發(fā)布時(shí)間：2018-06-21 23:25

  本文選題：眼三針 + 穴位注射��； 參考：《廣西中醫(yī)藥大學(xué)》2016年碩士論文

【摘要】：目的:通過隨機(jī)對照觀察眼三針配合穴位注射治療視神經(jīng)萎縮的臨床療效,探討眼三針配合穴位注射在眼科臨床應(yīng)用中的優(yōu)勢,使其能在臨床上推廣而應(yīng)用,進(jìn)而改善患者的生活質(zhì)量,減輕患者及其家庭的負(fù)擔(dān)。方法:于2015年4月1日-2016年1月20日期間,廣西中醫(yī)藥大學(xué)第一附屬醫(yī)院眼科住院病房收治的視神經(jīng)萎縮病人共40例,隨機(jī)分為治療組(眼三針配合穴位注射)20例(31眼),對照組(單純針刺組)20例(33眼)。治療組采用穴位注射配合針灸治療,先針刺眼三針(睛明、上明、承泣),針刺完畢運(yùn)用復(fù)方樟柳堿注射液予患眼攢竹、太陽穴進(jìn)行穴位注射及相應(yīng)配穴,針刺每天一次,穴注每2天一次。一周治療6日,休息1日。12日為一個(gè)療程,共2療程。對照組僅用針刺刺激上述各個(gè)穴位,包括穴注的太陽、攢竹穴及相應(yīng)配穴,治療療程同治療組。每日檢查眼底及視力,并在治療前及療程結(jié)束后檢查視野及視覺誘發(fā)電位,以治療前后視力、視野、視覺誘發(fā)電位三個(gè)結(jié)果綜合起來作為觀察和評估的指標(biāo),并比較兩組的療效。結(jié)果:治療組有效26只眼,無效5只眼,有效率為83.87%;對照組有效20只眼,無效13只眼,有效率為63.6%。兩組有效率經(jīng)過統(tǒng)計(jì)學(xué)分析差異有統(tǒng)計(jì)學(xué)意義,結(jié)果顯示治療組療效優(yōu)于對照組,差異有顯著性(z=-2.053.P0.05)。治療組視力好轉(zhuǎn)有效率為80.64%,對照組視力好轉(zhuǎn)有效率為為57.57%。兩組經(jīng)秩和檢驗(yàn),Z=-1.974,P0.05,差異均具有統(tǒng)計(jì)學(xué)意義(P0.05),結(jié)果顯示治療組視力提高有效率優(yōu)于對照組,差異有顯著性。治療組與對照組治療后平均視野測量值對比經(jīng)統(tǒng)計(jì)學(xué)處理t=0.279,P0.05,具有統(tǒng)計(jì)學(xué)意義,表明治療組平均視野測量值改善優(yōu)于對照組。治療組與對照組治療后VEP100潛伏期測量值對比經(jīng)統(tǒng)計(jì)學(xué)處理t=-2.656,P0.05,具有統(tǒng)計(jì)學(xué)意義,表明治療組視覺誘發(fā)電位P100潛伏期測量值改善優(yōu)于對照組。結(jié)論:通過對治療組與對照組治療前后視力、視野及視覺誘發(fā)電位檢查結(jié)果的比較,提示眼三針配合穴位注射治療視神經(jīng)萎縮對于恢復(fù)視力、改善視野及視覺誘發(fā)電位都得到了較好的療效,且優(yōu)于單純針刺治療方法,是值得大家推廣及廣發(fā)運(yùn)用的。
[Abstract]:Objective: to observe the clinical effect of three eye acupuncture combined with acupoint injection in the treatment of optic nerve atrophy, and to explore the advantages of eye three acupuncture combined with acupoint injection in the clinical application of ophthalmology, so that it can be popularized and applied in clinic. Then improve the quality of life of patients, reduce the burden of patients and their families. Methods: from April 1, 2015 to January 20, 2016, 40 cases of optic nerve atrophy were treated in the eye ward of the first affiliated Hospital of Guangxi University of traditional Chinese Medicine. They were randomly divided into treatment group (n = 20) (n = 30) and control group (n = 20) (n = 33). The treatment group was treated with acupoint injection combined with acupuncture and moxibustion. After acupuncture, the eyes were given with compound anisodine injection, and the temple was injected with acupoints and corresponding acupoints. The acupuncture was done once a day. The injection is made every 2 days. 6 days a week, rest 1. 12 as a course of treatment, a total of 2 courses. The control group only used acupuncture to stimulate the above acupoints, including the point injection of the sun, Zanzhu point and the corresponding points, the course of treatment was the same as the treatment group. The fundus and visual acuity were examined daily, and visual field and visual evoked potential were examined before and after treatment. The visual acuity, visual field and visual evoked potential were taken as the indexes of observation and evaluation before and after treatment. The curative effect of the two groups was compared. Results: the effective rate was 83.87 in 26 eyes and 5 eyes in the treatment group, while in the control group, it was effective in 20 eyes and ineffective in 13 eyes, and the effective rate was 63.6. The results showed that the curative effect of the treatment group was better than that of the control group, and the difference was significant (zhu-2.053.P0.05). The effective rate of visual acuity was 80.64 in the treatment group and 57.57 in the control group. The difference between the two groups was statistically significant (P0.05). The results showed that the effective rate of visual acuity in the treatment group was better than that in the control group, and the difference was significant. The comparison of the mean visual field between the treatment group and the control group was statistically significant, which indicated that the average visual field measurement value of the treatment group was better than that of the control group. The comparison of VEP100 latency between the treatment group and the control group was statistically significant, which indicated that the P100 latency of visual evoked potential in the treatment group was improved better than that in the control group. Conclusion: by comparing the results of visual acuity, visual field and visual evoked potential before and after treatment between the treatment group and the control group, it is suggested that the visual acuity can be restored by the treatment of optic nerve atrophy with three-point acupuncture combined with acupoint injection. The improvement of visual field and visual evoked potential (VEP) is better than that of acupuncture alone. It is worth popularizing and applying widely.
【學(xué)位授予單位】：廣西中醫(yī)藥大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2016
【分類號】：R246.82

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