针灸治疗麻痹性斜视的疗效观察  

Observation on the efficacy of acupuncture in the treatment of paralytic strabismus

作　　者：王晶[1] 陈婕[1] 周绿绿[1] WANG Jing;CHEN Jie;ZHOU Lvlv(Affiliated Hospital of Chengdu University of Traditional Chinese Medicine,Chengdu 610000,China)

机构地区：[1]成都中医药大学附属医院,成都610000

出　　处：《上海针灸杂志》2025年第3期337-341,共5页Shanghai Journal of Acupuncture and Moxibustion

基　　金：四川省中医药管理局科学技术研究专项课题(2023MS580)。

摘　　要：目的观察针灸治疗麻痹性斜视的临床疗效。方法选择80例麻痹性斜视的患者,随机分为对照组和观察组,每组40例。对照组在基础疾病治疗的基础上采用营养神经、改善微循环治疗,观察组在对照组治疗的基础上采用针刺联合温针灸。观察两组治疗前后斜视度、复视像间距和眼球运动程度变化,并比较两组临床疗效。结果治疗后,两组三棱镜斜视度均较治疗前降低(P<0.05),且观察组低于对照组(P<0.05)。治疗后,两组复视像间距均较治疗前降低(P<0.05),且观察组低于对照组(P<0.05)。治疗后,两组眼球运动受限程度较治疗前好转(P<0.05),且观察组优于对照组(P<0.05)。观察组总有效率为92.5%,高于对照组的77.5%(P<0.05)。结论针灸治疗麻痹性斜视能改善患者的斜视度、眼球运动受限程度和复视,提高患者生活质量。Objective To observe the clinical efficacy of acupuncture in treating paralytic strabismus.Method A total of 80 patients with paralytic strabismus were selected and randomly divided into the control group and the observation group,with 40 cases in each group.The control group used the treatment of providing nutrition to the nerves and improving microcirculation on the basis of the treatment of the underlying disease,while the observation group used acupuncture combined with warming needle on the basis of the treatment of the control group.The changes of strabismus,diplopia and eye movement were observed before and after the treatment,and the clinical efficacy of the two groups was compared.Result After treatment,the degree of trismus strabismus of both groups was lower than that before treatment(P<0.05),and that of the observation group was lower than that of the control group(P<0.05).After treatment,the distance between the double vision images of both groups was lower than that before treatment(P<0.05),and that of the observation group was lower than that of the control group(P<0.05).After treatment,the degree of limitation of eye movement of both groups was better than that before treatment(P<0.05),and that of the observation group was better than 77.5%of the control group(P<0.05).The total effective rate of the observation group was 92.5%,which was higher than that of the control group(P<0.05).Conclusion Acupuncture treatment of paralytic strabismus can improve the degree of strabismus,limitation of eye movement,diplopia,and improve the quality of life of patients.

关 键 词：温针疗法 针灸疗法 针药并用 斜视 复视 

分 类 号：R246.81[医药卫生—针灸推拿学]