摘要
目的:观察"过眼热"手法与平补平泻法治疗弱视的临床疗效差异。方法:选择符合弱视诊断标准的患儿68例,用随机数字表法分为观察组和对照组,各34例(68只眼)。观察组取鱼腰、太阳、瞳子髎、睛明、攒竹、承泣采用平补平泻法,肝俞、肾俞、光明采用捻转补法,双侧风池采用"过眼热"手法;对照组取穴与观察组相同,除风池穴采用平补平泻法,其他穴位针刺方法与观察组一致,两组均每天治疗1次,5次为一疗程,共治疗4个疗程。4个疗程后随访半年观察两组患儿视力改善情况。结果:屈光不正性弱视中观察组和对照组有效率分别为92.0%(23/25)、70.4%(19/27);屈光参差性弱视中观察组和对照组有效率分别为85.7%(18/21)、55.0%(11/20);斜视性弱视中观察组和对照组有效率分别为66.7%(12/18)、29.4%(5/17),各类型弱视观察组的疗效均优于对照组(均P<0.05)。结论:"过眼热"手法治疗弱视疗效优于平补平泻法,可明显改善患儿的视力情况。
Objective To observe the effect difference between reinforcing-reducing manipulation and ＂guoyanre＂manipulation for amblyopia in children. Methods A total of 68 children patients with amblyopia were assigned into an observation group and a control group by random number table, 34 cases（68 eyes） in each one. In the observation group, reinforcing-reducing manipulation was used at Yuyao（EX-HN 4）, Taiyang（EX-HN 5）, Tongziliao（GB 1）, Jingming（BL 1）, Cuanzhu（BL 2）, and Chengqi（ST 1）; twirling-reinforcing method was applied at Ganshu（BL 18）, Shenshu（BL 23）, and Guangming（GB 37）;＂guoyanre＂manipulation was applied at bilateral Fengchi（GB 20）. The acupoints and manipulations in the control group were the same as those in the observation group, except Fengchi（GB 20） with reinforcing-reducing method. All the treatment was given for 4 courses, 5 times as a course and once a day. The vision improvement was observed half a year after treatment. Results The effective rates for ametropic amblyopia in the observation and control groups were respectively 92.0%（23/25） and 70.4%（19/27）; anisometropic amblyopia, 85.7%（18/21） and 55.0%（11/20）; strabismic amblyopia, 66.7%（12/18） and 29.4%（5/17）. The effect of each type in the observation group was better than that in the control group（all P0.05）. Conclusion＂Guoyanre＂manipulation for amblyopia is superior to reinforcing-reducing method and can obviously improve the vision.
出处
《中国针灸》
CAS
CSCD
北大核心
2017年第11期1183-1186,共4页
Chinese Acupuncture & Moxibustion
基金
国家中医药管理局甘肃郑氏针法学术流派传承工作室项目:2305135901
关键词
弱视
过眼热手法
平补平泻法
临床疗效
随机对照试验
amblyopia
＂guoyanre＂ manipulation
reinforcing-reducing method
clinical effect
randomized controlled trial（RCT）
