疏肝养血润目针灸法治疗原发性青光眼  

Clinical effect of acupuncture and moxibustion for dispersing stagnated liver qi,nourishing blood and moistening eyes in the treatment of primary glaucoma

作　　者：刘惠 郑曦 王金莲 谢礼丹 LIU Hui;ZHENG Xi;WANG Jinlian;XIE Lidan(Meishan Hospital of Traditional Chinese Medicine,Meishan 620000,China)

机构地区：[1]眉山市中医医院,四川眉山620000

出　　处：《吉林中医药》2024年第8期983-986,共4页Jilin Journal of Chinese Medicine

基　　金：四川省中医药管理局科技专项(2020LC0139)。

摘　　要：目的探讨疏肝养血润目针灸法治疗原发性青光眼患者的临床效果。方法选取2018年1月-2022年12月眉山市中医医院收治的原发性青光眼患者86例,抽签分为观察组和对照组,每组各43例。对照组进行常规治疗,观察组在对照组基础上采用疏肝养血润目针灸法治疗。比较2组临床疗效、主观症状积分、眼压和视功能、眼血流参数[视网膜中央动脉(CRA)和睫状后动脉(PCA)的动脉收缩期峰值血流速度(PSV)、舒张末期血流速度(EDV)、阻力指数(RI)]和不良反应率。结果观察组疗效高于对照组(P<0.05)。治疗后,2组患者主观症状积分均降低(P<0.05),且观察组低于对照组(P<0.05)。治疗后,2组患者眼压、视力、视敏度、视野平均损失均改善(P<0.05),且观察组优于对照组(P<0.05)。治疗后,观察组CRA和PCA的PSV、EDV高于同组治疗前和对照组,RI低于同组治疗前和对照组(P<0.05);治疗后,对照组CRA和PCA的PSV高于同组治疗前(P<0.05)。2组不良反应发生率比较差异无统计学意义(P>0.05)。结论疏肝养血润目针灸法用于治疗原发性青光眼疗效显著,可有效提高患者视功能,改善眼部血流循环,且具有较高的安全性。Objective To explore the clinical effect of acupuncture and moxibustion for dispersing stagnated liver qi,nourishing blood and moistening eyes in the treatment of patients with primary glaucoma.Methods A total of 86 primary glaucoma patients admitted to the Meishan Hospital of Traditional Chinese Medicine from January 2018 to December 2022 were selected and divided into an observation group and a control group,with 43 cases in each.The control group received a conventional treatment,while the observation group was treated with acupuncture and moxibustion for dispersing stagnated liver qi,nourishing blood and moistening eyes on the basis of the control group.The clinical efficacy,subjective symptom scores,intraocular pressure and visual function,eye blood flow parameters[arterial peak systolic blood flow velocity(PSV),end-diastolic blood flow velocity(EDV),resistance index(RI)in the central retinal artery(CRA)and posterior ciliary artery(PCA)]and adverse reaction rate were compared between the two groups.Results The efficacy of the observation group was higher than that of the control group(P<0.05).After treatment,the subjective symptom scores were decreased in both groups(P<0.05),and the observation group was lower than the control group(P<0.05).After treatment,the intraocular pressure,eyesight,visual acuity and average loss of visualfield were improved in the two groups(P<0.05),and the observation group was better than the control group(P<0.05).After treatment,the PSV and EDV of CRA and PCA in the observation group were higher than those in the same group before treatment and the control group,while the RI was lower than those in the same group before treatment and the control group(P<0.05).After treatment,the PSV of CRA and PCA in the control group was higher than that before treatment in the same group(P<0.05).There was no statistically significant difference in the incidence of adverse reactions between the two groups(P>0.05).Conclusion Acupuncture and moxibustion for dispersing stagnated liver qi,nourishing

关 键 词：疏肝养血润目针灸法 原发性青光眼 视功能 眼血流参数 

分 类 号：R276.7[医药卫生—中医五官科学]