發(fā)布時(shí)間：2019-06-28 17:04

【摘要】：目的：通過觀察眼三針配合耳穴及眼眶外經(jīng)穴配合耳穴治療青少年近視的短期治療的影響,探究?jī)煞N治療方法的臨床療效、安全性、依從性,對(duì)比兩組治療的差異。方法：本研究采用完全隨機(jī)分配的信封法,擬納入近視患者72例,隨機(jī)分為試驗(yàn)組(眼三針配合耳穴貼壓治療組)36例和對(duì)照組(眼眶外經(jīng)穴配合耳穴貼壓治療組)36例。2組均以雙側(cè)取穴,5次為1療程,療程結(jié)束后休息2天進(jìn)行下一療程,連續(xù)治療2個(gè)療程。其中試驗(yàn)組取眼Ⅰ、眼Ⅱ、眼Ⅲ穴,配合耳穴眼、肝治療,對(duì)照組取攢竹、瞳子髂、四白,配合耳穴眼、肝治療。觀察治療前與治療1次后、治療5次后、治療10次后視力,治療前與治療5次后、治療10次后眼部臨床癥狀各項(xiàng)(視物不持久、干澀不適、異物感、酸脹不適、畏光流淚)評(píng)分、眼部臨床癥狀總積分,安全性分析、依從性分析,以對(duì)比療效。結(jié)果：1.研究共納入受試者72例,試驗(yàn)組35例,對(duì)照組37例。研究中試驗(yàn)組剔除／脫失5例,對(duì)照組剔除／脫失6例,最終完成61例,其中試驗(yàn)組30例(59只眼),對(duì)照組31例(62只眼)。2.兩組在性別、年齡上比較,P0.05,差異無統(tǒng)計(jì)學(xué)意義；兩組治療前視力、眼部臨床癥狀各項(xiàng)評(píng)分及總積分比較,P0.05,差異無統(tǒng)計(jì)學(xué)意義。3.治療完成后,兩組進(jìn)行治療前后組內(nèi)的比較：視力治療前與治療1次后、治療5次后、治療10次后比較,P0.05,差異有統(tǒng)計(jì)學(xué)意義；眼部臨床癥狀各項(xiàng)評(píng)分、眼部臨床癥狀總積分治療前與治療5次后、治療10次后比較,P0.05,差異有統(tǒng)計(jì)學(xué)意義。4.治療完成后,兩組進(jìn)行治療前后組間的比較：治療1次后、治療5次后、治療10次后比較,P0.05,兩組視力無顯著差異；治療5次后、治療10次后比較視物不持久、干澀不適、酸脹不適、畏光流淚評(píng)分,P0.05,差異有統(tǒng)計(jì)學(xué)意義,試驗(yàn)組優(yōu)于對(duì)照組；治療5次后、治療10次后比較異物感評(píng)分,P0.05,差異無統(tǒng)計(jì)學(xué)意義；眼部臨床癥狀總積分治療5次后、治療10次后比較,P0.05,差異有統(tǒng)計(jì)學(xué)意義,且試驗(yàn)組相較對(duì)照組起效快且療效較顯著。5.總療效評(píng)定：試驗(yàn)組痊愈4例,有效34例,無效21例,總有效率64.41%；對(duì)照組痊愈5例,有效34例,無效23例,總有效率62.90%。結(jié)論：1. 眼三針配合耳穴及眼眶外經(jīng)穴配合耳穴治療青少年近視的短期治療均有較好的療效；2. 針刺眼三針配合耳穴優(yōu)于針刺眼眶外經(jīng)穴配合耳穴；3.兩種療法對(duì)視力的療效相當(dāng)；4.兩種療法對(duì)于異物感評(píng)分療效相當(dāng)；5.對(duì)于視物不持久、干澀不適、酸脹不適、畏光流淚癥狀評(píng)分及眼部臨床癥狀總積分,針刺眼三針配合耳穴優(yōu)于針刺眼眶外經(jīng)穴配合耳穴,且起效較快；6.兩種療法的安全性及依從性均較好；針刺可以作為改善視功能的輔助治療手段,可延緩近視的發(fā)展,幫助患者更好的預(yù)防和恢復(fù),在此方面眼三針配合耳穴治療起效更快。
[Abstract]:Objective: to investigate the clinical efficacy, safety and compliance of the two methods by observing the short-term treatment of juvenile myopia with three eye needles combined with auricle points and orbital meridians points, and to compare the differences between the two groups. Methods: 72 myopic patients were randomly divided into experimental group (treatment group, n = 36) and control group (treatment group, n = 36). The two groups were treated with bilateral acupoint selection for 5 times as a course of treatment, and the next course of treatment was carried out for 2 days after the end of the course of treatment, and the next course of treatment was carried out for 2 consecutive courses of treatment. In the experimental group, eyes 鈪，

本文編號(hào)：2507467