膏摩顶法改善青少年近视视疲劳的临床疗效观察

The Observation on Clinical Effect of Massaging the Top of Head with Ointment on Visual Fatigue in Adolescent Myopia Patients

目的观察应用摩顶明目膏进行膏摩顶法对青少年近视视疲劳的疗效。方法纳入2021年9月—2022年9月于湖南中医药大学第一附属医院就诊的青少年近视合并视疲劳患者94例(188只眼),随机分为治疗组和对照组,各47例(94只眼)。治疗组予摩顶明目膏为介质对头部五经进行推拿,对照组采用眼周穴位推拿。2组均观察28 d。分别于治疗前、治疗后测量患者双眼视疲劳症状评分、调节幅度积分、调节灵活度积分、调节滞后量积分、正、负相对调节积分的数据。结果2组治疗前视疲劳症状评分、调节幅度积分、调节灵活度积分、调节滞后量积分、正、负相对调节积分比较,差异均无统计学意义(P>0.05)。(1)双眼视疲劳症状评分:2组治疗后均较治疗前降低,差异均有统计学意义(t_(治疗组)=5.300,P=0.000;t_(对照组)=4.470,P=0.001)。2组间治疗后比较,治疗组视疲劳症状评分低于对照组,差异有统计学意义(t=2.950,P=0.004)。(2)双眼调节幅度积分:2组治疗后均较治疗前升高,差异有统计学意义(t_(治疗组)=7.560、t_(对照组)=3.800,均P=0.000)。2组间治疗后比较,治疗组高于对照组,差异有统计学意义(t=5.720,P=0.000)。(3)双眼调节灵活度积分:2组治疗后均较治疗前升高,差异均有统计学意义(t_(治疗组)=16.240、t_(对照组)=6.940,均P=0.000)。2组间治疗后比较,治疗组高于对照组,差异有统计学意义(t=9.980,P=0.000)。(4)双眼调节滞后量积分:2组治疗后均较治疗前降低,差异有统计学意义(t_(治疗组)=9.110、t_(对照组)=4.780,均P=0.000)。2组间治疗后比较,治疗组低于对照组,差异有统计学意义(t=2.973,P=0.003)。(5)双眼正相对调节积分:2组治疗后均较治疗前升高,差异有统计学意义(t_(治疗组)=5.920,P=0.000;t_(对照组)=2.530,P=0.012)。2组间治疗后比较,治疗组高于对照组,差异有统计学意义(t=11.300,P=0.000)。(6)双眼负相对调节积分:2组治疗后均较治疗前降低,差异有统计学意义(t_(治疗组)=10.930、t_(对照组)=8.810,均P=0.000)。2组间治疗后比较,治疗组低于对照组,差异有统计学意义(t=3.660,P=0.000)。结论应用膏摩顶法对头部五经进行推拿对青少年近视及视疲劳取得较好的治疗效果,具有较高的临床推广价值。

OBJECTIVE To observe the efficacy of the application of Moding Mingmu Ointment using the massaging the top of head in the treatment of visual fatigue in adolescent myopia patients.METHODS A total of 94 cases(188 eyes)of adolescents with myopia and visual fatigue treated at The Frist Hospital of Hunan University of Chinese Medicine from September 2021 to September 2022 were included in the study.They were randomly divided into the treatment group(TG)and the control group(CG),each consisting of 47 cases(94 eyes).The treatment group received Moding Mingmu Ointment for massaging the head along the five meridians,while the control group received massage around the eye acupoints.Both groups were observed for 28 days.Measurements of bilateral visual fatigue symptom scores,adjustment range scores,adjustment flexibility scores,adjustment lag scores,and positive and negative relative adjustment scores were taken before and after the treatment.RESULTS Comparison of visual fatigue symptom scores,adjustment range scores,adjustment flexibility scores,adjustment lag scores,positive,and negative relative adjustment scores between the two groups before treatment showed no statistically significant differences(P>0.05).(1)Bilateral visual fatigue symptom scores:After treatment,both groups exhibited a significant reduction in visual fatigue symptom scores compared to baseline(t_(TG)=5.300,P=0.000;t_(CG)=4.470,P=0.001).Post-treatment,the treatment group had significantly lower visual fatigue symptom scores than the control group(t=2.950,P=0.004).(2)Bilateral adjustment range scores:After treatment,both groups showed a significant increase in bilateral adjustment range scores compared to baseline(t_(TG)=7.560,t_(CG)=3.800,both P=0.000).Post-treatment,the treatment group had significantly higher adjustment range scores than the control group(t=5.720,P=0.000).(3)Bilateral adjustment flexibility scores:After treatment,both groups demonstrated a significant increase in bilateral adjustment flexibility scores compared to baseline(t_(TG)=16.240,t_(CG)=6.940,both P=0.000).Post-treatment,the treatment group had significantly higher adjustment flexibility scores than the control group(t=9.980,P=0.000).(4)Bilateral adjustment lag scores:After treatment,both groups showed a significant decrease in bilateral adjustment lag scores compared to baseline(t_(TG)=9.110,t_(CG)=4.780,both P=0.000).Post-treatment,the treatment group had significantly lower bilateral adjustment lag scores than the control group(t=2.973,P=0.003).(5)Bilateral positive relative adjustment scores:After treatment,both groups demonstrated a significant increase in bilateral positive relative adjustment scores compared to baseline(t_(TG)=5.920,P=0.000;t_(CG)=2.530,P=0.012).Post-treatment,the treatment group had significantly higher positive relative adjustment scores than the control group(t=11.300,P=0.000).(6)Bilateral negative relative adjustment scores:After treatment,both groups exhibited a significant decrease in bilateral negative relative adjustment scores compared to baseline(t_(TG)=10.930,t_(CG)=8.810,both P=0.000).Post-treatment,the treatment group had significantly lower negative relative adjustment scores than the control group(t=3.660,P=0.000).CONCLUSIONS The application of massaging the top of head with ointment for massaging the head along the five meridians is more effective than simple eye acupoint massage in improving visual fatigue and eye adjustment function in adolescent myopia patients.It holds significant clinical value for promotion and application.