy,Affiliated Eye Hospital of Shandong University of Traditional Chinese Medicine,Shandong Key Laboratory of Eye Disease Prevention and Treatment of Integrated Traditional Chinese and Western Medicine,Jinan 250002,China)

机构地区：[1]山东中医药大学附属眼科医院,山东省眼病防治研究院,山东省中西医结合眼病防治重点实验室,济南250002

出　　处：《中国中医眼科杂志》2023年第2期111-115,126,共6页China Journal of Chinese Ophthalmology

基　　金：国家重点研发计划项目(2019YFC1710200,2019YFC1710203);山东省重点研发计划(2016GGH3119);山东省自然科学基金项目(ZR2020QH314);山东省医药科技发展计划项目(2019WS570)。

摘　　要：目的观察针刺联合腹针特定电磁波治疗仪治疗青少年低、中度近视之心阳不足证患儿的临床疗效。方法选取2017年7月—2019年8月于山东中医药大学附属眼科医院就诊的青少年低、中度、心阳不足证近视患儿共118例(227只眼)。根据患儿接受治疗的情况分为治疗组60例(114只眼)和对照组58例(113只眼)。治疗组予针刺联合腹针特定电磁波治疗仪照射治疗,对照组予框架眼镜治疗,2组均治疗3个月。分别于治疗前、治疗后3、6个月行视力、屈光度、调节幅度、调节灵敏度和眼轴检查并记录数据。结果(1)裸眼视力:2组治疗后3、6个月较治疗前均无明显变化,差异均无统计学意义(P>0.05)。治疗后3、6个月组间比较,对照组均低于治疗组,差异均有统计学意义(t_(3个月)=6.543,t_(6个月)=5.419,均P=0.000)。(2)屈光度:2组治疗后3个月及6个月较治疗前均无明显变化,差异均无统计学意义(P>0.05)。治疗后2组间比较,差异均无统计学意义(P>0.05)。(3)调节幅度:治疗组治疗后3、6个月均较治疗前增加,差异均有统计学意义(t_(3个月)=12.374,P=0.000;t_(6个月)=2.837,P=0.005)。对照组治疗后3、6个月均较前无明显变化,差异无统计学意义(P>0.05)。治疗后3、6个月,治疗组均大于对照组,差异均有统计学意义(t_(3个月)=29.223,t_(6个月)=9.396,均P=0.000)。(4)调节灵敏度:治疗组治疗后3、6个月均较治疗前增加,差异均有统计学意义(t_(3个月)=19.628,t_(6个月)=10.385,均P=0.000)。对照组治疗后3、6个月均较前无明显变化,差异无统计学意义(P>0.05)。治疗后3、6个月,治疗组均大于对照组,差异均有统计学意义(t_(3个月)=33.175,t_(6个月)=18.935,均P=0.000)。(5)眼轴长度:2组治疗后3个月及6个月较治疗前均无明显变化,差异均无统计学意义(P>0.05)。治疗后2组间比较,差异均无统计学意义(P>0.05)。结论针刺联合腹针特定电磁波治疗仪治疗可以改善青少�OBJECTIVE To observe the clinical effect of acupuncture combined with abdominal acupuncture specific electromagnetic wave therapeutic apparatus in the treatment of low or moderate myopia in adolescents with heart-Yang deficiency syndrome METHODS A total of 118 adolescents(227 eyes)with low or moderate myopia and heart-Yang deficiency syndrome who were treated in the Affiliated Ophthalmology Hospital of Shandong University of Traditional Chinese Medicine from July 2017 to August 2019 were selected.The patients were divided into treatment group(60 cases,114 eyes)and control group(58 cases,113 eyes)according to their received treatment.The treatment group was treated with acupuncture combined with abdominal acupuncture specific electromagnetic wave therapeutic apparatus,while the control group was treated with frame glasses.Both groups were treated for three months.Visual acuity,diopter,adjustment range,adjustment sensitivity and ocular axis were examined before treatment,as well as three and six months after treatment,and the data were recorded.RESULTS(1)Uncorrected visual acuity:After three and six months of treatment,there were no significant changes compared with before treatment,and the differences were not statistically significant in the two groups(P>0.05).After three and six months of treatment,the uncorrected visual acuity of the control group was lower than that of the treatment group,and the differences were both statistically significant(t_(3 mon)=6.543,t_(6 mon)=5.419,both P=0.000).(2)Diopter:After three and six months of treatment,there were no significant changes compared with before treatment,and the differences were not statistically significant in the two groups(P>0.05).After three and six months of treatment,there were no significant changes between the two groups(P>0.05).(3)Adjustment range:The adjustment range of the treatment group were increased after three and six months of treatment compared with that before treatment,and the differences were both statistically significant(t_(3 mon)=12.374,P

关 键 词：针刺 腹针 特定电磁波治疗仪照射 近视 临床观察 

分 类 号：R774.1[医药卫生—眼科]