郑氏“过眼热”针法治疗糖尿病眼底出血临床观察

ZHENG’ Guo-Yan-Re needling technique for diabetic fundus hemorrhage

目的:观察郑氏"过眼热"针法治疗糖尿病眼底出血的临床疗效。方法:采用自身前后对照方法,将符合纳入标准的34例糖尿病眼底出血患者均给予基础治疗(口服降糖药或者注射胰岛素,保证血糖控制在正常范围),在此基础上给予针刺治疗,穴取风池、太阳、睛明、攒竹、三阴交、合谷,风池穴用"过眼热"针法操作,太阳穴用"热补法"操作,睛明穴用"压针缓进法"操作,攒竹穴用"喜鹊登梅法"操作,余穴用平补平泻法,每天治疗1次,6次为一疗程,疗程间休息1 d,治疗4个疗程,并于治疗结束后半年进行随访。观察患者治疗前后中医症状积分、眼底病理检查结果及视力改善情况并评定疗效。结果:治疗后34例(68只患眼)患者视力、中医症状积分、眼底微血管瘤和出血点数均较治疗前明显改善(均P<0.05);治疗后总有效率为88.2%(60/68);随访时患者视力、中医症状积分、眼底病理改变均较治疗前明显改善(均P<0.05),且都稳定在治疗结束时的水平(均P>0.05)。结论:郑氏"过眼热"针法治疗糖尿病眼底出血能够改善症状,促进眼底出血的吸收、提高视力。

Objective To observe the clinical effect of ZHENG ’ Guo-Yan-Re needling technique for diabetic fundus hemorrhage. Methods With before-after study design, 34 patients with diabetic eyeground hemorrhage were treated with basic treatment(oral administration of antidiabetic medication or insulin injections to ensure blood glucose in the normal range);in addition, acupuncture was given at bilateral Fengchi(GB 20), Taiyang(EX-HN 5), Jingming(BL 1), Cuanzhu(BL2), Sanyinjiao(SP 6) and Hegu(LI 4). The ZHENG ’ Guo-Yan-Re needling technique was applied at Fengchi(GB 20);the heat reinforcing needling technique was applied at Taiyang(EX-HN 5);the slow needle insertion technique was applied at Jingming(BL 1);and the Xique-Dengmei needling technique was applied at Cuanzhu(BL 2);the neutral supplementation and draining method was applied at remaining acupoints. The acupuncture was given once a day, 6 times as one course, and totally 4 courses were given with an interval of 1 day between courses. The follow-up visit was 6 months after treatment. The TCM symptom scores, fundus examination results and vision improvement were observed before and after treatment, and the effect was observed. Results Compared before treatment, the visual acuity, TCM symptom scores, fundus microaneurysm and hemorrhage points in 34 patients(68 eyes) were significantly improved after treatment(P<0.05). The total effective rate was88.2%(60/68) after treatment;at follow-up visit, the visual acuity, TCM symptom scores and fundus pathological changes were all improved(P<0.05) and stable at the post-treatment level(P>0.05). Conclusion ZHENG ’ Guo-Yan-Re needling technique could improve symptoms, promote the absorption of fundus hemorrhage, and improve vision in patients with diabetic fundus hemorrhage.