【摘要】：[目的]通過針刺治療眼肌麻痹患者,應(yīng)用紅外眼動(dòng)儀記錄其眼球掃視運(yùn)動(dòng)的軌跡,觀察分析患者治療前后眼球掃視運(yùn)動(dòng)的時(shí)間、幅度、速度等的變化,探索針刺治療的作用。[方法]1.隨機(jī)選擇30例眼肌麻痹患者,進(jìn)行針刺治療,使用紅外眼動(dòng)儀分別記錄針刺治療前、后15分鐘眼球掃視運(yùn)動(dòng)數(shù)據(jù),比較針刺治療前、后眼球掃視運(yùn)動(dòng)軌跡及各項(xiàng)指標(biāo)的變化,觀察針刺治療對(duì)眼肌麻痹患者眼球運(yùn)動(dòng)功能的影響。30例眼肌麻痹患者中只有13例患者符合條件入選臨床療效評(píng)估,選擇每個(gè)患者單次15分鐘內(nèi)雙眼的幅度差、峰速度差和時(shí)間差作為評(píng)估患者眼球運(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)患者單次單方向總共有(1)X分量幅度差、(2)X分量峰速度差, (3)Y分量幅度差、(4)Y分量峰速度差和(5)時(shí)間差五個(gè)評(píng)價(jià)參數(shù)作為觀察指標(biāo)。2.選擇30位眼球運(yùn)動(dòng)正常的成年人,運(yùn)用眼動(dòng)儀記錄15分鐘眼球掃視運(yùn)動(dòng)數(shù)據(jù),建立正常人眼球運(yùn)動(dòng)的各項(xiàng)功能數(shù)據(jù),并與眼肌麻痹患者的眼球運(yùn)動(dòng)數(shù)據(jù)進(jìn)行比較。[結(jié)果]1.通過針刺治療前后比較,所有13例眼肌麻痹患者自身的五項(xiàng)眼球運(yùn)動(dòng)功能指標(biāo)中,有4例患者5項(xiàng)指標(biāo)均有顯著變化,7例患者有2-4項(xiàng)指標(biāo)顯著變化,僅有1項(xiàng)指標(biāo)具有顯著變化的為2人。2.所有13例患者,針刺治療前,其眼動(dòng)麻痹方向的五項(xiàng)眼動(dòng)功能指標(biāo)中,有三項(xiàng)與正常組無差異的有1人,兩項(xiàng)與正常組無差異的1人,一項(xiàng)與正常組無差異的7人,其他4人五項(xiàng)功能障礙評(píng)分均顯著區(qū)別于正常人,說明針刺治療的13例患者的眼動(dòng)功能均在不同程度上異于正常人。3.13例患者中,經(jīng)過針刺治療后,12例患者五項(xiàng)眼球運(yùn)動(dòng)指標(biāo)均有不同程度的部分提升,1例患者五項(xiàng)眼球運(yùn)動(dòng)指標(biāo)均無提升。13例中,5例患者一項(xiàng)指標(biāo)趨于正常,1例患者兩項(xiàng)指標(biāo)趨于正常,1例患者三項(xiàng)指標(biāo)趨于正常,說明針刺治療對(duì)眼肌麻痹患者眼球運(yùn)動(dòng)功能恢復(fù)具有一定的促進(jìn)作用。[結(jié)論]1.針刺治療可以促進(jìn)眼肌麻痹患者眼球掃視運(yùn)動(dòng)時(shí)間、幅度、速度等的改善。2.通過比較正常成年人與眼肌麻痹患者的一系統(tǒng)眼球運(yùn)動(dòng)數(shù)據(jù),初步說明針刺治療具有幫助患者的眼球運(yùn)動(dòng)功能逐步趨于正常的趨勢(shì)。
[Abstract]:[objective] to observe and analyze the changes of time, amplitude and speed of eye scan motion before and after acupuncture treatment in patients with ophthalmoplegia by using infrared eye movement instrument, and to explore the effect of acupuncture therapy. [methods] 1. Thirty patients with ophthalmoplegia were randomly selected to be treated with acupuncture. The data of ocular motion before and 15 minutes after acupuncture were recorded by infrared eye movement instrument. The changes of the track and indexes of eye scan were compared before and after acupuncture treatment. Objective: to observe the effect of acupuncture on ocular movement in patients with ophthalmoplegia. Only 13 of 30 patients with ophthalmoplegia were selected to evaluate the clinical efficacy. The peak velocity difference and the time difference are the basic parameters to evaluate the eye movement function. The amplitude difference and the peak velocity difference can be divided into two components: horizontal (X) and vertical (Y). Therefore, there were (1) X component amplitude difference, (2) X component peak velocity difference, (3) Y component amplitude difference, (4) Y component peak velocity difference and (5) time difference. Thirty adults with normal eye movement were selected and 15 minutes of eye motion data were recorded by eye movement instrument. The functional data of eye movement in normal subjects were established and compared with those of ophthalmoplegia patients. [result] 1. After acupuncture treatment, there were significant changes in 5 indexes of eyeball movement in all 13 patients with ophthalmoplegia and 2-4 indexes in 7 patients. Only one indicator showed significant change in 2. 2. All 13 patients, before acupuncture treatment, three of the five indexes of eye movement function in the direction of eye movement paralysis had no difference with the normal group (1 person), two items had no difference with the normal group (1 case), and one item had no difference with the normal group (7 cases). The scores of the other 4 persons and 5 items of dysfunction were significantly different from those of the normal subjects, indicating that the eye movement function of 13 patients treated with acupuncture was different from that of the normal subjects in varying degrees. After acupuncture treatment, all the five indexes of eyeball movement in 12 patients had different degrees of partial elevation. None of the five indexes of eyeball movement of 13 patients had been raised. One index of 5 patients in 13 cases tended to be normal and 1 patient had two indexes. The three indexes of 1 normal patient tended to be normal, It shows that acupuncture therapy can promote the recovery of eye movement function in patients with ophthalmoplegia. [conclusion] 1. Acupuncture therapy can promote the improvement of time, amplitude and speed of eye movement in patients with ophthalmoplegia. By comparing the systematic eye movement data between normal adults and patients with ophthalmoplegia, it is preliminarily indicated that acupuncture treatment has the tendency of helping the patients' eye movement function gradually to be normal.
【學(xué)位授予單位】：昆明醫(yī)科大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2016
【分類號(hào)】：R246.82

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