文献类型：期刊文献

中文题名：郑氏特技针法治疗青少年近视临床观察

英文题名：Clinical observation of Zheng's stunt needling technique in the treatment of juvenile myopia

作者：李兴兰[1];张花治[2];张婷卓[1];袁博[1];田亮[1];张枫帆[1];王一心[1];乔翔[1];杜小正[1]

第一作者：李兴兰

机构：[1]甘肃中医药大学针灸推拿学院;[2]甘肃中医药大学附属医院眼科

第一机构：甘肃中医药大学针灸推拿学院

年份：2018

卷号：38

期号：2

起止页码：147

中文期刊名：中国针灸

外文期刊名：Chinese Acupuncture & Moxibustion

收录：CSTPCD;;Scopus;北大核心:【北大核心2017】；CSCD:【CSCD2017_2018】；PubMed;

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

语种：中文

中文关键词：近视,青少年;针刺疗法;针刺手法;二龙戏珠针法;过眼热针法;喜鹊登梅针法;平补平泻法

外文关键词：myopia, juvenile; aeupuncture therapy; aeupuneture technique; erlongxizhu needling teehnique; guoyanreneedling technique; xiquedengmei needling technique; even needling teehnique

摘要：目的:比较郑氏特技针法与平补平泻针法治疗青少年近视的临床疗效差异。方法:将166例轻度青少年近视(屈光度<–3.00D)患者随机分观察组(郑氏特技针法组)与对照组(平补平泻组),每组83例(166只患眼)。两组均穴取太阳、风池、攒竹、合谷、光明,观察组太阳穴操作"二龙戏珠"针法,风池穴操作"过眼热"针法,攒竹穴操作"喜鹊登梅"针法,合谷、光明穴行平补平泻针法;对照组取穴均行平补平泻针法。两组均每天治疗1次,连续6次为一疗程,疗程间休息1 d,治疗4个疗程后观察两组患者治疗前后视力、屈光度、眼轴长度的变化情况,并评定两组疗效。结果:治疗后两组患者裸眼视力、屈光度均明显改善(均P<0.05),且观察组改善程度优于对照组(均P<0.05);两组均不能改变眼轴长度(均P>0.05);观察组总有效率为78.3%(130/166),优于对照组的57.8%(96/166,P<0.05)。结论:郑氏特技针法能有效提高近视眼视力、纠正屈光不正、延缓近视发展,疗效优于平补平泻针法。
Objective To compare the differences in the clinical therapeutic effects on juvenile myopia between Zheng＇s stunt needling technique and traditional even needling technique. Methods A total of 166 cases of mild juvenile myopia（diopter -3.00 D） were randomized into an observation group（Zheng＇s stunt needling technique） and a control group（traditional even needling technique）, 83 cases in each one（166 affected eyes）. Taiyang（EX-HN 5）, Fengchi（GB 20）, Cuanzhu（BL 2）, Hegu（LI 4） and Guangming（GB 37） were used in the two groups. In the observation group, the erlongxizhu needling technique was adopted at Taiyang（EX-HN 5）, the guoyanre needling technique at Fengchi（GB 20） and xiquedengmei needling technique at Cuanzhu（BL 2）. The traditional needling technique was used at Hegu（LI 4） and Guangming（GB 37）. In the control group, traditional even needling technique was applied at all the acupoints. The treatment was given once every day, continuously for 6 times as one course. There was 1 day at interval. After treatment for 4 courses, the changes in visual acuity, diopter and axial length were observed before and after treatment. The therapeutic effects were evaluated. Results After treatment, the visual acuity of the naked eyes, and diopter were remarkably improved in the patients of the two groups（all P 0.05）. The improvements in the observation group were better than those in the control group（both P 0.05）. The axial length did not change in the two groups（both P0.05）. The total effective rate was 78.3%（130/166） in the observation group, which was better than 57.8%（96/166） in the control group（P 0.05）. Conclusion Zheng＇s stunt needling technique effectively improves the vision, rectifies the refractive error and delays the progression of myopia. The therapeutic effects of it are better than traditional even needling technique.