眼周穴位推拿结合耳穴按压干预儿童轻度近视临床研究  

Clinical Study on Intervention of Mild Myopia in Children by Combining Periocular Acupoint Tuina with Auricular Acupoint Pressing

作　　者：曾亮 顾尤 黄帅 胡嘉威 周小晓 董晓薇 潘国良 孙武权[3] ZENG Liang;GU You;HUANG Shuai;HU Jiawei;ZHOU Xiaoxiao;DONG Xiaowei;PAN Guoliang;SUN Wuquan(Shanghai Pudong Hospital/Pudong Hospital Affiliated to Fudan University,Shanghai 201399,China;The First Affiliated Middle School of East China Normal University,Shanghai 200086,China;Yueyang Hos-pital of Integrated Traditional Chinese and Western Medicine,Shanghai University of Traditional Chinese Medicine,Shanghai 200437,China)

机构地区：[1]上海市浦东医院/复旦大学附属浦东医院,上海201399 [2]华东师范大学第一附属中学,上海200086 [3]上海中医药大学附属岳阳中西医结合医院,上海200437

出　　处：《山东中医杂志》2024年第6期608-612,共5页Shandong Journal of Traditional Chinese Medicine

基　　金：上海市浦东新区卫生健康委员会临床中医特色学科建设项目(编号:PDZY-2018-0611);上海市“十四五”中医特色专科和中医急诊能力提升孵化项目(编号:ZYTSZK2-1);上海市浦东新区卫健委领先人才培养计划项目(编号:PWRl2023-08);上海市浦东新区中医药传承创新发展示范试点项目(编号:YC-2023-0128,YC-2023-0129,YC-2023-0202,YC-2023-0607)。

摘　　要：目的:观察眼周穴位推拿结合耳穴按压干预儿童轻度近视的效果。方法:将60例小学3、4年级轻度近视儿童按随机数字表法分为观察组与对照组各30例。观察组采用眼周穴位推拿结合耳穴按压(《亮晶晶眼操》)干预,同时配合耳穴贴敷,对照组采用非接触眼保健操干预。两组均每天干预2次,每周干预5 d(周一至周五),共干预12周。比较两组儿童干预前后的裸眼视力、屈光度、眼轴长度,计算干预前后屈光度差值、眼轴长度差值,并评价临床疗效。结果:干预后,观察组儿童裸眼视力、屈光度、眼轴长度较干预前无明显变化(P>0.05);对照组儿童裸眼视力较干预前下降(P<0.05),屈光度、眼轴长度较干预前上升(P<0.05);观察组儿童裸眼视力优于对照组(P<0.01)。观察组干预前后屈光度差值、眼轴长度差值小于对照组(P<0.05)。干预后,观察组疗效优于对照组(P<0.01)。结论:眼周穴位推拿结合耳穴按压不能有效提升轻度近视儿童的裸眼视力、降低屈光度及眼轴长度,但能防控裸眼视力下降,延缓屈光度及眼轴长度增长。Objective:To observe the effect of periocular acupoint tuina combined with auricular acupoint pressing in the intervention of mild myopia in children.Method:A total of 60 children with mild myopia from Grade 3 and Grade 4 of primary school were divided into an observation group and a control group by the random number table method,with 30 cases in each group.The observation group was intervened with periocular acupoint tuina combined with auricular acupoint pressing(“Glitter Eye Exercise”),along with the auricular acupoint application,while the control group was intervened with non-contact eye exercises.Both groups were intervened twice a day,5 days a week(Monday to Friday),for a total of 12 weeks.The visual acuity,refractive error,and axial length of the two groups were compared before and after intervention.The differences in refractive error and axial length before and after intervention were calculated,following an evaluation of the curative efficacy of both groups.Results:After intervention,there were no significant changes in naked eye acuity,refractive error,and axial length of the children in the observation group compared to before intervention(P>0.05).The naked eye acuity of the children in the control group was decreased compared to before intervention(P<0.05),while the refractive error and axial length were increased compared to before intervention(P<0.05).The naked eye acuity of the children in the observation group was better than that in the control group(P<0.01).The differences in refractive error and axial length before and after intervention in the observation group were smaller than those in the control group(P<0.05).After intervention,the curative efficacy in the observation group was better than that in the control group(P<0.01).Conclusions:For children with mild myopia,the combination of periocular acupoint tuina and auricular acupoint pressing can not effectively improve the naked eye acuity,reduce refractive error,and decrease axial length.However,it can prevent the decline in naked ey

关 键 词：眼周穴位推拿 耳穴按压 耳穴贴敷 儿童轻度近视 正光穴 承泣穴 

分 类 号：R244.1[医药卫生—针灸推拿学]