针刺联合视觉训练治疗弱视患儿的效果

Effects of acupuncture combined with visual training on children with amblyopia

目的:观察针刺联合视觉训练治疗弱视患儿的效果。方法:选取2019—2022年该院收治的60例弱视患儿进行前瞻性研究,按照随机数字表法将其分为观察组和对照组各30例。对照组采用视觉训练治疗,观察组在对照组基础上联合针刺治疗,两组均连续治疗24周。比较两组临床疗效,治疗前后视力指标[裸眼视力、最佳矫正视力(BCVA)]水平、眼功能指标(调节幅度、立体视锐度)水平、社交焦虑[儿童社交焦虑量表(SASC)]评分、自尊[儿童自尊量表(CSES)]评分,以及不良反应发生率。结果:观察组治疗总有效率为92.98%(53/57),高于对照组的80.00%(44/55),差异有统计学意义(P<0.05);治疗后,观察组裸眼视力、BCVA水平均高于对照组,差异有统计学意义(P<0.05);治疗后,观察组调节幅度水平高于对照组,立体视锐度水平低于对照组,差异均有统计学意义(P<0.05);治疗后,观察组SASC评分低于对照组,CSES评分高于对照组,差异均有统计学意义(P<0.05);两组治疗期间均未见明显不良反应。结论:针刺联合视觉训练治疗弱视患儿可提高治疗总有效率、视力指标水平和自尊评分,改善眼功能指标水平,降低社交焦虑评分,效果优于单纯视觉训练治疗。

Objective:To observe effects of acupuncture combined with visual training on children with amblyopia.Methods:A prospective study was conducted on 60 children with amblyopia admitted to the hospital from 2019 to 2022.They were divided into observation group and control group according to the random number table method,30 cases in each group.The control group was treated with visual training,while the observation group was treated with acupuncture on the basis of that of the control group.The treatment lasted continuously for 24 weeks.The clinical efficacy,the visual acuity indexes[uncorrected visual acuity,best corrected visual acuity(BCVA)]levels,the eye function indexes(amplitude of accommodation,stereoacuity)levels,the social anxiety[social anxiety scale for children(SASC)]score,the self-esteem[coping self-efficacy scale(CSES)]score before and after the treatment,and the incidence of adverse reactions were compared between the two groups.Results:The total effective rate of the observation group was 92.98%(53/57),which was higher than 80.00%(44/55)of the control group,and the difference was statistically significant(P<0.05).After the treatment,the uncorrected visual acuity and BCVA levels of the observation group were higher than those of the control group,and the differences were statistically significant(P<0.05).After the treatment,the level of accommodative amplitude in the observation group was higher than that in the control group,the level of stereoacuity was lower than that in the control group,and the differences were statistically significant(P<0.05).After the treatment,the SASC score of the observation group was lower than that of the control group,the CSES score was higher than that of the control group,and the differences were statistically significant(P<0.05).However,there were no obvious adverse reactions in the two groups during the treatment.Conclusions:Acupuncture combined with visual training in the treatment of the children with amblyopia can improve the total effective rate of treatment,the visual acuity index levels and the self-esteem scores,improve the levels of eye function indexes,and reduce the social anxiety scores.Moreover,it is superior to single visual training treatment.