摘要
目的观察核桃灸疗法防控青少年低、中度近视的临床疗效。方法纳入2020年4月—2021年4月中国中医科学院广安门医院及首都医科大学附属北京中医医院诊治的青少年低、中度近视患儿84例(168只眼)。随机分为治疗组和对照组,每组42例(84只眼)。对照组予健康用眼教育+框架眼镜治疗,治疗组在对照组基础上联合核桃灸治疗。2组均治疗3个月。分别在治疗前后检测裸眼视力、睫状肌麻痹前后的屈光度、眼轴长度和角膜曲率。结果2组治疗前裸眼视力、睫状肌麻痹前后的屈光度、眼轴长度和角膜曲率比较,差异均无统计学意义(P>0.05)。(1)裸眼视力:2组治疗前后裸眼视力比较和治疗后2组间比较,差异均无统计学意义(P>0.05)。(2)屈光度:对照组治疗后麻痹前、后屈光度均较治疗前升高,差异均有统计学意义(t_(麻痹前)=2.638,P=0.009;t_(麻痹后)=2.800,P=0.006),观察组治疗后麻痹前、后屈光度与治疗前比较,差异均无统计学意义(P>0.05)。治疗后2组间比较,观察组麻痹前屈光度低于对照组,差异有统计学意义(t=2.619,P=0.010)。而2组麻痹后屈光度比较,差异无统计学意义(P>0.05)。(3)眼轴、角膜曲率:2组治疗前后眼轴、角膜曲率比较和治疗后2组间比较,差异均无统计学意义(P>0.05)。结论核桃灸疗法可以缓解甚至消除青少年低、中度近视的调节张力,能在一定程度上稳定裸眼视力。
OBJECTIVE To observe the clinical efficacy of walnut moxibustion therapy in preventing and controlling mild to moderate myopia in adolescents.METHODS A total of 84 patients(168 eyes)with mild to moderate myopia,treated at Guang'anmen Hospital,China Academy of Chinese Medical Sciences and Beijing Traditional Chinese Medicine Hospital Affiliated to Capital Medical University from April 2020 to April 2021,were included in this study.They were randomly divided into a treatment group and a control group,with 42 cases(84 eyes)in each group.The control group received health education on eye use and eyeglass treatment,while the treatment group received walnut moxibustion therapy in addition to the control group's regimen.Both groups were treated for three months.Naked eye visual acuity,refractive power before and after ciliary muscle paralysis,axial length,and corneal curvature were measured before and after treatment.RESULTS There was no significant statistical difference in uncorrected visual acuity,refractive power before and after ciliary muscle paralysis,axial length,and corneal curvature between the two groups before treatment(P>0.05).(1)Uncorrected visual acuity:There was no significant difference in uncorrected visual acuity before and after treatment within each group or between the two groups after treatment(P>0.05).(2)Refractive power:The diopter of the control group before and after treatment was higher than that before treatment,and the differences were statistically significant(t_(before)=2.638,P=0.009;t_(after)=2.800,P=0.006).There was no significant difference in the diopter of the observation group before and after paralysis treatment(P>0.05).After treatment,the diopter of the observation group before paralysis was lower than that of the control group,the difference was statistically significant(t=2.619,P=0.010).There was no significant difference in diopter between two groups after paralysis(P>0.05).(3)Axial length and corneal curvature:There were no significant differences in axial length and corneal c
作者
唐雨蕊
马菊梅
吴烈
TANG Yurui;MA Jumei;WU Lie(Guang´anmen Hospital South Campus,China Academy of Chinese Medical Sciences,Beijing 102627,China)
出处
《中国中医眼科杂志》
2024年第7期637-640,共4页
China Journal of Chinese Ophthalmology
基金
中国中医科学院广安门医院南区所级课题(Y2020-05)。
关键词
近视
核桃灸
视力
屈光度
myopia
walnut moxibustion
visual acuity
refractive power
