明目功锻炼对大学生视疲劳的康复疗效观察  

Observation on the Rehabilitation Efficacy of Mingmu Gong Exercise in College Stu⁃dents with Visual Fatigue

作　　者：景涛[1] 邱晓荣 孙新园[1] 祝敬优 栗浩博 李申森 曹彦俊 沈鹤军 季烨林凡[5] 柏玉洁 JING Tao;QIU Xiaorong;SUN Xinyuan;ZHU Jingyou;LI Haobo;LI Shenseng;CAO Yanjun;SHEN Hejun;JI Yelinfan;BAI Yujie(Nanjing Sport Institute,Nan-jing 210014,China;First Clinical Medical College,Nanjing University of Chinese Medicine,Nan-jing 210023,China;Jiangsu Provincial Hospital of Chinese Medicine,Nanjing 210004,China;Shanghai Fourth People's Hospital Affiliated to Tongji University,Shanghai 200434,China;Beijing Sport University,Beijing 100084,China)

机构地区：[1]南京体育学院,南京210014 [2]南京中医药大学第一临床医学院,南京210023 [3]江苏省中医院,南京210004 [4]同济大学附属上海市第四人民医院,上海200434 [5]北京体育大学,北京100084

出　　处：《中国中医眼科杂志》2025年第3期232-237,共6页China Journal of Chinese Ophthalmology

基　　金：国家社会科学基金“十三五”规划2019年度教育学课题(BLA190212)。

摘　　要：目的观察“明目功”锻炼对大学生视疲劳的康复效果,为中医运动康复疗法促进眼健康提供实证参考。方法纳入2021年9月—2022年1月北京体育大学、南京中医药大学、南京体育学院中有视疲劳症状的在校大学生共计97例(194只眼)。随机分成观察组共49例(98只眼)和对照组40例(80只眼)。对照组每日户外步行2次,观察组进行户外“明目功”锻炼,均观察30 d。分别测量训练开始当日、训练30 d后的视力、最佳矫正视力(BCVA)、屈光度、集合功能不全症状问卷(CISS)评分、注意力、焦虑与抑郁评分,并进行比较。结果(1)视力:2组治疗前后及治疗后组间裸眼视力、BCVA及屈光度比较,差异均无统计学意义(P>0.05)。(2)CISS评分:治疗后对照组CISS评分高于治疗前,观察组CISS评分低于治疗前,差异均有统计学意义(t_(对照组)=3.302、t观察组=4.289,均P=0.000)。治疗后对照组CISS评分高于观察组,差异有统计学意义(t=4.051,P=0.000)。(3)自评抑郁量表(SDS)及自评焦虑量表(SAS)评分:观察组治疗后的SDS、SAS评分均低于治疗前,差异均有统计学意义(t_(SDS)=4.092,P=0.000;t_(SAS)=2.048,P=0.046)。对照组治疗后的SDS、SAS与治疗前比较,差异均无统计学意义(P>0.05)。观察组治疗后SDS、SAS评分与对照组比较,差异均无统计学意义(P>0.05)。(4)注意力:观察组治疗后的注意力7×7方格低于治疗前,差异有统计学意义(t=2.725,P=0.000)。2组注意力6×6方格及对照组注意力7×7方格治疗前后比较及2组治疗后2种注意力比较,差异均无统计学意义(P>0.05)。(5)视疲劳临床观察指标的主体间效应检验:治疗前的临床指标水平对治疗后的各个指标的影响,差异均无统计学意义(P>0.05)。组别×年龄的双因素方差分析(主体间交互效应),差异无统计学意义(P>0.05)。结论“明目功”锻炼后,视疲劳大学生的视疲劳症状、注意力、抑郁及焦虑水平均得到改善。OBJECTIVE To observe the rehabilitation effect of"Mingmu Gong"exercise on college students with visual fatigue and provide empirical evidence for Traditional Chinese Medicine exercise rehabilitation therapy in promoting ocular health.METHODS A total of 97 college students(194 eyes)with visual fatigue symptoms from Beijing Sport University,Nanjing University of Traditional Chinese Medicine,and Nanjing Sport Institute were enrolled from September 2021 to January 2022.Participants were randomly divided into an observation group(49 cases,98 eyes)and a control group(40 cases,80 eyes).The control group performed outdoor walking twice daily,while the observation group engaged in outdoor"Mingmu Gong"exercise,both for 30 days.Visual acuity,best-corrected visual acuity(BCVA),diopter,CISS score,attention level,and anxiety/depression scores were measured and compared before and after the 30-day intervention.RESULTS(1)Uncorrected visual acuity,BCVA,and diopter:No statistically significant differences were observed between or within groups before and after treatment(P>0.05).(2)CISS scores:Post-treatment CISS scores increased in the control group but decreased in the observation group,both with statistical significance(t_(CG)=3.302,t_(OG)=4.289,P=0.000).Post-treatment CISS scores were significantly higher in the control group than those in the observation group(t=4.051,P=0.000).(3)SDS and SAS scores:The observation group showed significant reductions in SDS and SAS scores post-treatment(t_(SDS)=4.092,P=0.000;t_(SAS)=2.048,P=0.046),while the control group exhibited no significant changes(P>0.05).No intergroup differences were observed post-treatment(P>0.05).(4)Attention level:The observation group demonstrated a significant decline in the 7×7 grid attention test post-treatment(t=2.725,P=0.000),while no significant changes were observed in the 6×6 grid test or the control group's 7×7 grid test(P>0.05).(5)Between-subject effect tests:Pre-treatment clinical indicators and group×age interactions showed no significant effects on

关 键 词：大学生 视疲劳 明目功 抑郁 焦虑 随机对照 

分 类 号：R778[医药卫生—眼科] R276.7[医药卫生—临床医学]