摘要
目的评价中医综合疗法对青少年单纯性近视进展的疗效。方法采用分层随机分组方法,将156例青少年单纯性近视患者287眼以近视屈光度数较高的一只眼为准分为<-1.00DS(近视100度以下)及-1.00DS^-3.00DS(近视100~300度)两层,再随机分为治疗组和对照组。治疗组78例(141眼)、对照组78例(146眼)。对照组给予健康宣教、常规配镜(<-1.00DS者不配镜,-1.00DS^-3.00DS者配镜);治疗组在对照组基础上并予中医综合疗法,包括耳穴压豆、梅花针叩刺、穴位贴敷药物、脉冲电刺激,均每周2次,1个月为1个疗程,两组均观察3个疗程。干预前后比较不同层次两组患者裸眼视力,屈光度,角膜曲率,眼轴,正、负相对调节,调节幅度以及调节灵敏度,并比较进展情况。结果1)两组<-1.00DS患者干预前后比较:与本组干预前比较,两组干预后裸眼视力均下降、屈光度均增加、眼轴均增长,治疗组调节灵敏度改善(P<0.05或P<0.01);治疗组在干预后裸眼视力高于对照组,屈光度低于对照组(P<0.05或P<0.01);治疗组进展33眼,进展率为75.00%;对照组进展42眼,进展率为93.33%,两组进展率差异有统计学意义(χ^2=4.343,P=0.037)。2)两组-1.00DS^-3.00DS患者干预前后比较:与本组干预前比较,两组干预后裸眼视力均下降、屈光度均增加、眼轴增长、调节灵敏度均改善(P<0.01);治疗组干预后裸眼视力高于对照组,屈光度低于对照组(P<0.05);治疗组进展56眼,进展率为57.73%;对照组进展73眼,进展率为72.27%,两组进展率差异有统计学意义(χ^2=4.611,P=0.032)。结论中医综合疗法能够在一定程度上缓解青少年单纯性近视进展程度,改善调节功能。
Objective To evaluate the therapeutic effects of comprehensive traditional Chinese medicine(TCM)therapy on the progression of simple myopia in adolescents.Methods A stratified random grouping was used,287 eyes of 156 adolescents with simple myopia were divided into two levels,<-1.00 DS(less than 100 degrees of myopia)and-1.00 DS to-3.000 DS based on the one with higher myopic refractive power myopia 100-300 degrees),and then were randomly divided into a treatment group and a control group.There were 78 cases(141 eyes)in the treatment group and 78 cases(146 eyes)in the control group.The control group was given health education and routine glasses(<-1.00 DS without glasses,-1.00 DS--3.000 DS with glasses);on the basis of the control group,the treatment group was given TCM comprehensive therapy including auricular application,plum blossom needle tapping,acupoint application of drugs and pulses electric stimulation,all for twice a week,1 month as 1 course of treatment.Both groups were observed for 3 courses of treatment.The naked eye vision,refractive power,corneal curvature,eye axis,positive and negative relative adjustment,adjustment amplitude and adjustment sensitivity of the 2 groups of patients at different levels and progress were compared before and after intervention.Results 1)Comparison between groups of patients with<-1.00 DS before and after intervention:compared with the group before intervention,the naked eyes′vision decreased,the refractive power increased,and the eye axis increased after intervention in both groups.The adjustment sensitivity of the treatment group improved(P<0.05 or P<0.01).After treatment,the naked eye vision of the treatment group was higher than that of the control group,and the refractive power was lower than that of the control group(P<0.05 or P<0.01);33 eyes of the treatment group progressed with a rate of 75.00%;42 eyes in the control group progressed with a progress rate of 93.33%.The difference in the progress rates between groups was statistically significant(χ^2=4.343,P=0.037).2)Comparison between groups of patients with-1.00 DS--3.00 DS before and after intervention:compared with the group of patients before intervention,both groups′naked eyesight decreased,refractive power increased,eye axis growth and adjustment sensitivity were improved after intervention(P<0.01);in the treatment group,the visual acuity of the naked eye after intervention was higher than that of the control group,and the refractive power was lower than that of the control group(P<0.05);the treatment group progressed in 56 eyes,with a progress rate of 57.73%;the control group progressed in 73 eyes,with a progress rate of 72.27%.The difference in progression rate between groups was statistically significant(χ^2=4.611,P=0.032).Conclusion Comprehensive TCM therapy can alleviate the progress of adolescent simple myopia and improve the regulatory function.
作者
滕月
张丽霞
宿蕾艳
张莎莎
边忠华
倘孟莹
TENG Yue;ZHANG Lixia;SU Leiyan;ZHANG Shasha;BIAN Zhonghua;TANG Mengying(Eye Hospital,China Academy of Chinese Medical Sciences,Beijing 100040;The First Affiliated Hospital of Guangzhou University of Chinese Medicine)
出处
《中医杂志》
CSCD
北大核心
2020年第14期1253-1258,共6页
Journal of Traditional Chinese Medicine
基金
中国中医科学院“十三五”首批重点领域研究专项(ZZ10-017)。
关键词
单纯性近视
青少年
耳穴
梅花针
穴位贴敷
脉冲电刺激
视力
屈光度
simple myopia
adolescents
ear acupoints
plum-blossom needles
acupoint application
pulse electric stimulation
vision
diopter
