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郑氏针法联合西医常规治疗动眼神经麻痹30例临床观察     被引量:3

Clinical observation on 30 cases of oculomotor paralysis treated by ZHENG’s acupuncture therapy combined with routine Western medicine

文献类型:期刊文献

中文题名:郑氏针法联合西医常规治疗动眼神经麻痹30例临床观察

英文题名:Clinical observation on 30 cases of oculomotor paralysis treated by ZHENG’s acupuncture therapy combined with routine Western medicine

作者:张子怡[1,2];颉瑞萍[2];王永涛[1];于华楠[1];袁晓彤[1];张文晶[1]

第一作者:张子怡

机构:[1]甘肃中医药大学中医临床学院,甘肃兰州730101;[2]甘肃中医药大学附属医院眼科,甘肃兰州730020

第一机构:甘肃中医药大学中医临床学院

年份:2022

卷号:39

期号:2

起止页码:57

中文期刊名:甘肃中医药大学学报

外文期刊名:Journal of Gansu University of Chinese Medicine

语种:中文

中文关键词:动眼神经麻痹;郑氏针法;平补平泻针法;眼睑活动度;瞳孔大小;复视程度评分;临床疗效;

外文关键词:oculomotor paralysis;ZHENG’s acupuncture therapy;acupuncture therapy of mild reinforcingreducing;eyelid mobility;pupil size;degree of ambiopia score;clinical efficacy;

摘要:目的观察郑氏针法联合西医常规治疗动眼神经麻痹的临床疗效。方法将60例动眼神经麻痹患者采用随机数字表法分为治疗组和对照组,各30例。2组均给予西医基础治疗(甲钴胺胶囊0.5 mg,口服,每日3次),在此基础上,治疗组联合郑氏针法(风池穴施以“过眼热”针法,攒竹穴施以“喜鹊登梅”针法,太阳穴施以热补针法,其余穴位均施以平补平泻针法)治疗,对照组联合平补平泻针法治疗。2组均每日针刺1次,连续治疗10 d为1个疗程,疗程之间针刺治疗休息1 d,治疗3个疗程后比较2组的临床疗效及眼睑活动度、瞳孔大小、复视程度评分。结果治疗后2组患者眼睑活动度明显增大,瞳孔明显缩小,复视程度评分明显降低,与同组治疗前比较差异均有统计学意义(P<0.05),且治疗组改善程度明显优于对照组,2组治疗后比较差异均有统计学意义(P<0.05);治疗组总有效率为96.7%(29/30),对照组为83.3%(25/30),2组比较差异有统计学意义(P<0.05)。结论郑氏针法治疗动眼神经麻痹临床疗效显著,能有效改善患者提上睑肌功能及眼睑下垂程度,缩小瞳孔,纠正复视,疗效明显优于平补平泻针法,值得临床推广应用。
Objective To observe the clinical efficacy of ZHENG’s acupuncture therapy combined with routine Western medicine in the treatment of oculomotor paralysis.Methods Sixty cases of oculomotor paralysis were divided into treatment group and control group according to random number table method,with 30 cases in each group.The 2 groups were both given routine Western medicine treatment(oral administration of mecobalamin capsules 0.5 mg,three times a day),on this basis,the treatment group was combined with ZHENG’s acupuncture therapy[Fengchi(GB 20)was given acupuncture therapy of“thermal transferring to eyes”,Cuanzhu(BL 2)was given acupuncture therapy of“the magpie ascends the plum”,Taiyang(EX-HN 5)was given acupuncture therapy of heat-reinforcing,the other points were given acupuncture therapy of mild reinforcing-reducing],while the control group was combined with acupuncture therapy of mild reinforcing-reducing.The 2 groups were both given acupuncture once a day,consecutive therapy for 10 days constituted 1 course of therapy,acupuncture therapy rest for 1 day during the course of therapy.A comparison was made between the 2 groups in clinical efficacy,eyelid mobility,pupil size and degree of ambiopia score after 3 courses of therapy.Results After treatment,eyelid mobility significantly increased,pupil size significantly decreased and degree of ambiopia score significantly decreased in the patients of the 2 groups,and the difference was statistically significant than those in the same group before treatment(P<0.05),moreover,the improvement degree of the treatment group was significantly superior to that of the control group,and the difference was statistically significant between the 2 groups after treatment(P<0.05).The total effective rate of the treatment group was 96.7%(29/30),that of the control group was 83.3%(25/30),and the difference was statistically significant between the 2 groups(P<0.05).Conclusion It has marked clinical efficacy to use ZHENG’s acupuncture therapy for oculomotor paralysis,which can effectively improve the function of levator muscle of upper eyelid,the shrink of pupil and the rehabilitation of ambiopia,whose efficacy is markedly superior to that of acupuncture therapy of mild reinforcing-reducing.It deserves clinical promotion and application.

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