摘要
目的:观察针刺配合穴位按摩治疗浸润性突眼的临床疗效,为甲亢性浸润性突眼提供更为有效的治疗方法。方法:45例浸润性突眼患者随机分为针推组(25例)与西药组(20例),针推组采用针灸配合穴位按摩,选择睛明、球后、承泣、上明为针刺主穴,配合手法按摩颈后部及眶周局部各穴。西药组静脉点注地塞米松和氨甲喋呤,口服强的松。比较两组治疗后突眼度和临床疗效。结果:针推组治疗前后突眼度分别为(20.27±1,22)mm、(18.11±0.87)mm,西药组分别为(20.34±1.20)mm、(19.47±1.11)mm,两组治疗后突眼度均明显改善(均P<0.01),针推组突眼度改善明显优于西药组(P<0.01);针推组总有效率为83.3%(40/48),优于西药组的53.8%(21/39),且不良反应少。结论:针灸配合穴位按摩治疗浸润性突眼疗效确切,优于西药常规治疗,是一种较优方法。
Objective To observe the clinical efficacy of acupuncture combined with massage on infiltrative exophthalmos so as to provide a more effective treatment for infiltrative exophthalmos in hyperthyroidism. Methods Fortyfive cases of infiltrative exophthalmos were randomly divided into an acupuncture massage group （25 cases） and a western medicine group （20 cases）. In acupuncture massage group, acupuncture was applied mainly at J ingming （BL 1）, Qiuhou （EX-HN 7）, Chengqi （ST 1） and Shangming （Extra） ; and massage was applied in combination on the back of the neck and the local points around the orbit. In western medicine group, Dexamethasone and Methotrexate were used for intravenous infusion, and Prednisone was for oral administration. The exophthalmos extent and clinical efficacy were compared between two groups. Results Before and after the treatment, the exophthalmos extents were （20.27± 1.22） mm and （18.11 ±0.87） mm in acupuncture massage group and were （20. 34 ± 1.20） mm and （19.47± 1.11） mm in western medicine group separately, indicating remarkable improvement in two groups （both P〈0.01）. The improvement in acupuncture massage group was superior remarkably to that in western medicine group （P〈0.01）. The total effective rate （83.3% 40/48） in acupuncture massage group was superior to that （53.8%, 21/39） in western medicine group, and with less adverse reaction. Conclusion Acupuncture combined with acupoint massage is an advanced therapy and has definite efficacy on infiltrative exophthalmos, which is superior to the conventional treatment in western medicine.
出处
《中国针灸》
CAS
CSCD
北大核心
2011年第2期101-104,共4页
Chinese Acupuncture & Moxibustion
关键词
针灸
按摩
浸润性突眼
Acupuncture-Moxibustion
Massage
Infiltrative Exophthalmos
