“四明穴”为主小儿推拿干预轻中度近视的临床疗效研究

Study on the Clinical Efficacy of Pediatric Tuina Based on“Siming Points”to Intervene in Mild to moderate Myopia

目的观察“四明穴”为主小儿推拿干预轻中度近视的临床疗效。方法80例6-12岁轻中度近视患儿,随机分为“四明穴”为主小儿推拿组和常规推拿组。观察组给予“四明穴”为主小儿推拿干预,对照组给予常规推拿干预,隔天干预1次,1周干预3次,6次为1个疗程。两组均连续干预4个疗程,干预结束后观察两组患儿干预前后裸眼视力、睫状肌麻痹后屈光度和眼轴长度的变化情况,统计两组之间的疗效差异,明确“四明穴”为主小儿推拿在干预轻中度近视中的优效性。结果干预结束后,观察组有效率(98.57%)高于对照组的有效率(78.57%),差异具有统计学意义(P<0.05)。观察组和对照组的裸眼视力均有明显上升,裸眼视力组内比较和组间比较均有统计学意义(P<0.05);睫状肌麻痹后屈光度和眼轴长度在干预后均有增加,但观察组增长速度要慢于对照组,差值经统计学分析有显著差异(P<0.05),观察组优于对照组。结论“四明穴”为主小儿推拿对于轻中度近视有较好疗效,在提高近视患儿裸眼视力,减缓近视屈光度控制眼轴增长速度,效果优于常规推拿。

Objective To observe the clinical efficacy of pediatric massage based on“Siming points”in the intervention of mild to moderate myopia.Methods Eighty children aged 6-12 years with mild to moderate myopia were randomly divided into the“Siming points”based pediatric Tuina group and the general Tuina group.The observation group was given“Siming points”-based pediatric Tuina intervention,while the control group was given ordinary Tuina intervention,once every other day,3 times a week,6 times a course.After the intervention,we observed the changes of naked eye visual acuity,refraction and eye axis length after ciliary muscle paralysis before and after the intervention,and counted the difference of efficacy between the two groups.Results At the end of the intervention,the effective rate of the observation group(98.57%)was higher than that of the control group(78.57%),and the difference was statistically significant(P<0.05).The naked eye visual acuity of both the observation group and the control group increased significantly,and the comparison of naked eye visual acuity within and between groups was statistically significant(P<0.05);the refraction and axial length of the eyes after ciliary muscle paralysis both increased after the intervention,but the growth rate of the observation group was slower than that of the control group,and the difference was statistically significant(P<0.05),and the observation group was better than the control group.Conclusion Pediatric Tuina based on“Siming points”has better efficacy for mild to moderate myopia,and is more effective than ordinary Tuina in improving the naked eye visual acuity of myopic children,slowing down the myopic refractive error and controlling the growth rate of the eye axis.