耳穴贴压联合眼周经皮穴位电刺激在6~12岁儿童轻度近视中的应用研究  

Appilication research of auricular acupressure combined with periocular transcutaneous electrical stimulation of acupoints in 6-12 years old mild myopia children

作　　者：王潇寅 苏书贞[2] 陈青青 魏东 苏恒 WANG Xiaoyin;SU Shuzhen;CHEN Qingqing;WEI Dong;SU Heng(Hebei Traditional Chinese Medicine University,Shijiazhuang 050091,China;Shijiazhuang Hospital of Traditional Chinese Medicine,Shijiazhuang 050051,China)

机构地区：[1]河北中医药大学,河北省石家庄市050091 [2]石家庄市中医院,河北省石家庄市050051

出　　处：《护理实践与研究》2024年第5期646-654,共9页Nursing Practice and Research

基　　金：河北省中医药管理局科研计划项目(编号:2023378)。

摘　　要：目的观察耳穴贴压联合眼周经皮穴位电刺激在6~12岁儿童轻度近视中的应用效果。方法采用随机数字表法将2022年11月—2023年4月在石家庄市某小学的132例轻度近视儿童平均分为3组,分别为耳穴贴压组、眼周经皮穴位电刺激组、联合组,每组44例。3组患儿均给予常规护理,在此基础上,耳穴贴压组给予耳穴贴压治疗,眼周经皮穴位电刺激组给予眼周经皮穴位电刺激治疗,联合组给予耳穴贴压联合眼周经皮穴位电刺激治疗。3组患儿干预疗程均为每4周1个疗程,1个疗程后暂停1周,再进行第2个疗程,共2个疗程。比较3组患儿治疗前、治疗1个疗程后、治疗2个疗程后的裸眼远视力、屈光度、调节灵敏度及眼局部症状总积分,观察其对轻度近视儿童的治疗效果。结果干预结束后,共脱落8例患儿,最终纳入124例,分别为耳穴贴压组41例,眼周经皮穴位电刺激组41例,联合组42例。3组患儿治疗前的裸眼远视力、屈光度、调节灵敏度及眼局部症状总积分经比较,差异均无统计学意义(P>0.05)。3组患儿第1疗程及第2疗程干预结束后的裸眼远视力、屈光度、调节灵敏度及眼局部症状总积分经比较,差异有统计学意义(P<0.05)。组间比较3组患儿的裸眼远视力、屈光度及眼局部症状总积分,差异具有统计学意义(P<0.05),其中联合组与耳穴贴压组、眼周经皮穴位电刺激组相比差异具有统计学意义(P<0.05)。结论3种干预措施均可有效改善儿童轻度近视患儿的裸眼远视力、屈光度、调节灵敏度及眼局部症状,对轻度近视儿童具有治疗和防控近视进展的作用,疗效良好,且联合治疗对于儿童轻度近视的治疗及防控效果优于单一的耳穴贴压治疗或眼周经皮穴位电刺激治疗。Objective To observe the application eff ect of auricular acupressure combined with periocular transcutaneous acupoint electrical stimulation in 6-12 years old mild myopia children.Methods By using the randomized data chart to divide 132 cases of children with mild myopia in an elementary school in Shijiazhuang from November 2022 to April 2023 into three groups:auricular acupressure group,periocular percutaneous acupoint electrostimulation group,and combined group,with 44 cases in each group.Routine nursing care was given to the children of the three groups.In the periocular transcutaneous electrical stimulation group,periocular transcutaneous electrical stimulation was given,auricular acupressure combined with periocular transcutaneous electrical stimulation was given to the combined group.The intervention course of the patients in the three groups was one course of treatment every four weeks,with a pause of one week after the fi rst course of treatment,and then a second course of treatment,for a total of two courses of treatment.We compared the naked eye distance visual acuity,refractive error,adjusting sensitivity and the total score of ocular local symptoms of the three groups of children before treatment,after 1 course of treatment,and after 2 courses of treatment,and observed the therapeutic eff ect on children with mild myopia.Results At the end of the intervention,a total of 8 children were dislodged,and 124 children were finally included,which were 41 patients in the auricular acupoint pressure group,41 patients in the periocular transcutaneous acupoint electrical stimulation group,and 42 children in the combined group.the naked eye visual acuity,refractive error,accommodation sensitivity,and total ocular local symptom scores of the children in the 3 groups before the treatment were compared,and the differences were not statistically significant(P>0.05).The differences in naked eye visual acuity,refractive error,adjustment sensitivity and total ocular local symptom scores of the patients in the 3 groups

关 键 词：耳穴贴压 眼周经皮穴位电刺激 近视防治仪 儿童 轻度近视 裸眼远视力 屈光度 调节灵敏度 眼局部症状总积分 

分 类 号：R473.77[医药卫生—护理学]