针刺联合角膜塑形镜防控儿童青少年近视的疗效观察  

Efficacy Observation of Acupuncture Combined with Orthokeratology Lenses in the Prevention and Control of Myopia in Children and Adolescents

作　　者：樊晓瑞[1] 孙河[1] FAN Xiaorui;SUN He(First Affiliated Hospital of Heilongjiang University of Chinese Medicine,Harbin 150040,China)

机构地区：[1]黑龙江中医药大学附属第一医院,哈尔滨150040

出　　处：《中国中医眼科杂志》2025年第4期314-321,共8页China Journal of Chinese Ophthalmology

基　　金：黑龙江省中医药科研项目(ZHY2022-144)。

摘　　要：目的观察针刺联合角膜塑形镜防控儿童青少年近视的疗效及对眼调节功能的影响。方法纳入2023年1月—2023年12月就诊于黑龙江中医药大学附属第一医院眼科的儿童青少年近视患儿80例(80只眼),均纳入右眼。随机分为试验组和对照组,最终纳入试验组38例(38只眼),对照组39例(39只眼)。对照组予角膜塑形镜治疗,试验组在对照组的基础上联合针刺治疗。分别在首次戴镜前及治疗后2周,1、3、6个月和1年检测受试者的眼轴(AL)、裸眼远视力(UCDVA)、调节幅度(AMP)和调节反应(BCC),记录数据并进行统计分析。结果(1)AL:治疗前后比较,试验组治疗后3、6个月和1年AL均较治疗前增长,对照组治疗后1、3、6个月和1年AL均较治疗前增长,差异均有统计学意义(P<0.05)。治疗后2组间比较,2组治疗后各时间点AL比较,差异均无统计学意义(P>0.05)。试验组治疗后1、3、6个月和1年AL较治疗前增长量均小于对照组,差异均有统计学意义(P<0.05)。(2)UCDVA:治疗前后比较,2组治疗后各时间点UCDVA均较治疗前改善,差异均有统计学意义(P<0.05)。治疗后2组间比较,试验组治疗后2周和1个月UCDVA均优于对照组,差异均有统计学意义(P<0.05)。(3)AMP:治疗前后比较,2组治疗后各时间点AMP均较治疗前提高,差异均有统计学意义(P<0.05)。治疗后2组间比较,2组治疗后各时间点AMP比较,差异均无统计学意义(P>0.05);试验组治疗后各时间点AMP较治疗前提高幅度均大于对照组,差异均有统计学意义(P<0.05)。(4)BCC:治疗前后比较,试验组治疗后1、3、6个月和1年BCC均较治疗前降低;对照组治疗后2周和1个月BCC均较治疗前降低,差异均有统计学意义(P<0.05)。治疗后2组间比较,2组治疗后各时间点BCC比较,差异均无统计学意义(P>0.05)。试验组治疗后6个月和1年BCC较治疗前下降幅度均大于对照组,差异均有统计学意义(P<0.05)。结论针刺联合角膜塑形镜的综OBJECTIVE To observe the efficacy of acupuncture combined with orthokeratology lenses in the prevention and control of myopia in children and adolescents and its influence on the ocular accommodation function.METHODS A total of 80 cases(80 eyes)of myopic children and adolescents who visited the department of ophthalmology of the First Affiliated Hospital of Heilongjiang University of Chinese Medicine from January 2023 to December 2023 were included,and all the right eyes were included.They were randomly divided into the experimental group and the control group.Finally,38 cases(38 eyes)were included in the experimental group and 39 cases(39 eyes)in the control group.The cases in control group were treated with orthokeratology lenses,and those in the experimental group were treated with acupuncture in addition to the treatment of the control group.The axial length(AL),uncorrected distance visual acuity(UCDVA),amplitude of accommodation(AMP),and accommodative response(BCC)of the subjects were detected before the first wearing of the lenses and at two weeks,one,three,six months,and one year after treatment.The data were recorded and statistically analyzed.RESULTS(1)AL:Compared to before treatment,the AL in the experimental group increased at three months,six months,and one year post-treatment,while the AL in the control group increased at one month,three months,six months,and one year posttreatment,with statistically significant differences(P<0.05).There were no significant differences in AL between the two groups at any time point post-treatment(P>0.05).The increase in AL in the experimental group at one month,three months,six months,and one year post-treatment was less than that in the control group,with statistically significant differences(P<0.05).(2)UCDVA:Compared to before treatment,UCDVA improved at all time points post-treatment in both groups,with statistically significant differences(P<0.05).The UCDVA in the experimental group was better than that in the control group at two weeks and one month post-treatme

关 键 词：近视 角膜塑形镜 针刺 调节幅度 调节反应 随机对照 

分 类 号：R774.1[医药卫生—眼科] R276.7[医药卫生—临床医学]