针刺对青光眼24小时眼压的影响

Impact of acupuncture on 24 h intraocular pressure of glaucoma

目的:探讨针刺治疗青光眼的机制,为青光眼患者寻找一种简便而有效的控制眼压和平稳眼压的治疗手段。方法:39例(75眼)青光眼患者(眼压控制情况不定)予针刺治疗,穴取四白、攒竹、睛明、球后等,观察针刺前后10 a.m.、2 p.m.、6 p.m.、10 p.m.及次日5 a.m.、7 a.m.眼压值及24 h眼压波动值。结果:针刺后各时点眼压均较针刺前有所下降,针刺后5 a.m.、7 a.m.、10 a.m.、6 p.m.、10 p.m.的眼压与针刺前相应时点比较差异有统计学意义(均P<0.05);针刺后24 h眼压波动值为(5.31±2.84)mmHg,显著低于针刺前的(7.06±3.86)mmHg(P<0.05)。结论:对于眼压控制不定的患者,针刺不但能降低眼压,而且能平稳24 h眼压波动,有益于保护青光眼患者视功能,是青光眼患者控制眼压和平稳眼压的好方法。

Objective To explore the mechanism of acupuncture on the treatment of glaucoma so as to find out a kind of simple and effect approach to control and stabilize intraocular pressure （IOP） of patients with glaucoma. Methods Thirty-nine cases （75 eyes） of glaucoma （unstable control of IOP） were treated with acupuncture at Sibai （ST 2）, Cuanzhu （BL 2）, Jingming （BL 1）, Qiuhou （EX-HN 7）, etc. IOP before and after acupuncture, at 10 a.m, 2 p.m, 6 p.m, 10 p.m. , at 5 a.m. and 7 a.m. on the second day as well as diurnal IOP variation in 24 h were observed separately. Results After acupuncture, IOP at each time point reduced as compared with that be- fore acupuncture. IOP at 5 a.m. , 7 a.m. , 10 a.m. , 6 p.m. and 10 p.m. after acupuncture was different significant- ly in statistics as compared with that before acupuncture correspondingly （all P〈0.05）. After acupuncture, 24 h diurnal IOP variation was （5.31±2.84） mmHg, which was lower significantly than （7.06±3.86） mmHg before acupuncture （P〈0.05）. Conclusion For the patients with unstable control of lOP, acupuncture can not only reduce IOP, but also stabilize 24 h diurnal IOP variation and benefit the visual function of patients with glaucoma.