松解筋膜触发点针刺法治疗小学生近视临床研究  

Clinical Study on Releasing MTrPs Acupuncture in Treatment of Juvenile Myopia

作　　者：武峙璇[1,2] 徐雪娇[1] 韩数 孙河[4] 李岩[4] 王殿一[4,5] 张竞飞 WU Zhixuan;XU Xuejiao;HAN Shu;SUN He;LI Yan;WANG Dianyi;ZHANG Jingfei(Heilongjiang University of Chinese Medicine,Harbin 150040,China;Heilongjiang Provincial Hospital,Harbin 150001,China;Beihang University,Beijing 100191,China;The First Affiliated Hospital of Heilongjiang University of Chinese Medicine,Harbin 150040,China;The Second Affiliated Hospital of Heilongjiang University of Chinese Medicine,Harbin 150001,China)

机构地区：[1]黑龙江中医药大学,黑龙江哈尔滨150040 [2]黑龙江省医院,黑龙江哈尔滨150001 [3]北京航空航天大学,北京100191 [4]黑龙江中医药大学附属第一医院,黑龙江哈尔滨150040 [5]黑龙江中医药大学附属第二医院,黑龙江哈尔滨150001

出　　处：《针灸临床杂志》2023年第3期35-40,共6页Journal of Clinical Acupuncture and Moxibustion

基　　金：国家自然科学基金,编号:81704177;黑龙江中医药大学优秀创新人才(青年教师)支持计划,编号:2018RCQ11;黑龙江省中医药科研项目,编号:ZHY2020-063、ZHY2022-141。

摘　　要：目的:评价松解筋膜触发点(MTrPs)针刺法治疗小学生近视的疗效,并探讨MTrPs针刺灭活与裸眼视力(UCVA)缓解程度的相关性。方法:选取小学生(年龄6~12周岁)近视患者83例(159眼)为研究对象;按随机数字表法分为观察组42例(80眼)与对照组41例(79眼),观察组选取风池、大杼穴,采用针刺、行针和固定留针方法,松解MTrPs,每日针刺1次;对照组给予患眼0.01%阿托品滴眼,每日1次,夜间给药;均14 d 1个疗程,1个疗程结束休息2 d,治疗2个疗程。治疗后根据UCVA、屈光度、眼轴长度、调节灵敏度(AS)和总有效率进行疗效评价,比较针刺前、后MTrPs的数量、压痛、面积及周长。结果:两组患者治疗后在UCVA、屈光度与AS比较差异均有统计学意义(P<0.05),眼轴长度比较差异无统计学意义(P>0.05);观察组总有效率为93.75%(75/80),对照组总有效率为84.81%(67/79),两组比较差异有统计学意义(P<0.05);观察组可以有效改变近视小学生患者MTrPs的数量、压痛、面积及周长,差异有统计学意义(P<0.01);近视小学生患者MTrPs的数量、压痛、面积及周长与近视UCVA差值成正相关(P<0.01)。结论:松解筋膜触发点针刺法治疗小学生近视疗效显著,MTrPs的灭活程度与耳鸣症状的改善程度呈正相关,可将MTrPs的数量、压痛、面积及周长指标用于近视的预防及治疗。Objective:To evaluate the efficacy of releasing myofascial trigger points(MTrPs)acupuncture in treatment of myopia in primary school students,and to explore the correlation between the inactivation of MTrPs acupuncture and the remission of uncorrected visual acuity(UCVA).Methods:83 cases(159 eyes)of primary school students(aged 6-12 years)with myopia were selected as the research subjects and randomly divided into the observation group(n=42,80 eyes)and the control group(n=41,79 eyes).Fengchi(GB 20)and Dazhu(BL 11)were selected for needling in the observation group,MTrPs were released by acupuncture,and the treatment was once a day;the control group was given 0.01%Atropine Eye Drops;once a day at night.Both groups were treated for 2 courses,14 days were taken as one course of treatment,and there were 2 days interval between the two courses.After the treatment,efficacy was evaluated according to UCVA,diopter,axial length,adjustment sensitivity(AS)and total effective rate.The number,tenderness,area and perimeter of MTrPs were compared between before and after the treatment in the two groups.Results:There were statistical differences in UCVA,diopter and AS between the two groups after the treatment(P<0.05),but there was no statistical difference in axial length between the two groups after the treatment(P>0.05).The total effective rate was 93.75%(75/80)in the observation group,which was significantly higher than 84.81%(67/79)in the control group(P<0.05).The number,tenderness,area and perimeter of MTrPs in the observation group could be effectively changed with statistical significance(P<0.01).The number,tenderness,area and perimeter of MTrPs in myopic primary school students were positively correlated with the difference of myopic UCVA(P<0.01).Conclusion:Releasing MTrPs acupuncture is effective in treating myopia of primary school students.The inactivation degree of MTrPs is positively correlated with the difference of myopic UCVA.The number,tenderness,area and perimeter of MTrPs can be used as the indexes in the pre

关 键 词：针刺 筋膜松解针法 青少年 近视 肌筋膜触发点 

分 类 号：R246.82[医药卫生—针灸推拿学]