电针治疗动眼神经损伤所致眼球运动障碍疗效观察

Efficacy observation on electroacupuncture in the treatment of oculomotor impairment caused by ophthalmic nerve injury

目的:观察电针与单纯针刺治疗动眼神经损伤所致的眼球运动障碍的临床疗效差异,探寻该病的最佳治疗方法。方法:将60例动眼神经损伤所致的眼球运动障碍患者随机分为电针组和针刺组,每组30例。电针组选取眼外肌穴为主穴,采用眼部内刺法结合电针疗法;针刺组穴位及针刺手法同电针组,但不使用电针。均每周治疗5次,15次为一疗程,3个疗程后,分别比较两组间及治疗前后临床疗效、睑裂大小、瞳孔大小、眼球运动范围和复视恢复情况。结果:电针组眼裂(9.79±2.65)mm、眼球移动距离(18.12±1.30)mm均高于针刺组的(8.23±2.74)mm、(16.71±1.44)mm;电针组瞳孔直径(0.44±0.42)mm低于针刺组的(0.72±0.53)mm,差异具有统计学意义(均P<0.05);电针组痊愈率63.33%(19/30)、总有效率93.33%(28/30)均优于针刺组的36.67%(11/30)、83.33%(25/30),差异具有统计学意义(均P<0.05)。结论:电针治疗动眼神经损伤所致的眼球运动障碍具有明显优势,起效快、疗效高、疗程短,明显改善患者临床症状,对提高患者生存质量具有重要意义。

Objective To observe the difference in the clinical efficacy on oculomotor impairment between electroaeupuneture and acupuncture and explore the best therapeutic method in the treatment of this disease. Methods Sixty cases of oculomotor impairment were randomized into an electroacupuncture group and an acupuncture group, 30 cases in each one. In the electroaeupuncture group, the points were selected on extraocular muscles, the internal needling technique in the eye was used in combination of electroacupuncture therapy. In the acupuncture group, the points and needling technique were same as the electroacupuncture group, but without electric stimulation applied. The treatment was given 5 times a week, 15 treatments made one session. After 3 sessions of treatment, the clinical efficacy, palpebral fissure size, pupil size, oculomotor range and the recovery in diplopia were compared before and after treatment in the two groups. Results In the electroacupuncture group, the palpebral fissure size was （9.79± 2.65）mm and the eyeball shifting distance was （18.12 ± 1.30）mm, which were hig-her than （8.23±2.74）mm and （16.71 ± 1.44）mm respectively in the acupuncture group. In the electroacupuncture group, the pupil diameter was （0. 44 ± 0.42） mm, which was less than （0. 72 ± 0. 53） mm in the acupuncture group, indicating the significant difference （all P〈0.05）. The cured rate was 63. 33% （19/30） and the total effective rate was 93.33% （28/30） in the electroacupuncture group, which was better than 36.67%（11/30） and 83.330± （25/30） in the acupuncture group separately, indicating the significant difference （all P〈0. 05）. Conclusion Electroacupuncture presents the obvious advantages in the treatment of oculomotor impairment, characterized as quick and high effect, short duration of treatment and remarkable improvements in clinical symptoms, there are important significance for the improvement of survival quality of patients.