【摘要】：目的:觀察"過眼熱"手法與平補(bǔ)平瀉法治療弱視的臨床療效差異。方法:選擇符合弱視診斷標(biāo)準(zhǔn)的患兒68例,用隨機(jī)數(shù)字表法分為觀察組和對照組,各34例(68只眼)。觀察組取魚腰、太陽、瞳子毼、睛明、攢竹、承泣采用平補(bǔ)平瀉法,肝俞、腎俞、光明采用捻轉(zhuǎn)補(bǔ)法,雙側(cè)風(fēng)池采用"過眼熱"手法;對照組取穴與觀察組相同,除風(fēng)池穴采用平補(bǔ)平瀉法,其他穴位針刺方法與觀察組一致,兩組均每天治療1次,5次為一療程,共治療4個療程。4個療程后隨訪半年觀察兩組患兒視力改善情況。結(jié)果:屈光不正性弱視中觀察組和對照組有效率分別為92.0%(23/25)、70.4%(19/27);屈光參差性弱視中觀察組和對照組有效率分別為85.7%(18/21)、55.0%(11/20);斜視性弱視中觀察組和對照組有效率分別為66.7%(12/18)、29.4%(5/17),各類型弱視觀察組的療效均優(yōu)于對照組(均P0.05)。結(jié)論:"過眼熱"手法治療弱視療效優(yōu)于平補(bǔ)平瀉法,可明顯改善患兒的視力情況。
[Abstract]:Objective: to observe the difference of clinical curative effect between "over the eyes heat" manipulation and the treatment of amblyopia. Methods: 68 children with amblyopia were randomly divided into observation group (n = 34) and control group (n = 68). In the observation group, the waist of fish, sun, pupil, clear, saving bamboo, and sobbing were taken by the method of flat tonifying and purging, Ganshu, Shenshu and Guangming by twirling and tonifying, and by the technique of "passing eyes heat" in both sides of the wind pond, while the points taken in the control group were the same as those in the observation group. In addition to Fengchi acupoint, the other acupuncture methods were the same as those in the observation group. The two groups were treated once a day for 5 times a course of treatment for a total of 4 courses of treatment. The visual acuity of the two groups were followed up for half a year after 4 courses of treatment. Results: the effective rates of the observation group and the control group were 92.0% (23 / 25) and 70.4% (19 / 27) respectively, the effective rates of the observation group and the control group were 85.7% (18 / 21) and 55.0% (11 / 20) respectively, the effective rates of the observation group and the control group in strabismus amblyopia were 66.7% (1218) or 29.4% (5 / 17), respectively. The effect of amblyopia observation group was better than that of control group (P0.05). Conclusion: the treatment of amblyopia by "passing eye heat" is better than that of Pingbu Pingxiao, which can obviously improve the visual acuity of children with amblyopia.
【作者單位】： 甘肅中醫(yī)藥大學(xué)針灸推拿學(xué)院;西安市工會醫(yī)院康復(fù)醫(yī)學(xué)部;甘肅中醫(yī)藥大學(xué)中西醫(yī)結(jié)合學(xué)院;
【基金】：國家中醫(yī)藥管理局甘肅鄭氏針法學(xué)術(shù)流派傳承工作室項目:2305135901
【分類號】：R246.82

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