摘要
目的观察中药离子导入配合眼周穴位按摩对儿童的图形视觉诱发电位(P-VEP)的影响。方法弱视儿童117例(198只眼)按随机数字表法分为对照组58例(97只眼,其中屈光不正性弱视79眼,斜视性弱视4眼,屈光参差性弱视14眼)和中药组59例(101只眼,其中屈光不正性弱视84眼,斜视性弱视5眼,屈光参差性弱视12眼)。对照组用1%阿托品滴眼液点眼后验光配镜,同时采用遮盖方法及精细作业治疗。中药组在对照组治疗方法的基础上采用自拟中药方(青皮、决明子、菊花、冰片、乳香、薄荷、枸杞子、红花、当归、密蒙花、丹参、菟丝子、熟地黄)离子导入并按摩眼部穴位。治疗6个月。结果治疗前两组3种类型弱视P-VEP、P100波的波幅(P100-L)和潜伏期(P100-A)比较,差异无统计学意义(P>0.05);治疗后中药组P100-A增加幅度较对照组高(P<0.05),P100-L较对照组明显缩短(P<0.05)。结论中药离子导入配合按摩眼部穴位治疗儿童弱视能使P-VEP的P100波潜伏期缩短,振幅增高,是治疗弱视的一种有效方法。
Objective To observe the efficacy of Chinese herbs iontophoresis plus eye point massage on the change of pattern visual evoked potential（P-VEP） in amblyopia children. Methods One hundred and seventeen amblyopia patients（198 eyes） were randomly divided into control group with 58 patients（97 eyes：79 eyes with ametropic amblyopia,4 eyes with strabismic amblyopia, 14 eyes with anisometropic amblyopia） and Chinese herbs iontophoresis treatment group with 59 patients（ 101 eyes ：84 eyes with ametropic amblyopia,5 eyes with strabismic amblyopia,12 eyes with anisometropic amblyopia）. The control group was given eyeglasses after mydriatic optometry with 1% atropine and treated with occlusion therapy and eyesight exercise. The treatment group was given self-made Chinese herbs（pericarpium citri reticulatae viride, Semen Cassiae, chrysanthemum, borneol, Olibanum, Spearmint, the fruit of Chinese wolfberry, flowers carthami, Angelica sinensis,butterflybush flower,the root of red-rooted salvia,the seed of Chinese dodder,prepared rehmannia root） iontophoresis plus eye point massage besides the methods mentioned above. Both groups were treated continually for 6 months. Results Before treatment, three types of amblyopia showed no significant difference in the P100 wave amplitude （P100-A） and latency （P100-L） of P-VEP between two groups （P 〉 0.05 ）. After treatment, the increase of P100-A in treatment group was significantly higher than that in control group（P 〈0. 05） ,but P100-L shortened significantly compared with the controls （ P 〈 0.05 ）. Conclusion Chinese herbs iontophoresis plus eye point massage for amblyopia children can make P-VEP-P100 wave latency shortened and amplitude increased, and it is an effective method for the treatment of amblyopia.
出处
《广西医学》
CAS
2013年第3期298-300,共3页
Guangxi Medical Journal
基金
广西卫生厅科研立项课题(Z2010215)
关键词
弱视
电离子导入
视觉诱发电位
儿童
穴位按摩
中草药
Amblyopia
Iontophoresis
Visual evoked potential
Children
Eye point massage
Chinese medicinalherb
