针刺防控青少年轻中度近视的效果观察  

Observation on the efficacy of acupuncture in preventing and controlling mild-to-moderate myopia in adolescents

作　　者：贾仕玉 张娜娜[1] 刘勤[1] 白惠玲[1] 刘丁龙[3] 贾茜钰 钱美伶 Jia Shiyu;Zhang Nana;Liu Qin;Bai Huiling;Liu Dinglong;Jia Xiyu;Qian Meiling(Department of Ophtalmology,Gansu Provincial Hospital,Lanzhou 730000,China;Department of Ophtalmology,the Central Hospital of Jinchang City,Jinchang 737100,China;Traditional Medical Treatment Center,Gansu Provincial Hospital,Lanzhou 730000,China;Shenzhen Eye Hospital,Shenzhen 518000,China)

机构地区：[1]甘肃省人民医院眼科,兰州730000 [2]甘肃省金昌市中心医院眼科,金昌737100 [3]甘肃省人民医院传统医学诊疗中心,兰州730000 [4]深圳市眼科医院,深圳518000

出　　处：《中华眼外伤职业眼病杂志》2023年第11期849-855,共7页Chinese Journal of Ocular Trauma and Occupational Eye Disease

基　　金：甘肃省中医药科研基金项目(GZKP-2020-13)。

摘　　要：目的观察针刺防控青少年轻中度近视的临床效果。方法前瞻性随机对照研究。将甘肃省人民医院2021年8月至12月于眼科门诊就诊的10-16岁轻中度近视青少年60例(120眼)根据随机数字表法分为对照组和针刺组,每组各30例。针刺组采用一次性华佗牌针灸针(规格为25.00 mm×0.25 mm),选取睛明穴、攒竹穴、丝竹空穴、四白穴、风池穴及合谷穴作为研究穴位进行干预;对照组不予处理,日常仅佩戴普通近视框架眼镜。针刺组在非干预时间常规佩戴普通近视框架眼镜,期间规律复诊,每次3个月,共2次,观察两组干预前、干预后3个月和6个月患者的裸眼视力、屈光度以及眼轴长度。结果对照组及针刺组两组裸眼视力在干预后3个月(0.65±0.36 vs 0.51±0.18)、6个月(0.69±0.30 vs 0.45±0.11)相比,差异有统计学意义(t3个月=2.63,P=0.010;t6个月=5.92,P<0.001);两组屈光度在干预后3个月[(-2.92±0.65)D vs(-2.75±0.65)D],差异无统计学意义(t=1.43,P=0.154),在干预后6个月[(-3.14±0.66)D vs(-2.90±0.62)D]差异有统计学意义(t=2.05,P=0.042);两组眼轴长度在干预后3个月[(25.33±0.64)mm vs(25.19±0.63)mm],差异无统计学意义(t=1.21,P=0.230),在干预后6个月比较[(25.48±0.65)mm vs(25.25±0.60)mm],差异有统计学意义(t=2.01,P=0.046)。结论针刺可以提高轻中度近视青少年的裸眼视力,降低屈光度,延缓眼轴增长,不良反应少。Objective To observe the clinical efficacy of acupuncture in preventing and controlling mild-to-moderate myopia in adolescents.Methods This was a randomized controlled study.Sixty cases(120 eyes)of mild-to-moderate myopia adolescents aged 10 to 16 years old who visited the outpatient clinic of People’s Hospital Affiliated of Gansu Provincial Hospital from Aug.to Dec.2021 were selected as study subjects,who were divided into the control group and the acupuncture group based on the random number table method,with 30 cases in each group.Cases in the acupuncture group were intervented by the disposable Hwato Acupuncture needles(25.00 mm×0.25 mm),with Jinming acupoint,Zanzhu acupoint,sizukong acupoint,Sibai acupoint,Fengchi acupoint,and Hegu acupoint as study acupoints,while cases in the control group were left and wore only common myopic frame glasses on a daily basis.Cases in the acupuncture group routinely wore ordinary myopia frame glasses during non-intervention time,when regular follow-ups were performed every 3 months for a total of 2 visits.The naked visual acuity,refractive error,and axial length of the two groups before intervention,at 3 and 6 months after intervention were observed.Results There were statistically significant differences in the naked visual acuity between the two groups at 3 months after intervention(0.65±0.36 vs 0.51±0.18,0.69±0.30 vs 0.45±0.11)at 6 months after intervention(t=2.63,P=0.010;t=5.92,P<0.001).The difference in refractive error between the two groups was not statistically significant at 6 months after intervention[(-2.92±0.65)D vs(-2.75±0.65)D,t=1.43,P=0.154)],but statistically significant after the 6-month intervention[(-3.14±0.66)D vs(-2.90±0.62)D].The difference in the ocular axis between the two groups was not statistically significant at 3 months after intervention[(25.33±0.64)mm vs(25.19±0.63)mm(t=1.21,P=0.230)],but statistically significant at 6 months after intervention[(25.48±0.65)mm vs(25.25±0.60)mm(t=2.01,P=0.046)].Conclusion Acupuncture can improve th

关 键 词：针刺 近视 青少年 屈光度 眼轴 视力 

分 类 号：R778.11[医药卫生—眼科]