雷火灸结合眼肌训练治疗间歇性外斜视疗效观察

Efficacy observation of thunder-fire moxibustion and extraocular muscles training on intermittent exotropia

目的观察雷火灸结合眼肌训练治疗小度数间歇性外斜视的临床疗效。方法对43例小度数间歇性外斜视患者进行雷火灸结合眼肌训练治疗,每日1次,疗程14天。比较治疗前后主观症状评分、斜视度、双眼单视功能及眼血流动力学指标的变化。结果经治疗,患者斜视度较前减小,融合范围较前增加,眼动脉血流速度较前增加,与治疗前比较,差异有统计学意义(P<0.05)。43例患者显效22例(51%),有效20例(47%),总有效率98%。结论雷火灸辨证取穴施治结合眼肌训练治疗小度数间歇性外斜视,对于改善眼部血供,促进眼肌协调,缓解病情有较好效果。

Objective To observe the clinical efficacy of thunder-fire moxibustion and extraocular muscles training on small degree intermittent exotropia. Methods Forty-three patients diagnosed with small degree intermittent exotropia were treated with thunder-fire moxibustion and extraocular muscles training, once a day for 14 days. The subjective symptom score, strabismus degree, binocular vision function and ocular hemodynamic index before and after the treatment were observed and compared. Results The strabismus degree decreased, the fusion range increased and the ophthalmic artery blood flow velocity increased after treatment. And the differences were statistically significant （P 〈 0. 05 ） . The effect was significant in 22 cases （51% ）, and confirmed in 20 cases （47 % ） And the total efficiency was 98%. Conclusion Thunder-fire moxibustion combined with extraocular muscles training improves the blood supply to the eye, promotes the extraocular muscle coordination, and has relatively good effect in treatment of small degree intermittent exotropia.