推拿结合远道取穴针刺治疗青少年假性近视(英文)

Tuina combined with needling distal points for pseudo-myopia in adolescents

目的:观察推拿结合远道取穴针刺治疗青少年假性近视的临床疗效。方法:将64名青少年假性近视患者按随机数字表随机分为治疗组和对照组,每组32例(64只眼)。治疗组采用推拿结合远道取穴针刺治疗,对照组采用单纯推拿治疗,推拿手法、推拿部位及治疗时间均与治疗组相同。每日治疗1次,连续10次为1疗程,休息2 d后继续下一个疗程,共治疗3个疗程。两组患者均在接受3疗程治疗后进行标准对数视力表检测裸眼远视力和散瞳后检影验光近视屈光度检测,观察其近期疗效。结果:治疗3个疗程后,两组患者视力均较治疗前有改善;治疗组总有效率为92.2%,对照组为82.8%,两组总有效率差异有统计学意义(P<0.05),提示治疗组疗效优于对照组。结论:推拿结合远道取穴针刺治疗青少年假性近视疗效显著,而且没有针刺眼周穴位带来的恐惧,易于被青少年接受,值得在临床上推广应用。

Objective：To observe the clinical effect of tuina combine with needling distal points for pseudo-myopia in adolescents. Methods：A total of 64 adolescents with pseudo-myopia were allocated into a treatment group and a control group by the random number table, 32 cases in each group （64 eyes）. Cases in the treatment group were treated with tuina combined with needling distal points, whereas cases in the control group were treated with the same tuina method （manipulations, treatment area and time） as those in the treatment group. The treatment was done once a day for 10 d as a treatment course. They were treated for 3 courses and there was a 2-day interval between two courses. After 3 treatment courses, all cases were re-examined for the short-term effect on uncorrected eyesight using the logarithmic visual acuity chart and on diopter using retinophotoscopy. Results：After 3 treatment courses, the visual acuity in both groups was improved. The total effective rate was 92.2% in the treatment group, versus 82.8% in the control group, showing a statistical significance （P〈0.05） and indicating a better effect in the treatment group than that in the control group. Conclusion：Tuina combined with needling distal points is remarkably effective for pseudo-myopia in adolescents. Since it doesn’t cause fear （from needling local points around the eyes）, it’s easy to be accepted by adolescents and worthy of further clinical application.