摘要
[目的]观察眼肌直刺为主治疗外伤性眼外肌麻痹的临床疗效,探索治疗机制。[方法]对照组:常规肌肉注射维生素B1及B12,口服血管扩张剂配合眼周穴位针刺49例52只眼。治疗组:眼肌直刺为主配合眼周穴位针刺58例60只眼。治疗1～6个疗程并随访观察1～6个月,比较两组临床疗效。[结果]对照组治愈35例36只眼,治愈率为69.23%,好转3例3只眼,显效3例3只眼,无效8例10只眼;治疗组治愈51例51只眼,治愈率为85.00%,好转4例4只眼,显效2例3只眼,无效1例2只眼。治愈病例随访观察1～6个月均未见复发,两组疗效比较有显著性差异(χ2=7.3595,P<0.01)。两组比较在疗程上有显著性差异,治疗组疗程短于对照组。[结论]眼肌直刺为主治疗外伤性眼外肌麻痹疗程短,见效快,治愈率高。其治疗机制可能为刺激了肌肉组织和相应神经分支,直接兴奋病理状态下的麻痹肌,使其收缩力增强,促进了神经肌肉功能的恢复。
[Objective] To observe the clinical effect of direct acupuncture method in treating traumatic external opthalmoplegia and explore the treatment mechanism. [Methods] Forty-nine patients in control group （52 eyes） were treated with injecting vitamin B1, B12, taking vasodilatator agent and acupunture treatment. Fifty-eight patients in treatment group （60 eyes） were treated with direct acupuncture method combined with local acupuncture. These patients were followed up 1-6 months after 1-6 periods of treatment. The clinical effects were compared between these two groups. [Results] The 35 cases （36 eyes） were cured, and 3 cases （3 eyes） were efficacious, and 3 cases （3 eyes） were significant effective, and 8 cases （10 eyes） were ineffective, and the cured rate was 69.23% in the control group. The 51 cases （51 eyes） were cured, 4 cases （4 eyes） were efficacious, and 2 cases （3 eyes） were significant effective, 1 cases （2 eyes） were ineffective, and the cured rate was 85.00% in treatment group. Recurrence did not occur in the two groups during the follow-up survey from 1-6 months. There was a significant difference between the cured rates of two groups（x2=7.359 5;P〈O.O1）. [Conclusions] The effect of treatment group was quick, and period of treatment was short, the cured rate was high. The mechanism of direct acupuncture method may probably be pro- moting muscle shrinkage and recovering the action of nerves by stimulating muscle or relevant nervous ramification and exciting pathological paralysis of muscles.
出处
《天津中医药》
CAS
2007年第6期475-477,共3页
Tianjin Journal of Traditional Chinese Medicine
关键词
眼肌麻痹
斜视
针刺
眼外伤
ophthalmoplegia
anorthopia
acupuncture
ocular trauma
