针灸临床杂志
針灸臨床雜誌
침구림상잡지
JOURNAL OF CLINICAL ACUPUNCTURE AND MOXIBUSTION
2014年
6期
39-42
,共4页
刘江%孙河%董霏雪%庞有慧
劉江%孫河%董霏雪%龐有慧
류강%손하%동비설%방유혜
青光眼%针刺%视觉诱发电位(VEP)%视神经保护
青光眼%針刺%視覺誘髮電位(VEP)%視神經保護
청광안%침자%시각유발전위(VEP)%시신경보호
Glaucoma%Acupuncture%Visual evoked potential%Protection of optical nerve
目的：观察针刺对青光眼术后病人视觉诱发电位（ VEP）的影响并探讨其作用机制。方法：将40例青光眼术后眼压已控制患者（40只眼）随机分为治疗组20例（20只眼）和对照组20例（20只眼），对照组术后不采用任何治疗，治疗组行针刺治疗，分别记录治疗前、治疗后、治疗结束3个月后3个时间窗的视力、图形视觉诱发电位（ P-VEP）。根据各项检测结果客观评价治疗效果，并进行统计。结果：治疗组治疗后视力提高，视觉诱发电位振幅提高，潜伏期缩短较治疗前差异有统计学意义。对照组治疗前后视力、视觉诱发电位振幅及潜伏期比较差异无统计学意义。治疗组疗效明显优于对照组（P＜0．05）。结论：针刺对青光眼术后的视神经具有保护作用。
目的：觀察針刺對青光眼術後病人視覺誘髮電位（ VEP）的影響併探討其作用機製。方法：將40例青光眼術後眼壓已控製患者（40隻眼）隨機分為治療組20例（20隻眼）和對照組20例（20隻眼），對照組術後不採用任何治療，治療組行針刺治療，分彆記錄治療前、治療後、治療結束3箇月後3箇時間窗的視力、圖形視覺誘髮電位（ P-VEP）。根據各項檢測結果客觀評價治療效果，併進行統計。結果：治療組治療後視力提高，視覺誘髮電位振幅提高，潛伏期縮短較治療前差異有統計學意義。對照組治療前後視力、視覺誘髮電位振幅及潛伏期比較差異無統計學意義。治療組療效明顯優于對照組（P＜0．05）。結論：針刺對青光眼術後的視神經具有保護作用。
목적：관찰침자대청광안술후병인시각유발전위（ VEP）적영향병탐토기작용궤제。방법：장40례청광안술후안압이공제환자（40지안）수궤분위치료조20례（20지안）화대조조20례（20지안），대조조술후불채용임하치료，치료조행침자치료，분별기록치료전、치료후、치료결속3개월후3개시간창적시력、도형시각유발전위（ P-VEP）。근거각항검측결과객관평개치료효과，병진행통계。결과：치료조치료후시력제고，시각유발전위진폭제고，잠복기축단교치료전차이유통계학의의。대조조치료전후시력、시각유발전위진폭급잠복기비교차이무통계학의의。치료조료효명현우우대조조（P＜0．05）。결론：침자대청광안술후적시신경구유보호작용。
Objective:To observe the effect on VEP by acupuncturing patients with glaucoma , and to explore the mechanism of treatment of acupuncture .Methods:40 eyes of 40 patients with optical atrophy caused by glaueoma were randomly divided into a treatment group (20 cases,20 eyes) and a control group (20 cases,20 eyes ) .Intraocular pressure was reduced to below 17 mmHg by surgery .And the treatment group was treated by acupuncture while the control group was treated by nothing .Every patient was examined on vision , visual e-voked potential three times .The three-time point was before treatment and after treatment and after 3 months o-ver the treatment .Compare the data with statistical analysis .Results:Compared with the data before treatement , the difference of visions in treatement group was statistically significant .In control group visual acuity before and after treatment was compared and there was no significant difference .As to the visual evoked potential ( VEP) ,in the treatment group the amplitude of the P 100 wave was improved ,and there were significant differences;the la-tency of the P100 wave was shortened ,and there were significant differences .Compare the amplitude of visual e-voked potential before and after treatment in the control group ,and there was no significant difference;as to the comparison of latency there was no significant difference.The efficacy in the treatment group was superior to that in the control group(P<0.05).Conclusion:The acupuncture has an obvious efficacy on optical atrophy caused by glaueoma ,and could protect the optical nerve from the damage of glaucoma .
