眼周经皮穴位电刺激干预假性近视及低中度近视伴调节功能异常临床观察

Clinical Observation of Eye Transcutaneous Electrical Acupoint Stimulation in Intervening Pseudomyopia and Low to Moderate Myopia with Abnormal Accommodation Function

目的:观察眼周经皮穴位电刺激(Eye-TEAS)对儿童青少年假性近视及低中度近视患者调节功能的干预效果,同时评价治疗仪的安全性。方法:纳入儿童青少年假性近视及低中度近视患者141例,随机分为观察组67例和对照组74例。观察组使用Eye-TEAS治疗仪选取睛明、攒竹、鱼腰、丝竹空、太阳、四白穴治疗,对照组使用SJZ近视治疗仪治疗,两组均每天治疗20 min,10 d为1个疗程,共治疗2个疗程。比较两组治疗前后裸眼远近视力、调节功能,评价临床疗效;并以不良事件发生率为安全性指标,评估治疗仪的安全性。结果:治疗后,两组裸眼远近视力均较治疗前显著提高,但组间比较,差异无统计学意义(P>0.05);两组患者调节灵敏度、调节幅度、正相对调节、负相对调节较治疗前均显著提高(P<0.05),且观察组上述调节功能指标水平及临床疗效均明显优于对照组(P<0.05)。观察组、对照组不良事件发生率分别为5.0%、7.6%,差异无统计学意义(P>0.05)。结论:Eye-TEAS治疗仪在改善儿童青少年假性近视及低中度近视患者远近视力及调节功能方面疗效确切,安全性较高。

Objective:To observe the efficacy of eye transcutaneous electrical acupoint stimulation(Eye-TEAS) in intervening the accommodation function of children and adolescents with pseudomyopia and low to moderate myopia,and to evaluate the safety of the therapeutic instrument. Methods:A total of 141 children and adolescents with pseudomyopia and low to moderate myopia were included and randomly divided into observation group(67cases) and control group(74 cases). The observation group was treated by Eye-TEAS therapeutic instrument acting on Jingming(B1),Cuanzhu(B2),Yuyao(EX-HN4),Sizhukong(TE23),Taiyang(EX-HN5),and Sibai(S2),while the control group was treated by SJZ myopic therapeutic instrument. Both the two groups were treated for 20 minutes a day,10 days as a course of treatment,and a total of 2 courses of treatment were given.The uncorrected distant vision,uncorrected near vision,and accommodation function were compared between the two groups before and after treatment,and the clinical curative efficacy of the two groups was evaluated.The incidence of adverse events was used as a safety indicator to evaluate the safety of the therapeutic instruments. Results:After treatment,the uncorrected distant and near vision of the two groups was significantly improved,but there was no statistically significant difference between the two groups(P>0.05). The accommodative facility,accommodative amplitude,positive relative accommodation and negative relative accommodation of the two groups were significantly improved compared with those before treatment(P<0.05),and the levels of the above accommodation function indicators and clinical curative efficacy of the observation group were significantly better than those of the control group(P<0.05). The incidence of adverse events of the observation group and the control group was 5.0% and 7.6%,respectively,and the difference was not statistically significant(P>0.05). Conclusions:Eye-TEAS is effective and safe in improving the accommodation function of children and adolescents patients with pseudomyopia and low to moderate myopia.