针刺、耳穴贴压联合雷火灸治疗青少年轻度近视的临床疗效评价  

Evaluation of the Clinical Efficacy of Acupuncture and Ear Point Sticking Pressure Combined with Thunderfire Moxibustion in Treating Teenagers with Mild Myopia

作　　者：张花治[1] 颉瑞萍 曹水清 高英[1] 汪静 罗一 刘雅鑫 孙金宁 ZHANG Huazhi;JIE Ruiping;CAO Shuiqing;GAO Ying;WANG Jing;LUO Yi;LIU Yaxin;SUN Jinning(Gansu University of Chinese Medicine,Lanzhou 730101,China)

机构地区：[1]甘肃中医药大学,兰州730101 [2]甘肃中医药大学附属医院,兰州730099

出　　处：《中国中医眼科杂志》2024年第11期1035-1040,共6页China Journal of Chinese Ophthalmology

基　　金：甘肃省中医药科研立项课题(GZKP-2021-33)。

摘　　要：目的观察针刺、耳穴贴压联合雷火灸治疗青少年轻度近视的临床疗效。方法纳入2022年3月—2023年1月甘肃中医药大学附属医院诊断为轻度近视的患儿共90例(180只眼)。随机分为A、B、C组,每组30例(60只眼)。A组采用针刺、耳穴贴压联合雷火灸治疗;B组采用针刺联合耳穴贴压治疗;C组采用针刺联合雷火灸治疗,共治疗4个疗程。分别于治疗前、治疗后测量患儿的双眼裸眼视力、调节幅度、眼部症状评分、屈光度。结果(1)裸眼视力:治疗后3组裸眼视力均较治疗前提高,差异均有统计学意义(t_(A组)=2.611,P=0.011;t_(B组)=2.364,P=0.021;t_(C组)=2.612,P=0.012)。治疗后3组比较及两两比较,差异均无统计学意义(P>0.05)。(2)调节幅度:治疗后3组调节幅度均较治疗前提高,差异均有统计学意义(t_(A组)=8.082、t_(B组)=5.428、t_(C组)=4.912,均P=0.000)。治疗后3组间比较,差异有统计学意义(F=4.613,P=0.011),两两比较,差异均无统计学意义(P>0.05)。治疗后3组间调节幅度差值比较,差异有统计学意义(F=4.167,P=0.017),B组和C组调节幅度改善均低于A组(t_(B组)=8.364、t_(C组)=5.312,P=0.000),B组与C组调节幅度比较差异无统计学意义(P>0.05)。(3)眼部症状评分:治疗后3组眼部症状评分均较治疗前提高,差异均有统计学意义(t_(A组)=11.558、t_(B组)=10.284、t_(C组)=9.563,均P=0.000)。治疗后3组间眼部症状评分比较,差异有统计学意义(F=3.644,P=0.028),A组眼部症状评分低于B组和C组,差异均有统计学意义(t_(B组)=8.908、t_(C组)=5.672,均P=0.000),而B组与C组眼部症状评分比较,差异无统计学意义(P>0.05)。(4)屈光度:治疗后3组屈光度与治疗前比较,3组间比较及两两比较,差异均无统计学意义(P>0.05)。(5)临床疗效:3组临床疗效比较,差异无统计学意义(P>0.05)。结论针刺、耳穴贴压联合雷火灸治疗青少年轻度近视的效果优于单用一种治疗方法,临床可选择联合疗法以�OBJECTIVE To observe the clinical efficacy of acupuncture,auricular point pressing and thunder-fire moxibustion combined therapy in treating mild myopia among adolescents.METHODS A total of 90 patients(180 eyes)diagnosed with mild myopia at the Affiliated Hospital of Gansu University of Chinese Medicine from March 2022 to January 2023 were enrolled.They were randomly divided into three groups:Group A,Group B,and Group C,with 30 patients(60 eyes)in each group.Group A received acupuncture,auricular point pressing,and thunder-fire moxibustion combined therapy;Group B received acupuncture and auricular point pressing combined therapy;Group C received acupuncture and thunder-fire moxibustion combined therapy.All groups underwent a total of four treatment courses.Before and after treatment,the patients'uncorrected visual acuity,accommodative amplitude,ocular symptom scores,and refractive error were measured.RESULTS(1)Uncorrected visual acuity:After treatment,the uncorrected visual acuity of all three groups improved significantly compared to before treatment(t_(A group)=2.611,P=0.011;t_(B group)=2.364,P=0.021;t_(C group)=2.612,P=0.012).However,there were no statistically significant differences among the three groups after treatment or in pairwise comparisons(P>0.05).(2)Accommodative amplitude:After treatment,the accommodative amplitude of all three groups improved significantly compared to before treatment(t_(A group)=8.082,t_(B group)=5.428,t_(C group)=4.912,all P=0.000).After treatment,the comparison among the three groups showed a statistically significant difference(F=4.613,P=0.011).However,pairwise comparisons revealed no statistically significant differences(P>0.05).When comparing the differences in accommodative amplitude changes among the three groups after treatment,a statistically significant difference was observed(F=4.167,P=0.017).Both Group B and Group C exhibited lower improvements in accommodative amplitude compared to Group A(t_(B group)=8.364,t_(C group)=5.312,P=0.000).No statistically significant dif

关 键 词：青少年近视 中医联合疗法 临床疗效 

分 类 号：R778.11[医药卫生—眼科] R276.7[医药卫生—临床医学]