针刺结合眼部拨筋疗法治疗动眼神经麻痹的临床疗效研究

Clinical observation of acupuncture combined with ocular tendon therapy for oculomotor nerve palsy

目的观察针刺结合眼部拨筋疗法治疗动眼神经麻痹的临床疗效。方法将60例动眼神经麻痹患者随机分为观察组与对照组,每组各30例。对照组采用常规针刺的方法,观察组在对照组的基础上结合眼部拨筋治疗。两组均每日治疗1次,每周治疗5次,治疗2周为1个疗程。治疗3个疗程后比较两组患者治疗前后瞳孔直径、睑裂高度、眼球运动范围并疗效评定。结果(1)总有效率:观察组总有效率85.71%,对照组总有效率59.26%,差异有统计学意义(c2=4.850,P=0.028)。(2)瞳孔直径:治疗后2组间比较,观察组小于对照组(t=-2.073,P=0.043),差异有统计学意义。治疗前后比较,观察组(t=9.479,P=0.000),对照组(t=5.785,P=0.000),差异均有统计学意义。(3)睑裂高度:治疗后2组间比较,观察组大于对照组(t=7.654,P=0.018),差异有统计学意义。治疗前后比较,观察组(t=-10.897,P=0.000),对照组(t=-5.698,P=0.000),差异均有统计学意义。(4)眼球活动度:治疗后2组间比较,观察组优于对照组(t=2.143,P=0.037),差异有统计学意义。治疗前后比较,观察组(t=6.279,P=0.000),对照组(t=16.052,P=0.000),差异均有统计学意义。结论针刺结合眼部拨筋疗法治疗动眼神经麻痹疗效显著,优于单纯针刺治疗。

OBJECTIVE To observe the clinical effect of acupuncture combined with ocular tendon therapy in the treatment of oculomotor paralysis.METHODS Sixty patients with oculomotor paralysis were randomly divided into observation group and control group,thirty cases in each group.The control group was treated with conventional acupuncture,and the observation group was combined with ocular tendon therapy on the basis of the control group.Both groups were treated once a day,five times a week,and a course of treatment was two weeks.After three courses of treatment,the eyelid fissure height,pupil diameter,and eye movement range were compared between the two groups before and after treatment.RESULTS(1)Total effective rate:the total effective rate of the treatment group was 85.71%,and the total effective rate of the control group was 59.26%.The difference was statistically significant(c2=4.850,P=0.028).(2)Pupil diameter:The observation group is less than the control group after treatment(t=-2.073,P=0.043),the difference is statistically significant.Before and after treatment,the observation group(t=9.479,P=0.000),the control group(t=5.785,P=0.000),the difference was statistically significant.(3)Eyelid fissure height:the observation group was more than the control group after treatment(t=7.654,P=0.018),the difference was statistically significant.Before and after treatment,the observation group(t=-10.897,P=0.000),the control group(t=-5.698,P=0.000),the difference was statistically significant.(4)Eye movement:After treatment,the observation group was better than the control group(t=2.143,P=0.037),and the difference was statistically significant.Before and after treatment,the observation group(t=6.279,P=0.000),the control group(t=16.052,P=0.000),the difference was statistically significant.CONCLUSIONS Acupuncture combined with ocular tendon therapy has a significant effect on oculomotor paralysis which is better than acupuncture alone.