文献类型：期刊文献

中文题名：针刺、耳穴贴压联合雷火灸治疗青少年轻度近视的临床疗效评价

英文题名：Evaluation of the Clinical Efficacy of Acupuncture and Ear Point Sticking Pressure Combined with Thunderfire Moxibustion in Treating Teenagers with Mild Myopia

作者：张花治[1];颉瑞萍[2];曹水清[2];高英[1];汪静[1];罗一[1];刘雅鑫[1];孙金宁[1]

第一作者：张花治

机构：[1]甘肃中医药大学,兰州730101;[2]甘肃中医药大学附属医院,兰州730099

第一机构：甘肃中医药大学

年份：2024

卷号：34

期号：11

起止页码：1035

中文期刊名：中国中医眼科杂志

外文期刊名：China Journal of Chinese Ophthalmology

收录：CSTPCD

基金：甘肃省中医药科研立项课题(GZKP-2021-33)。

语种：中文

中文关键词：青少年近视;中医联合疗法;临床疗效

外文关键词：adolescent myopia;integrated Traditional Chinese Medicine therapy;clinical efficacy

摘要：目的观察针刺、耳穴贴压联合雷火灸治疗青少年轻度近视的临床疗效。方法纳入2022年3月—2023年1月甘肃中医药大学附属医院诊断为轻度近视的患儿共90例(180只眼)。随机分为A、B、C组,每组30例(60只眼)。A组采用针刺、耳穴贴压联合雷火灸治疗;B组采用针刺联合耳穴贴压治疗;C组采用针刺联合雷火灸治疗,共治疗4个疗程。分别于治疗前、治疗后测量患儿的双眼裸眼视力、调节幅度、眼部症状评分、屈光度。结果(1)裸眼视力:治疗后3组裸眼视力均较治疗前提高,差异均有统计学意义(t_(A组)=2.611,P=0.011;t_(B组)=2.364,P=0.021;t_(C组)=2.612,P=0.012)。治疗后3组比较及两两比较,差异均无统计学意义(P>0.05)。(2)调节幅度:治疗后3组调节幅度均较治疗前提高,差异均有统计学意义(t_(A组)=8.082、t_(B组)=5.428、t_(C组)=4.912,均P=0.000)。治疗后3组间比较,差异有统计学意义(F=4.613,P=0.011),两两比较,差异均无统计学意义(P>0.05)。治疗后3组间调节幅度差值比较,差异有统计学意义(F=4.167,P=0.017),B组和C组调节幅度改善均低于A组(t_(B组)=8.364、t_(C组)=5.312,P=0.000),B组与C组调节幅度比较差异无统计学意义(P>0.05)。(3)眼部症状评分:治疗后3组眼部症状评分均较治疗前提高,差异均有统计学意义(t_(A组)=11.558、t_(B组)=10.284、t_(C组)=9.563,均P=0.000)。治疗后3组间眼部症状评分比较,差异有统计学意义(F=3.644,P=0.028),A组眼部症状评分低于B组和C组,差异均有统计学意义(t_(B组)=8.908、t_(C组)=5.672,均P=0.000),而B组与C组眼部症状评分比较,差异无统计学意义(P>0.05)。(4)屈光度:治疗后3组屈光度与治疗前比较,3组间比较及两两比较,差异均无统计学意义(P>0.05)。(5)临床疗效:3组临床疗效比较,差异无统计学意义(P>0.05)。结论针刺、耳穴贴压联合雷火灸治疗青少年轻度近视的效果优于单用一种治疗方法,临床可选择联合疗法以发挥中医适宜技术选择性强、效果佳的优势。
OBJECTIVE To observe the clinical efficacy of acupuncture,auricular point pressing and thunder-fire moxibustion combined therapy in treating mild myopia among adolescents.METHODS A total of 90 patients(180 eyes)diagnosed with mild myopia at the Affiliated Hospital of Gansu University of Chinese Medicine from March 2022 to January 2023 were enrolled.They were randomly divided into three groups:Group A,Group B,and Group C,with 30 patients(60 eyes)in each group.Group A received acupuncture,auricular point pressing,and thunder-fire moxibustion combined therapy;Group B received acupuncture and auricular point pressing combined therapy;Group C received acupuncture and thunder-fire moxibustion combined therapy.All groups underwent a total of four treatment courses.Before and after treatment,the patients'uncorrected visual acuity,accommodative amplitude,ocular symptom scores,and refractive error were measured.RESULTS(1)Uncorrected visual acuity:After treatment,the uncorrected visual acuity of all three groups improved significantly compared to before treatment(t_(A group)=2.611,P=0.011;t_(B group)=2.364,P=0.021;t_(C group)=2.612,P=0.012).However,there were no statistically significant differences among the three groups after treatment or in pairwise comparisons(P>0.05).(2)Accommodative amplitude:After treatment,the accommodative amplitude of all three groups improved significantly compared to before treatment(t_(A group)=8.082,t_(B group)=5.428,t_(C group)=4.912,all P=0.000).After treatment,the comparison among the three groups showed a statistically significant difference(F=4.613,P=0.011).However,pairwise comparisons revealed no statistically significant differences(P>0.05).When comparing the differences in accommodative amplitude changes among the three groups after treatment,a statistically significant difference was observed(F=4.167,P=0.017).Both Group B and Group C exhibited lower improvements in accommodative amplitude compared to Group A(t_(B group)=8.364,t_(C group)=5.312,P=0.000).No statistically significant difference was found in the accommodative amplitude between Group B and Group C(P>0.05).(3)Ocular symptom scores:After treatment,the ocular symptom scores of all three groups improved significantly compared to before treatment(t_(A group)=11.558,t_(B group)=10.284,t_(C group)=9.563,all P=0.000).Comparison of ocular symptom scores among the three groups after treatment showed a statistically significant difference(F=3.644,P=0.028).The ocular symptom scores in Group A were lower than those in Group B and Group C,with statistically significant differences(t_(B group)=8.908,t_(C group)=5.672,both P=0.000).However,there was no statistically significant difference in ocular symptom scores between Group B and Group C(P>0.05).(4)Refractive error:There were no statistically significant differences in refractive error among the three groups before and after treatment(P>0.05).Additionally,there were no statistically significant differences among the three groups or in pairwise comparisons after treatment(P>0.05).(5)Clinical efficacy:There were no statistically significant differences in clinical efficacy among the three groups(P>0.05).CONCLUSIONS Acupuncture,auricular point pressing,and thunder-fire moxibustion combined therapy is more effective than using any single treatment method alone in treating mild myopia among adolescents.Clinically,combined therapy can be selected to leverage the advantages of Traditional Chinese Medicine's appropriate techniques,which offer strong selectivity and effectiveness.