揿针联合易罐治疗VDT性视疲劳的临床观察  

Clinical observation on the treatment of VDT-induced asthenopia by thumb-tack needle for subcutaneous embedding combined with easy cupping therapy

作　　者：谭蕊蕊 刘彤 王海丽 张晓梅 王朝辉 TAN Ruirui;LIU Tong;WANG Haili;ZHANG Xiaomei;WANG Zhaohui(Shenzhen Bao´an Pure Traditional Chinese Medicine Treatment Hospital,Shenzhen 518100,China)

机构地区：[1]深圳市宝安纯中医治疗医院,深圳518100 [2]长春中医药大学,长春130117

出　　处：《中国中医眼科杂志》2023年第5期437-441,共5页China Journal of Chinese Ophthalmology

基　　金：吉林省中医药科技项目(2021019);广东省中医药局科研项目(20231292)。

摘　　要：目的探讨揿针结合易罐治疗视频终端综合征(VDT)性视疲劳的临床疗效及对眼部血流动力学的影响。方法纳入符合标准的VDT性视疲劳患者63例,随机分为试验组(31例)和对照组(32例)。试验组给予揿针联合易罐治疗,每周3次,对照组给予七叶洋地黄双苷滴眼液,点双眼,每日3次;2组均观察28 d。观测指标包括眼表疾病指数量表(OSDI)量表、眼部彩色多普勒超声对睫状前动脉(ACA)、视网膜中央动脉(CRA)的流速测定。结果(1)OSDI积分:2组治疗前后比较,差异均统计学意义(t对照组=-13.568,t试验组=-17.178,均P=0.000)。治疗后试验组OSDI总积分低于对照组,差异具有统计学意义(t=-4.708,P=0.000)。(2)眼部血流动力学数值:对照组各血流峰值治疗前后比较,差异均有统计学意义(t_((ACA(PSV)))=13.479,t_((ACA(EDV)))=13.877,t_((CRA(PSV)))=13.681,t_((CRA(PSV)))=11.474,均P=0.000)。试验组各血流峰值治疗前后比较,差异均有统计学意义(t_((ACA(PSV)))=20.285,t_((ACA(EDV)))=16.075,t_((CRA(PSV)))=16.280,t(CRA(EDV))=14.762,均P=0.000)。试验组ACA的收缩期峰值流速(PSV)、舒张末期血流速度(EDV)、视网膜中央动脉(CRA)的PSV峰值均高于对照组,差异均有统计学意义(t_((ACA(PSV)))=5.110,t_((ACA(EDV)))=4.003,t(CRA(PSV))=4.109,均P=0.000)。(3)临床疗效:试验组总有效率为90.32%,高于对照组(78.12%),等级差异具有统计学意义(χ^(2)=20.756,P=0.000)。结论揿针联合易罐疗法具有改善VDT性视疲劳患者的眼部血流状态,使眼部组织结构获得再灌注,恢复视物能力与功能的作用。OBJECTIVE To explore the clinical effect of thumb-tack needle for subcutaneous embedding combined with easy cupping therapy on visual fatigue caused by video terminal syndrome(VDT)and its influence on ocular hemodynamics.METHODS A total of 63 patients with VDT-induced asthenopia who met the requirements were randomly assigned to the test group(31 cases)and the control group(32 cases).The patients of the test group were treated with thumb-tack needle for subcutaneous embedding combined with easy cupping therapy three times per week,while the patients of the control group were treated with esculin and digitalisglycosides eye drops,three times per day.All patients in both groups were observed for 28 days.The observation indexes included Ocular surface disease index(OSDI)scale,color Doppler flow velocity measurement of anterior ciliary artery(ACA)and central retinal artery(CRA).RESULTS(1)OSDI scores:The difference between the two groups before and after treatment were statistically significant(tcontrol group=-13.568,ttest group=-17.178,all P=0.000).After treatment,the total scores of OSDI in the test group were lower than those in the control group,and the difference was statistically significant(t=-4.708,P=0.000).(2)Ocular hemodynamic value:The blood flow peaks in the control group were statistically significant before and after treatment(tACA(PSV)=13.479,tACA(EDV)=13.877,tCRA(PSV)=13.681,tCRA(PSV)=11.474,all P=0.000).The blood flow peaks in the test group were statistically significant before and after treatment(tACA(PSV)=20.285,tACA(EDV)=16.075,tCRA(PSV)=16.280,tCRA(EDV)=14.762,all P=0.000).The PSV peak of ACA,EDV and CRA in the test group were significantly higher than those in the control group(tACA(PSV)=5.110,tACA(EDV)=4.003,tCRA(PSV)=4.109,all P=0.000).(3)Clinical efficacy:The total effective rate of the test group was 90.32%,which was higher than that of the control group(78.12%),and the grade difference was statistically significant(χ^(2)=20.756,P=0.000).CONCLUSIONS The combination of thumb-tack needle for

关 键 词：揿针 易罐疗法 VDT性视疲劳 血流动力学 

分 类 号：R246.82[医药卫生—针灸推拿学]