本文關(guān)鍵詞：基于“開導(dǎo)之后宜補(bǔ)論”中藥離子導(dǎo)入治療兒童肝腎不足型弱視的臨床觀察　出處：《長(zhǎng)春中醫(yī)藥大學(xué)》2016年碩士論文　論文類型：學(xué)位論文

  更多相關(guān)文章： 開導(dǎo)之后宜補(bǔ)論 中藥離子導(dǎo)入 弱視 肝腎不足型

【摘要】：目的:觀察基于“開導(dǎo)之后宜補(bǔ)論”中藥離子導(dǎo)入治療兒童肝腎不足型弱視的臨床療效。方法:收集2015年01月-2016年01月在長(zhǎng)春中醫(yī)藥大學(xué)附屬醫(yī)院眼科門診就診的48例弱視患兒(中醫(yī)辨證為肝腎不足型),年齡4~9歲。分組采用隨機(jī)分組法,將患兒分為治療組(基于“開導(dǎo)之后宜補(bǔ)論”中藥離子導(dǎo)入+基礎(chǔ)治療)24例,對(duì)照組(補(bǔ)肝益腎中藥離子導(dǎo)入+基礎(chǔ)治療)24例。觀察兩組患兒治療前后的臨床療效,主要觀察患兒視力的變化,進(jìn)行療效對(duì)比。結(jié)果:治療組24例35只眼經(jīng)治療后,基本治愈20眼,進(jìn)步14眼,無(wú)效1眼,總有效率為97.14%。對(duì)照組24例34眼經(jīng)治療后,基本治愈9眼,進(jìn)步16眼,無(wú)效9眼,總有效率73.52%.兩組存在統(tǒng)計(jì)學(xué)差異((p㩳0.05),治療組療效較對(duì)照組有效。研究進(jìn)行期間,兩組患兒均未出現(xiàn)明顯不良反應(yīng)。結(jié)論:1、弱視的治療效果與治療年齡相關(guān),采用基于“開導(dǎo)之后宜補(bǔ)論”中藥離子導(dǎo)入治療4-6歲弱視患兒的療效優(yōu)于7-9歲弱視患兒,在兒童配合的情況下年齡越小,治療效果越好。2、弱視的治療效果與弱視的輕重程度有緊密的聯(lián)系,采用基于“開導(dǎo)之后宜補(bǔ)論”中藥離子導(dǎo)入治療輕、中度弱視的療效優(yōu)于重度弱視,弱視程度越重,治療的效果會(huì)相對(duì)較差。3、弱視的類型影響療效,采用基于“開導(dǎo)之后宜補(bǔ)論”中藥離子導(dǎo)入治療屈光不正性弱視的治療效果要比屈光參差性弱視的效果好。4、采用基于“開導(dǎo)之后宜補(bǔ)論”中藥離子導(dǎo)入治療兒童肝腎不足型弱視的治療效果明顯優(yōu)于對(duì)照組,且治療期間未出現(xiàn)明顯副作用,患兒易接受。提高弱視治療的有效率,是對(duì)現(xiàn)代醫(yī)學(xué)治療本病的一個(gè)補(bǔ)充,臨床上值得推廣應(yīng)用。
[Abstract]:Objective: To observe the clinical curative effect of enlighten Yi "iontophoresis of Chinese medicine treatment of children with amblyopia based on" liver and kidney deficiency. Methods: from 2015 01 months -2016 years 01 months in 48 cases of children with amblyopia ophthalmology clinic of the Affiliated Hospital of Changchun University of Traditional Chinese Medicine (TCM for liver and kidney deficiency type), age 4~9 group randomly. And the patients were divided into treatment group (based on "enlighten Yi of" traditional Chinese medicine iontophoresis plus basic treatment control group (24 cases), nourishing liver and kidney of traditional Chinese medicine iontophoresis plus basic treatment) of 24 cases. Observe the clinical curative effect of the two groups before and after treatment, observed the changes in visual acuity, the effects were compared. Results: the treatment group of 24 eyes of 35 patients after treatment, 20 eyes recovered, 14 eyes improved, 1 eyes were invalid, the total effective rate was 97.14%. in 34 eyes of 24 cases in the control group after treatment, 9 eyes recovered, 16 eyes improved, 9 eyes were invalid, the total efficiency of 73.52% There was a significant difference between the two groups. ((P? 0.05), the efficacy of the treatment group than the control group. During the study period, there were no obvious adverse reactions in the two groups. Conclusion: 1. The curative effect of amblyopia treatment correlated with age, 4-6 years after treatment should be adopted to enlighten children with amblyopia of "traditional Chinese medicine iontophoresis the age of children with amblyopia is more effective than 7-9 based on" in children with the situation the younger the better treatment of.2, is closely related to the severity and the therapeutic effect of amblyopia, the channel after the appropriate filling of the traditional Chinese medicine iontophoresis light based on "effect of moderate amblyopia was superior to that of severe amblyopia, the higher the degree of amblyopia heavy, the treatment effect will be relatively poor.3, is influenced by the type of amblyopia, the refractive amblyopia difference than ginseng after enlighten appropriate filling theory" of traditional Chinese medicine iontophoresis in treatment of ametropic amblyopia treatment effect based on " Good.4, the channel should be significantly better than the treatment effect after repair on iontophoresis of Chinese medicine treatment of children with liver and kidney deficiency type of amblyopia, and based on the control group during treatment showed no obvious side effects, easily accepted by children. To improve the efficiency of the treatment of amblyopia, is a complement to the modern medical treatment of this disease, it is worthy of popularization and application clinical.

【學(xué)位授予單位】：長(zhǎng)春中醫(yī)藥大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2016
【分類號(hào)】：R272

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