针刺治疗儿童脑源性视力损伤的疗效观察

Clinical observation of acupuncture efficacy on cerebral visual impairment children

目的分析针刺治疗3~10岁儿童脑源性视力损伤(CVI)的可行性和有效性。方法选取符合纳入标准的CVI患儿60例(120只眼),随机分为对照组30例(60只眼)和治疗组30例(60只眼)。对照组采用眼科常规视刺激治疗,治疗组在对照组基础上联合针刺治疗。按照年龄,分为低年龄组(3~5岁)和高年龄组(6~10岁)。治疗3个月,分别于治疗前和治疗后检查2组患儿的最佳矫正视力(BCVA)并记录数据。结果(1)BCVA:治疗后,2组比较,差异有统计学意义(t=6.194,P=0.000)。治疗前后比较,t_(治疗组)=22.826,t_(对照组)=8.226,均P=0.000,差异均有统计学意义。3~5岁患儿:治疗后2组比较,差异有统计学意义(t=4.061,P=0.000)。治疗前后比较,t_(治疗组)=21.899,t_(对照组)=7.336,均P=0.000,差异均有统计学意义。6~10岁患儿:治疗后2组比较,差异有统计学意义(t=4.497,P=0.000)。治疗前后比较,t_(治疗组)=14.346,t_(对照组)=5.568,均P=0.000,差异均有统计学意义。(2)临床疗效:2组CVI患儿总有效率比较,对照组10.00%,治疗组63.33%,差异具有统计学意义(Х^(2)=34.486,P=0.000)。3~5岁患儿:对照组总有效率为21.43%,治疗组85.71%,差异具有统计学意义(Х^(2)=20.749,P=0.000)。6~10岁患儿:对照组总有效率为0.00%,治疗组为43.75%,差异具有统计学意义(Х^(2)=15.451,P=0.000)。结论针刺联合眼科常规视刺激可作为临床有效且安全性较高的中西医结合治疗方案,能更好地改善儿童CVI最佳矫正视力等指标,优于单纯常规视刺激治疗。

OBJECTIVE To analyze the feasibility and effectiveness of acupuncture on cerebral visual impairment(CVI)children aged 3 to 10 years.METHODS Sixty children(120 eyes)with CVI met the inclusion criteria were selected and randomly divided into the control group(60 eyes)and the treatment group(60 eyes).The control group(CG)was treated with conventional ophthalmic visual stimulation,and the treatment group(TG)was treated with acupuncture on basis of the control group.All patients were followed up for 1 year after 3 months treatment.According to the age,the young patients were divided into low age group(3~5 years old)and high age group(6~10 years old).The best corrected visual acuity(BCVA)of both groups was examined before and after treatment,and the data were recorded.RESULTS(1)BCVA:After treatment,the difference between the two groups was statistically significant(t=6.194,P=0.000).The difference was statistically significant between the two groups both in low age group(t=4.061,P=0.000)and in high age group(t=4.497,P=0.000).After treatment,the differences of BCVA in both groups were statistically significant(t_(TG)=22.826,t_(CG)=8.226,all P=0.000);variations in low age group were both of statistical significance(t_(TG)=21.899,t_(CG)=7.336,all P=0.000);variations of high age group in two groups were of significant difference(t_(TG)=14.346 and t_(CG)=5.568,all P=0.000).(2)Clinical efficacy:the total effective rate was 10.00%(6/60)in the control group and 63.33%(38/60)in the treatment group,with statistically significant difference(Х^(2)=34.486,P=0.000).The difference of low age group between the control group(21.43%,6/28)and the treatment group(85.71%,24/28)was of statistical significance(Х^(2)=20.749,P=0.000).The difference in high age group between the control group(0.00%,0/32)and treatment group(43.75%,14/32)was statistically significant(Х^(2)=15.451,P=0.000).CONCLUSIONS Acupuncture combined with conventional ophthalmic visual stimulation could be used as a clinically effective and safe treatment program of integrated Traditional Chinese and Western Medicine for CVI children.It could better improve the indicators such as the BCVA of children CVI and was superior to simple conventional visual stimulation treatment.