穴位敷贴联合视功能训练治疗青少年假性近视伴视疲劳临床研究

Clinical Study on Acupoint Application Combined with Visual Function Training in Treatment of Adolescent Patients with Pseudomyopia and Visual Fatigue

目的:观察穴位敷贴联合视功能训练治疗青少年假性近视伴视疲劳的临床疗效。方法:采用随机数字表法将80例青少年假性近视伴视疲劳患者分为对照组和治疗组各40例。对照组给予视功能训练,每周2次,连续12周;治疗组在对照组基础上给予穴位敷贴治疗,每晚敷贴于相应穴位,第二日晨起取下,每周敷贴5 d,连续敷贴12周。治疗前和治疗12周后,分别评估纳入者患眼裸眼视力、屈光度、调节灵敏度、调节幅度、正负相对调节的变化,同时通过视觉训练视光师学会生存质量量表(COVD-QOL)评估纳入者视疲劳和生活质量情况。结果:两组治疗后裸眼视力、屈光度、调节灵敏度、负相对调节和COVD-QOL评分较治疗前均明显改善(P<0.05)。治疗12周后,治疗组裸眼视力、屈光度、调节灵敏度、调节幅度、正相对调节均优于对照组(P<0.05),COVD-QOL评分明显低于对照组(P<0.05)。结论:穴位敷贴联合视功能训练治疗青少年假性近视伴视疲疗效确切,可有效改善患眼裸眼视力、屈光度、调节功能和视疲劳症状,提高患者生活质量。

Objective:To observe the clinical curative efficacy of acupoint application combined with visual function training in treatment of adolescent patients with pseudomyopia and visual fatigue.Methods:A total of 80 adolescent patients with pseudomyopia and visual fatigue were divided into control group and treatment group according to the random number table method,with 40 cases in each group.The control group was given visual function training twice a week for 12 consecutive weeks.On the basis of the control group,the treatment group was given acupoint application therapy.The medicine was pasted on corresponding acupoints every night and removed on the morning of the second day,5 days a week for 12 consecutive weeks.Before treatment and 12 weeks after treatment,the uncorrected vision,diopter,adjustment sensitivity,adjustment amplitude,and positive and negative relative adjustment of the patients in the two groups were evaluated.Meanwhile,the visual fatigue and life quality of the included patients were evaluated by the College of Optometrists in Vision Development Quality-of-Life(COVD-QOL).Results:After treatment,the uncorrected vision,diopter,adjustment sensitivity,negative relative adjustment and COVD-QOL score of the patients in the two groups were significantly improved compared with those before treatment(P<0.05).Twelve weeks after treatment,the uncorrected vision,diopter,adjustment sensitivity,adjustment amplitude and positive relative adjustment of the patients in the treatment group were better than those of the patients in the control group(P<0.05),and the score of COVD-QOL of the patients in the treatment group was lower than that of the patients in the control group(P<0.05).Conclusions:Acupoint application combined with visual function training has definite curative efficacy in the treatment of adolescent patients with pseudomyopia and visual fatigue.It can effectively improve the uncorrected vision,diopter,adjusting function and visual fatigue symptoms of the patients,and improve life quality.