杵针治疗眼外肌麻痹的临床疗效观察  

Observation on therapeutic effect of pestle acupuncture on extraocular muscle paralysis

作　　者：田霞[1] 赵敏 吴晓艳 郑燕林[1] TIAN Xia;ZHAO Min;WU Xiaoyan(Department of Ophthalmology,Affiliated Hospital of Chengdu University of traditional Chinese medicine,Chengdu Sichuan 610072,China)

机构地区：[1]成都中医药大学附属医院眼科,四川成都610072

出　　处：《四川中医》2024年第10期208-211,共4页Journal of Sichuan of Traditional Chinese Medicine

基　　金：四川省中医药管理局科学技术研究专项(编号:2021MS124);成都中医药大学附属医院科技发展基金课题(编号:22HL26)。

摘　　要：目的:探讨杵针治疗眼外肌麻痹的疗效。方法:选取眼外肌麻痹患者82例,依照随机数字表法分为对照组和试验组,每组41例。对照组予以药物治疗结合针刺,试验组予以药物治疗结合杵针,两组均连续治疗7d为1个疗程,共4个疗程。比较两组治疗4个疗程后临床疗效,治疗前(T_(0))、治疗2、4个疗程后(分别为T_(1)、T_(2))视觉模拟评分(VAS)、视功能相关生活质量量表(NEI-VFQ-25)评分以及T_(0)、T_(2)时主要症状得分。结果:试验组的临床总有效率(97.56%)较对照组(82.93%)升高(P<0.05)。组内与T_(0)比较,两组T_(1)、T_(2)时VAS评分均降低(P<0.01),NEI-VFQ-25评分均升高(P<0.01);与T_(1)比较,两组T_(2)时VAS评分则降低(P<0.01),NEI-VFQ-25评分升高(P<0.01)。与对照组比较,试验组T_(1)、T_(2)时VAS评分均降低(P<0.01),NEI-VFQ-25评分均升高(P<0.01)。与T_(0)比较,两组在T_(2)时复视、眼斜、头晕、恶心及代偿头位评分均降低(P<0.01),与对照组比较,试验组在T_(2)时复视、眼斜、头晕、恶心及代偿头位评分均降低(P<0.01)。结论:杵针治疗眼外肌麻痹,可有效改善患者主要症状并降低其症状的严重程度,提高其视功能相关生活质量。Objective:To explore the therapeutic effect of pestle acupuncture on extraocular muscle paralysis.Methods:82 patients with extraocular muscle paralysis were randomly divided into control group and experimental group,and 41 cases in each group.The control group was treated with medication combined with acupuncture,and the experimental group was treated with medication combined with pestle and mortar,and both groups were treated for 7 day consecutively as one course of treatment,with a total of 4 courses of treatment.The clinical efficacy of the two groups was compared after 4 courses of treatment,and the scores of visual analog scale(VAS),visual function-related quality of life scale(NEI-VFQ-25),and the main symptom scores at T_(0) and T_(2) were compared between the two groups before treatment(T_(0)),after 2 and 4 courses of treatment(T_(1) and T_(2)).Results:The total clinical effective rate of the experimental group(97.56%)was higher than that of the control group(82.93%)(P<0.05).Compared with T_(0),the VAS scores at T_(1) and T_(2) in the two groups were decreased(P<0.01),and NEI-VFQ-25 scores were increased(P<0.01).Compared with T_(1),the VAS scores at T_(2) in the two groups were decreased(P<0.01),and the NEI-VFQ-25 score were increased(P<0.01).Compared with the control group,the VAS scores at T_(1) and T_(2) in the experimental group were decreased(P<0.01),and the NEI-VFQ-25 scores were increased(P<0.01).Compared with T_(0),diplopia,squint,dizziness,nausea and compensatory head position scores in both groups were decreased at T_(2)(P<0.01).Compared with the control group,the diplopia,squint,dizziness,nausea and compensatory head position scores of the experimental group were decreased at T_(2)(P<0.01).Conclusion:Pestle needle therapy for extraocular muscle paralysis can effectively improve the main symptoms of patients,reduce the severity of symptoms,and improve the quality of life related to visual function.

关 键 词：眼外肌麻痹 杵针 临床疗效 

分 类 号：R246.82[医药卫生—针灸推拿学]