推拿联合近视治疗仪从脾肾论治青少年假性近视临床观察

Clinical Observation on Massage Manipulation Combined with Myopia Therapeutic Apparatus in the Treatment of Juvenile Pseudomyopia Based on Spleen and Kidney

目的观察补肾健脾之推拿手法联合近视治疗仪治疗青少年假性近视的临床疗效。方法选取2016年2月—2016年12月就诊于长春中医药大学附属医院眼科门诊的72例(144只眼)假性近视患者,将其按照非随机平行对照方法分成治疗组和对照组,对照组给予单独应用近视治疗仪治疗;治疗组给予"补脾土"、"补肾水"等推拿手法联合近视治疗仪治疗,治疗4周后,比较2组治疗前后裸眼视力及散瞳后近视屈光度数检查,并进行疗效评价。结果治疗4周后对照组有效率为72.22%,治疗组临床总有效率达88.89%。1个月后随访,对照组有效率达62.50%,治疗组有效率达80.56%,治疗组疗效明显优于对照组(P<0.05),差异有统计学意义。结论从"脾肾"论治推拿手法联合近视治疗仪治疗假性近视疗效显著,且患者易接受。

Objective To observe the clinical effect of the therapy of tonifying the kidney and strengthening the spleen in the treat-ment of juvenile myopia. Methods From February 2016 to December 2016 in the Affiliated Hospital of Changchun University of Chinese Medicine, 72 cases（144 eyes） pseudomyopia patients, according to the non random parallel control method, were divided into the treatment group and the control group. The control group was given alone treatment for myopia treatment. The treatment group was given the tonifying the kidney and strengthening the spleen massage combined with myopia therapeutic apparatus. After 4 weeks of treatment, the visual acuity after mydriasis and myopic diopter check was compared, and the curative effect was evaluated.Results After 4 weeks of treatment, the effective rate of the control group was 72.22 %, and the total effective rate of the treatment group was up to 88.89%. After 1 month＇s following-up, the effective rate of the control group was 62.50%, the effective rate of the treatment group was up to 80.56%, the curative effect of the treatment group was significantly better than that of the control group（P〈0.05）, and the difference was statistically significant. Conclusion The therapeutic effect of the massage manipulation combined with myopia therapeutic apparatus in the treatment of juvenile pseudomyopia based on spleen and kidney is significant, and the pa-tients are easy to accepted.