针刺治疗儿童调节性近视的临床观察  

Clinical observation of acupuncture treatment for children with accommodative myopia

作　　者：张小芃 韩榕 邱晓頔 孔谐和 曹姚佳妮 王雪君 赵越 赵峰 马晓芃 ZHANG Xiaopeng;HAN Rong;QIU Xiaodi;KONG Xiehe;CAO Yaojiani;WANG Xuejun;ZHAO Yue;ZHAO Feng;MA Xiaopeng(Yueyang Hospital of Integrated Traditional Chinese and Western Medicine,Shanghai University of Traditional Chinese Medicine,Shanghai 200437,China;Shanghai Qigong Research Institute,Shanghai 200030,China;Eye and ENT Hospital Affiliated to Fudan University,Shanghai 200031,China;Shanghai Research Institute of Acupuncture and Meridian,Shanghai 200030,China;Shuguang Hospital,Shanghai University of Traditional Chinese Medicine,Shanghai 201203,China)

机构地区：[1]Yueyang Hospital of Integrated Traditional Chinese and Western Medicine,Shanghai University of Traditional Chinese Medicine,Shanghai 200437,China [2]Shanghai Qigong Research Institute,Shanghai 200030,China [3]Eye and ENT Hospital Affiliated to Fudan University,Shanghai 200031,China [4]Shanghai Research Institute of Acupuncture and Meridian,Shanghai 200030,China [5]Shuguang Hospital,Shanghai University of Traditional Chinese Medicine,Shanghai 201203,China

出　　处：《Journal of Acupuncture and Tuina Science》2023年第3期224-228,共5页针灸推拿医学（英文版）

基　　金：上海市卫生健康委员会中医药科研项目,No.2020LP017,No.ZY(2021-2023)-0105-17。

摘　　要：目的:观察针刺治疗儿童调节性近视的疗效。方法:将76例符合入组标准的调节性近视儿童根据随机数字表法分为对照组和试验组,每组38例。对照组予以健康用眼宣教,试验组在对照组干预基础上加用针刺治疗,每周2次,共治疗2个月。于治疗开始前、治疗1个月及治疗2个月后检测患者的裸眼远视力(UCVA)、屈光度及眼轴长度(AL)。结果:治疗1个月后,两组UCVA比较差异无统计学意义(P>0.05);治疗2个月后,试验组UCVA优于对照组(P<0.05)。治疗1个月和2个月后,两组屈光度与治疗前比较差异有统计学意义(P<0.01),组间比较差异无统计学意义(P>0.05)。治疗1个月和2个月后,对照组AL较治疗前增加(P<0.05),试验组无明显变化(P>0.05),组间比较差异无统计学意义(P>0.05)。结论:针刺治疗能提高调节性近视儿童UCVA。Objective:To observe the effect of acupuncture in the treatment of accommodative myopia in children.Methods:A total of 76 children with accommodative myopia who met the inclusion criteria were divided into a control group or a test group according to the random number table method,with 38 cases in each group.The control group was given education on eye hygiene,and the test group was treated with acupuncture twice a week for 2 months in addition to the intervention used in the control group.The patient’s uncorrected visual acuity(UCVA),refraction,and axial length(AL)were measured before treatment and 1 month and 2 months after treatment.Results:After 1 month of treatment,there was no significant difference in the UCVA between the two groups(P>0.05);after 2 months of treatment,the UCVA of the test group was better than that of the control group(P<0.05).After 1 and 2 months of treatment,the refraction of the two groups was significantly different from that before treatment(P<0.01),but there was no significant difference between the two groups(P>0.05).After 1 and 2 months of treatment,the AL in the control group was increased compared with that before treatment(P<0.05),while there was no significant change in the test group(P>0.05),and there was no significant difference between the two groups(P>0.05).Conclusion:Acupuncture treatment can improve UCVA in children with accommodative myopia.

关 键 词：针刺疗法 视力 眼 轴长度 眼 近视 屈光不正 随机对照试验 

分 类 号：R246.8[医药卫生—针灸推拿学]