针刺治疗弱视研究的思考

Thinking on research of acupuncture for amblyopia

笔者观察到在针刺治疗弱视的研究中唯有单纯屈光参差性弱视对治疗反应较好。本课题组在前期工作的基础上,对单纯性屈光参差性弱视提出其"自身生物性单眼遮盖"的假设,并提醒在弱视方面由于缺乏正确的随机对照临床研究,便不能够被推荐为国际性的任何规范化的诊疗措施中去。同时指出中国大陆既往报道的关于弱视治愈率和国际上的论文报道具有很大的偏差,可能是对弱视视力的衡定标准和检测弱视视力的方法和国际上不一致所致。笔者对针刺治疗弱视的研究提出需要注意的事项,并对其尚可开展的一些研究项目提出多项建议。

It has been found by the author that among the researches concerning acupuncture in the treatment of amblyopia, only anisometropic amblyopia has noticeable results with treatment. Based on the previous publica- tions, a hypothesis theory of self biological single eye occlusion is displayed particularly for simplex anisometropic amhlyopia. It is also reminded that amblyopia acupuncture treatment does not always have sufficient RCTs for cli- nical research, so it couldn＇t be promoted as a normalized clinic treatment measure on an international base. It is also mentioned that reports from China's Mainland present a significant discrepancy with that from international in terms of successful treatment percentage. This is probably caused by the disagreement of amblyopia test methods and clinical standards. Some important considerations and key points that require particular attention during amb- lyopia acupuncture treatment and several recommendations on development and directions for further research are also put forward.