牵正散加减结合针刺治疗麻痹性斜视的临床效果  

Efficacy of Qianzheng powder combined with acupuncture in treatment of paralytic strabismus

作　　者：何丽丹 HE Lidan(Department of Ophthalmology,Traditional Chinese Medicine Hospital of Yili Prefecture,Yili,Xinjiang 835000,China)

机构地区：[1]伊犁州中医医院眼科,新疆伊犁835000

出　　处：《医药前沿》2025年第3期76-78,82,共4页Journal of Frontiers of Medicine

摘　　要：目的 观察牵正散加减结合针刺治疗麻痹性斜视的临床效果。方法 选取2023年1—12月于伊犁州中医医院治疗的74例麻痹性斜视患者,采用随机数字表法分为对照组和观察组两组,每组37例。对照组使用中药辨证论治治疗,观察组使用中药辨证论治结合针刺治疗。比较两组的临床疗效、中医证候积分、眼球运动相关检查指标。结果 观察组治疗有效率高于对照组(P<0.05);治疗后,观察组眼位偏斜、视物成双、颈项拘谨、代偿头位等中医证候积分低于对照组(P<0.05);治疗后,观察组的眼球运动受限程度小于对照组、复视像检查结果好于对照组(P<0.05)。结论 牵正散加减结合针刺治疗麻痹性斜视的疗效显著,可有效缓解证候,改善斜视及复视。Objective To observe the clinical effects of Qianzheng powder combined with acupuncture in the treatment of paralytic strabismus.Methods A total of 74 patients with paralytic strabismus treated at the Traditional Chinese Medicine Hospital of Yili Prefecture from January to December 2023 were selected and randomly divided into control group and observation group using a random number table,with 37 cases in each group.The control group was treated with traditional Chinese medicine based on syndrome differentiation,while the observation group was treated with traditional Chinese medicine based on syndrome differentiation combined with acupuncture.The clinical efficacy,traditional Chinese medicine syndrome scores,and ocular movement-related examination indicators were compared between the two groups.Results The effective rate of treatment in the observation group was significantly higher than that in the control group(P<0.05);after treatment,the observation group had lower traditional Chinese medicine syndrome scores for eye misalignment,double vision,neck stiffness,and compensatory head position than the control group(P<0.05);after treatment,the degree of eye movement limitation in the observation group was less than that in the control group,and the results of diplopia examination were better than those in the control group(P<0.05).Conclusions Qianzheng powder combined with acupuncture is significantly effective in the treatment of paralytic strabismus,effectively alleviating syndromes and improving strabismus and diplopia.

关 键 词：麻痹性斜视 牵正散 针刺 效果 中医证候 辨证论治 眼球运动 穴位 

分 类 号：R245[医药卫生—针灸推拿学]