本文選題：眼肌麻痹 + 針刺��； 參考：《云南中醫(yī)學(xué)院》2017年碩士論文

【摘要】：目的:應(yīng)用紅外眼動(dòng)儀研究針刺治療眼肌麻痹的急性效應(yīng)(針刺前后1小時(shí)),探討針刺急性效應(yīng)與長(zhǎng)期效應(yīng)(間隔2-5天或更長(zhǎng)時(shí)間前后數(shù)據(jù)的對(duì)比,反映的是這段時(shí)間內(nèi)針刺的一個(gè)積累效應(yīng))之間的相關(guān)性,對(duì)針刺治療眼肌麻痹的療效作出客觀評(píng)價(jià),為眼肌麻痹的治療提供理論依據(jù),并探索針刺治療眼肌麻痹的相關(guān)機(jī)理。方法:1.選取眼肌麻痹患者20例,分別在針刺前后記錄眼動(dòng)數(shù)據(jù),分析對(duì)比針刺前后眼動(dòng)數(shù)據(jù),觀察針刺急性效應(yīng),其中,20例患者中只有6例患者符合條件入選試驗(yàn)評(píng)估。并且將急性針刺數(shù)據(jù)和長(zhǎng)期針刺數(shù)據(jù)做線性回歸,觀察針刺急性效應(yīng)與長(zhǎng)期效應(yīng)間的相關(guān)性。2.治療方法:采用傳統(tǒng)針灸針刺治療,依據(jù)病人病變眼肌不同選取不同的針刺穴位,但同一眼肌麻痹患者所選主要穴位相同。針刺前運(yùn)用紅外線眼動(dòng)儀對(duì)眼肌麻痹患者進(jìn)行眼動(dòng)數(shù)據(jù)采集,針刺后又立即給予測(cè)量采集。應(yīng)用紅外線眼動(dòng)儀對(duì)眼肌麻痹患者進(jìn)行測(cè)量時(shí),每次測(cè)量的時(shí)間根據(jù)患者成功次數(shù)而定,即successful number為120次(眼動(dòng)儀能誘導(dǎo)眼球運(yùn)動(dòng),其對(duì)眼球運(yùn)動(dòng)的康復(fù)治療作用尚不明確,該次數(shù)是能避免其對(duì)眼球運(yùn)動(dòng)恢復(fù)的干擾且能更好的分析眼動(dòng)數(shù)據(jù)的改變)。若同時(shí)患有其他并發(fā)癥或伴發(fā)癥,則予相應(yīng)的治療,如高血壓降壓、高血脂降血脂、高血糖降糖、甲狀腺功能減退者改善其功能等。3.使用紅外線眼動(dòng)儀收集患者眼球運(yùn)動(dòng)功能數(shù)據(jù),選擇被試者單次掃視運(yùn)動(dòng)雙眼的幅度差、峰速度差和時(shí)間差作為評(píng)估被試患者眼球運(yùn)動(dòng)功能的基本參數(shù),其中幅度差和峰速度差又可以分為水平(X)和垂直(Y)兩個(gè)分量,故每個(gè)被試者單次單方向總共有(1)X分量幅度差、(2)Y分量幅度差、(3)X分量峰速度差、(4)Y分量峰速度差和(5)時(shí)間差五個(gè)評(píng)價(jià)參數(shù),選擇每個(gè)方向記錄20-30次掃視數(shù)據(jù)作為觀察指標(biāo)。結(jié)果:1.針刺急性效應(yīng):6例患者共收集60組急性針刺數(shù)據(jù),分析數(shù)據(jù)發(fā)現(xiàn)針刺前后五項(xiàng)眼動(dòng)指標(biāo)均有顯著變化的有3組,均沒(méi)有顯著變化的2組,有48組針刺前后至少有3項(xiàng)數(shù)據(jù)發(fā)生顯著變化,有7組僅有1-2項(xiàng)數(shù)據(jù)發(fā)生顯著變化。2.急性效應(yīng)和長(zhǎng)期效應(yīng)的相關(guān)性:將60組急性針刺數(shù)據(jù)與16組長(zhǎng)期針刺數(shù)據(jù)對(duì)比,發(fā)現(xiàn)一半的急性數(shù)據(jù)與長(zhǎng)期數(shù)據(jù)有較好的正相關(guān)。結(jié)論:應(yīng)用紅外眼動(dòng)儀研究針刺治療眼肌麻痹的急性效應(yīng),發(fā)現(xiàn)運(yùn)用針刺治療眼肌麻痹患者其眼球運(yùn)動(dòng)功能發(fā)生顯著變化,針刺治療的急性效應(yīng)與長(zhǎng)期效應(yīng)呈正相關(guān)。
[Abstract]:Objective: to study the acute effect of acupuncture on ophthalmoplegia (1 hour before and after acupuncture) by using infrared eye movement instrument, and to explore the comparison between the acute effect of acupuncture and the long-term effect (interval 2-5 days or more) before and after acupuncture. It reflects the correlation between the cumulative effect of acupuncture in this period of time. The objective evaluation of the therapeutic effect of acupuncture on ophthalmoplegia provides theoretical basis for the treatment of ophthalmoplegia and explores the related mechanism of acupuncture treatment of ophthalmoplegia. Method 1: 1. Twenty patients with ophthalmoplegia were selected to record the data of eye movement before and after acupuncture, to analyze and compare the data of eye movement before and after acupuncture, and to observe the acute effect of acupuncture. The correlation between acute acupuncture effect and long-term acupuncture effect was observed by linear regression of acute acupuncture data and long-term acupuncture data. Methods: traditional acupuncture was used to treat different acupuncture points according to the pathological changes of the eye muscles, but the main points were the same as the main points selected by the patients with ocular paralysis. Before acupuncture, infrared eye movement instrument was used to collect eye movement data of patients with ophthalmoplegia. When using infrared eye movement instrument to measure ophthalmoplegia patients, the time of each measurement is determined by the successful times of the patients, that is, successful number is 120 times (eye movement instrument can induce eye movement, its rehabilitation effect on eye movement is not clear. This frequency can avoid the disturbance of eye movement recovery and better analyze the change of eye movement data. If there are other complications or complications at the same time, the corresponding treatment is given, such as hypertension, hyperlipidemia, hyperglycemia, hypothyroidism, etc. The data of eyeball movement function were collected by infrared eye movement instrument, and the amplitude difference, peak velocity difference and time difference of single scan movement were selected as the basic parameters to evaluate the eye movement function of the subjects. The amplitude difference and the peak velocity difference can be divided into two components: horizontal X) and vertical Y). Therefore, there are five evaluation parameters in a single direction of each subject, namely, the amplitude difference of one X component and the amplitude difference between two and two y components, and the peak velocity difference of three X components, and the peak velocity difference of 4y component and the peak velocity difference of 5). 20-30 scan data are recorded in each direction as the observation index. The result is 1: 1. 60 groups of acute acupuncture data were collected from 6 patients with acute acupuncture effect. The data showed that there were significant changes in the five eye movement indexes before and after acupuncture in 3 groups, and no significant changes were found in the two groups. At least 3 items of data changed significantly before and after acupuncture in 48 groups, and only 1-2 items changed significantly in 7 groups. Correlation between acute and long-term effects: 60 groups of acute acupuncture data were compared with 16 groups of long-term acupuncture data, and half of the acute data were positively correlated with long-term data. Conclusion: the acute effect of acupuncture on ophthalmoplegia was studied by using infrared eye movement instrument. It was found that the eye movement function of patients with ophthalmoplegia treated by acupuncture was significantly changed, and the acute effect of acupuncture was positively correlated with long-term effect.
【學(xué)位授予單位】：云南中醫(yī)學(xué)院
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2017
【分類號(hào)】：R246.82

【相似文獻(xiàn)】

相關(guān)期刊論文 前10條

1 趙明哲,史萬(wàn)英;周圍性眼肌麻痹30例臨床特點(diǎn)分析[J];腦與神經(jīng)疾病雜志;2001年02期

2 單飛雪,張雪菲,馮蘭;103例眼肌麻痹的臨床探討[J];傷殘醫(yī)學(xué)雜志;2003年02期

3 劉太珍,彭聲援2;眼肌麻痹48例病因及臨床分析[J];蚌埠醫(yī)學(xué)院學(xué)報(bào);2004年06期

4 杜文津;謝仁厚;陳晉文;張改華;;老年人眼肌麻痹38例病因分析[J];腦與神經(jīng)疾病雜志;2006年03期

5 楊云;;眼肌麻痹性疾病診治體會(huì)[J];中國(guó)社區(qū)醫(yī)師(綜合版);2007年17期

6 關(guān)娟;盛豫;周歷;司艷芳;李嬌娥;;復(fù)方樟柳堿注射液治療糖尿病性眼肌麻痹[J];醫(yī)學(xué)臨床研究;2007年11期

7 王雅慧;蘇振麗;;老年人眼肌麻痹58例病因分析[J];中國(guó)社區(qū)醫(yī)師(醫(yī)學(xué)專業(yè)半月刊);2008年15期

8 徐輝;郝小波;彭崇信;張高發(fā);林柳燕;王桂紅;黎海平;;首診于眼科的眼肌麻痹相關(guān)病因分析[J];中國(guó)中醫(yī)眼科雜志;2009年03期

9 王斌;趙軍波;勾宏娜;;老年人眼肌麻痹46例臨床與病因探討[J];包頭醫(yī)學(xué)院學(xué)報(bào);2010年03期

10 莊雪梅;姚艷嬌;;眼肌麻痹60例臨床分析[J];國(guó)際眼科雜志;2011年02期

相關(guān)會(huì)議論文 前9條

1 劉秀芝;毛揚(yáng)純;顏建珍;;26例眼肌麻痹的病因分析[A];第十一次全省中、西醫(yī)眼科學(xué)術(shù)交流會(huì)學(xué)術(shù)論文集[C];2012年

2 杜然然;;復(fù)方樟柳堿治療眼肌麻痹療效的系統(tǒng)評(píng)價(jià)[A];循證醫(yī)學(xué)方法在中西醫(yī)結(jié)合皮膚病臨床研究中的應(yīng)用論文集[C];2012年

3 張靜波;戴雁;鮑丹;;眼肌麻痹50例臨床分析[A];第九次全國(guó)神經(jīng)病學(xué)學(xué)術(shù)大會(huì)論文匯編[C];2006年

4 徐快娥;董曉明;陳錦昌;;復(fù)方樟柳堿治療眼肌麻痹的臨床觀察[A];江西省第九次中西醫(yī)結(jié)合眼科、中醫(yī)眼科學(xué)術(shù)交流會(huì)論文匯編[C];2008年

5 李菊琦;;復(fù)方樟柳堿治療眼肌麻痹臨床觀察[A];全省中西醫(yī)結(jié)合、中醫(yī)、西醫(yī)眼科學(xué)術(shù)交流會(huì)論文匯編[C];2006年

6 許正榮;黃紹葵;孫晉偉;;外傷性中樞性眼肌麻痹一例[A];中國(guó)法醫(yī)學(xué)會(huì)全國(guó)第十次法醫(yī)臨床學(xué)學(xué)術(shù)研討會(huì)論文集[C];2007年

7 壽武林;杜誠(chéng);;中藥聯(lián)合復(fù)方樟柳堿穴位注射治療糖尿病性眼肌麻痹[A];浙江省中醫(yī)藥學(xué)會(huì)眼科分會(huì)2009繼續(xù)教育學(xué)習(xí)班論文集[C];2009年

8 彭偉;;糖尿病性眼肌麻痹臨床特點(diǎn)和治療體會(huì)[A];2003年全國(guó)危重病急救醫(yī)學(xué)學(xué)術(shù)會(huì)議論文集[C];2003年

9 黨萬(wàn)利;王曉盈;宋冰清;;腦神經(jīng)生長(zhǎng)素(CNG)治療后天性外直肌麻痹的臨床分析[A];西部地區(qū)眼科學(xué)學(xué)術(shù)會(huì)議論文匯編[C];2004年

相關(guān)重要報(bào)紙文章 前2條

1 ;針刺治療眼肌麻痹--一種值得推廣的治療方法[N];中國(guó)中醫(yī)藥報(bào);2003年

2 ;近瀉遠(yuǎn)補(bǔ)針刺法治療眼肌麻痹[N];中國(guó)中醫(yī)藥報(bào);2003年

相關(guān)碩士學(xué)位論文 前7條

1 梁爽;針刺結(jié)合雷火灸治療糖尿病性眼肌麻痹的臨床研究[D];長(zhǎng)春中醫(yī)藥大學(xué);2015年

2 韓艷艷;2型糖尿病性眼肌麻痹危險(xiǎn)因素的臨床分析[D];濟(jì)寧醫(yī)學(xué)院;2016年

3 張玲玲;應(yīng)用紅外眼動(dòng)儀探索眼肌麻痹患者針刺治療的作用[D];昆明醫(yī)科大學(xué);2016年

4 袁媛;應(yīng)用紅外線眼動(dòng)儀觀察針刺治療眼肌麻痹急性效應(yīng)的研究[D];云南中醫(yī)學(xué)院;2017年

5 孫覬;86例眼肌麻痹的臨床分析[D];吉林大學(xué);2009年

6 楊洋;眼肌麻痹為突出表現(xiàn)病人的診治體會(huì)[D];中國(guó)醫(yī)科大學(xué);2010年

7 郭保騰;眼肌麻痹復(fù)視檢測(cè)設(shè)備及診斷決策支持研究[D];哈爾濱工程大學(xué);2013年

，

本文編號(hào)：1816724