通督调筋针刺法治疗上睑下垂疗效观察

Clinical observation on Tongdu Tiaojin needling method for treatment of blepharoptosis

目的:对比通督调筋针刺法与常规针刺法治疗上睑下垂的临床疗效。方法:将58例上睑下垂患者随机分入通督针刺组和常规针刺组,每组各29例。通督针刺组采用通督调筋针刺法治疗,取百会、风池、后溪、印堂等穴;常规针刺组采用常规针刺治疗,取攒竹、阳白、丝竹空等穴,均10次为一疗程,共治疗3个疗程。结果:通督针刺组和常规针刺组治愈率分别为41.4%和24.1%,有效率分别为82.8%和48.2%,通督针刺组均优于常规针刺组(P<0.05);治疗后两组患者睑裂均增宽,上睑缘遮盖角膜程度均减轻,但以通督针刺组为优,差异明显(P<0.05)。结论:通督调筋针刺法治疗上睑下垂有肯定的疗效,值得进一步研究和临床推广运用。

Objective To compare therapeutic effects of Tongdu Tiaojin needling method and routine acupuncture method on blepharoptosis. Methods Fifty-eight cases of blepharoptosis were randomly divided into an observation group and a control group, 29 cases in each group： The observation group was treated by Tongdu Tiaojin needling method with Baihui （GV 20）, Fengchi （GB 20）, Houxi （SI 3）, Yintang （EXHN 3） selected; and the control group by routine acupuncture method with Cuanzhu （BL 2）, Yangbai （GB 14）, Sizhukong （TE 23） selected. They were treated for 3 courses and one course was constituted by 10 sessions. Results The cured rate Of 41.4% and the effective rate of 82.8% in the observation group were better than 24, 1% and 48. 2% in the control group （P〈0. 05）; after treatment, the palpebral fissure widened and the level 6f the palpebra superior shading the cornea was alleviated in the two groups, but the observation group was superior to the control group （P〈0. 05）. Conclusion Tongdu Tiaojin needling method has a definite therapeutic effect on blepharoptosis.