针刺配合自我按摩治疗青少年近视临床观察

Clinical Observation on Acupuncture With Self-massage for Treatment of Adolescent Myopia

目的:观察针刺配合自我按摩治疗青少年近视的临床疗效及影响因素。方法:将184例(368只患眼)患者随机分为针刺配合自我按摩组(A组,92例,184只患眼)和单一针刺组(B组,92例,184只患眼)。A组针刺攒竹、丝竹空、四白、风池、足三里、三阴交、光明穴,并自我按摩睛明、攒竹、鱼腰、丝竹空、太阳、风池、肾俞、涌泉穴;B组针刺取穴同A组。结果:临床总有效率A组为100%、B组为91.30%,差异有非常显著性意义(P<0.01);治疗后A组、B组裸眼远视力均有提高(P<0.01),且A组较B组视力提高明显(P<0.01);患者年龄与视力变化关系密切(P<0.01)。结论:针刺治疗青少年近视临床疗效肯定;针刺配合自我按摩,可优势互补,比单纯针刺治疗效果更好;患者年龄对临床疗效有影响。

Objective：To observe the therapeutic effect and influential factors of acupuncture with self-massage for treatment of adolescent myopia.Methods：The patients were divided into an acupuncture with self-massage group（group A）and an acupuncture group（group B）,92cases（184 eyes）in each group.Group A were treated by acupuncture at Cuanzhu（BL2）,Sizhukong（SJ23）,Sibai（ST2）,Fengchi（GB20）,Zusanli（ST36）,Sanyinjiao（SP6）,Guangming（GB37）,and self-massage with Jingming（BL1）,Cuanzhu（BL2）,Yuyao（EX-HN4）,Sizhukong（SJ23）,Taiyang（EX-HN5）,Fengchi（GB20）,Shenshu（BL23）,Yongquan（KI1）;group B were treated by acupuncture at the same points as group A.Results：The total effective rate was 100% in group A and 91.30% in group B with a very significant difference（P0.01）.After treatment,the vision of group A and group B were both improved（P0.01）,with more obviously increasing in group A than group B（P0.01）.The change of vision is closely related with the age of the patients（P0.01）.Conclusion：Acupuncture has a definite clinical therapeutic effect on adolescent myopia;acupuncture coorperated with self-massage meanwhile has a better clinical therapeutic effect on adolescent myopia than acupuncture alone,being worth spreading;the age possibly influences the therapeutic effect.