中药离子导入配合按摩眼部穴位治疗儿童弱视立体视觉疗效观察

Clinical efficacy of Chinese herbs iontophoresis plus eye point massage on stereoscopic vision of children amblyopia

目的观察中药离子导入配合按摩眼部穴位治疗儿童弱视的疗效及对立体视觉的影响。方法将符合纳入标准的弱视儿童80例142只眼,随机分为对照组(40例70只眼)和中药导入治疗组(40例72只眼)。对照组用1%阿托品滴眼液点眼后验光配镜,同时采用遮盖方法及精细作业治疗;中药导入治疗组在戴镜、遮盖及精细作业的基础上,采用自拟中药方离子导入,并按摩眼部穴位,以3个月为1个疗程,连续治疗2个疗程。观察两组视力和立体视的变化。结果中药导入治疗组总有效率97.27%,对照组总有效率为85.71%,二者差异有统计学意义(P<0.05),中药导入治疗组的立体视改善情况也好于对照组。结论中药离子导入配合按摩眼部穴位治疗儿童弱视,不仅能提高治疗弱视的有效率,还可使治疗后弱视儿童的立体视觉得到有效建立,是一种较理想的治疗方式,值得临床推广应用。

OBJECTIVE To observe the efficacy of Chinese herbs iontophoresis plus eye point massage on stereoscopic vision of children amblyopia.METHODS Eighty amblyopia patients（142 eyes） were randomly divided into control group with 40 patients（70 eyes）and Chinese herbs iontophoresis treatment group with 40 patients（72 eyes）.The control group was given eyeglasses after mydriatic optometry with 1% atropine and treated with occlusion therapy and eyesight exercise;the treatment group,besides the above mentioned methods,was given Chinese herbs iontophoresis plus eye point massage.Both groups were treated continually for 2 courses of 6 months.The eyesight and stereoscopic vision were compared between the two groups.RESULTS The effective rate of treatment group was 97.27% while the control group was 85.71%.The difference between the two groups was significant（P0.05）.The improvement of stereoscopic vision of treatment group was better than that of control group.CONCLUSIONS The therapy of Chinese herbs iontophoresis plus eye point massage for children amblyopia was effective and worthy of spreading in clinical practice.