角针原穴法治疗儿童青少年近视的临床研究  

Treatment of Myopia in Children and Adolescents with Angle Needle Needling Source Point

作　　者：周淼[1] 杨晓媛 陈正平[1] 王芳[1] ZHOU Miao;YANG Xiaoyuan;CHEN Zhengping;WANG Fang(Jiangyin Hospital of Traditional Chinese Medicine,Wuxi 214400,China)

机构地区：[1]江阴市中医院,江苏无锡214400

出　　处：《中医药学报》2024年第5期62-65,共4页Acta Chinese Medicine and Pharmacology

基　　金：江苏省中医药管理局科技项目(YB2022036);2022年无锡市中医药管理局科技项目(ZYYB28)。

摘　　要：目的:探究角针原穴法在青少年近视儿童中的治疗效果。方法:将江阴市环南路小学纳入研究的240例近视儿童随机分为研究组和对照组,每组120例,对照组采用眼保健操治疗,研究组在对照组基础上联合角针原穴法治疗。12个月(2022年7月—2023年6月)后,比较两组儿童的疗效、眼轴长度、角膜曲率、屈光度、裸眼视力、角膜内皮细胞密度和中央厚度。结果:研究组总有效率高于对照组(P<0.05)。治疗前后比较,对照组儿童的眼轴长度、角膜曲率均升高(P<0.05),研究组儿童的眼轴长度、角膜曲率差异无统计学意义(P>0.05);治疗后,研究组儿童的眼轴长度、角膜曲率低于对照组(P<0.05)。治疗前后比较,研究组儿童的屈光度降低,裸眼视力提高(P<0.05),对照组儿童的屈光度及裸眼视力差异无统计学意义(P>0.05);治疗后,研究组儿童的屈光度更低,裸眼视力高于对照组(P<0.05)。治疗前后比较,两组儿童的角膜内皮细胞密度及中央厚度组间及组内比较无差异(P>0.05)。两组并发症发生率比较无差异(P>0.05)。结论:角针原穴法应用于儿童青少年近视的治疗中有助于改善视力参数,提升儿童视力,疗效优越且安全性良好。Objective:To explore the therapeutic effect of angle needle needling source point in children and adolescent with myopia.Methods:Two hundred and forty children and adolescent is with myopia in Huannan Road Primary School of Jiangyin City were randomly divided into a study group and a control group,with 120 cases in each group.The control group was treated with eye health exercises,while the study group was treated with the same plus angle acupuncture in source point.After 1 year(July 2022 to June 2023)of treatment,the efficacy,axial length,corneal curvature,refractive index,naked eye vision,corneal endothelial cell density,and central thickness of the two groups were compared.Results:The total effective rate of the study group was higher than that of the control group(P<0.05).Compared before and after treatment,the axial length and corneal curvature of the control group increased(P<0.05),while there was no statistically significant changes in the axial length and corneal curvature in the study group(P>0.05);After treatment,the axial length and corneal curvature of the study group were lower than those of the control group(P<0.05).Compared before and after treatment,the refractive power of the study group decreased and their naked eye vision improved(P<0.05),while there was no statistically significant difference in the refractive power and naked eye vision of the control group children(P>0.05);After treatment,the refractive power of the study group was lower and their naked eye vision was higher than that of the control group(P<0.05).Before and after treatment,there were no differences in corneal endothelial cell density and central thickness between and within two groups(P>0.05).There was no difference in the incidence of complications between the two groups(P>0.05).Conclusion:The application of the angle needle needling source point in the treatment of myopia in children and adolescents can help improve visual parameters,enhance children's vision,and have good therapeutic effects and good safety.

关 键 词：近视 青少年 角针 眼轴长度 屈光度 

分 类 号：R276.7[医药卫生—中医五官科学]