中华眼视光学与视觉科学杂志
中華眼視光學與視覺科學雜誌
중화안시광학여시각과학잡지
CHINESE JOURNAL OF OPTOMETRY OPHTHALMOLOGY AND VISUAL SCIENCE
2015年
4期
245-249
,共5页
向圣锦%李艳%张舒%杨凯文%孙艳丽%郑景伟%窦仁慧%王勤美
嚮聖錦%李豔%張舒%楊凱文%孫豔麗%鄭景偉%竇仁慧%王勤美
향골금%리염%장서%양개문%손염려%정경위%두인혜%왕근미
近视%视疲劳%近距离工作%穴位按摩%中药敷贴%七叶洋地黄双苷%调节功能
近視%視疲勞%近距離工作%穴位按摩%中藥敷貼%七葉洋地黃雙苷%調節功能
근시%시피로%근거리공작%혈위안마%중약부첩%칠협양지황쌍감%조절공능
Myopia%Asthenopia%Nearwork%Massage%Point application with Chinese medicine%Esculin and digitalisglycosides%Accommodation
目的 研究眼周穴位按摩联合中药敷贴法治疗近视中小学生持久近距离工作所致视疲劳的临床疗效及其对调节功能的影响.方法 开放性随机对照研究.纳入2011年6-9月于温州医科大学附属眼视光医院就诊患者107例,按治疗方法及时长不同分为治疗2周组、治疗4周组和对照组,分别为39、38、30例.治疗组采用眼周穴位按摩联合中药敷贴法分别治疗2周和4周,对照组采用七叶洋地黄双苷滴眼液点眼4周,在治疗前、治疗后2周及治疗后4周分别评估患者主觉症状、UCVA及调节功能的变化.对所得数据采用重复测量方差分析进行比较.结果 3组治疗后UCVA均有一定程度提高(F时同=39.66,P<0.01),但组间比较差异无统计学意义.3组患者治疗后视疲劳评分减小(F时间=175.91,P<0.01),组间比较差异无统计学意义.3组治疗后双眼调节幅度以及负相对调节(NRA)、正相对调节(PRA)均有改善(F时间=24.80、10.34、31.68,P<0.01),但组间比较差异无统计学意义.3组治疗后双眼调节灵敏度和调节滞后均有改善(F时间=101.22、11.73,P<0.01),且组阅比较差异有统计学意义(F分组=3.66、4.73,P<0.05),以治疗4周组疗效最佳.结论 眼周穴位按摩联合中药敷贴法与七叶洋地黄双苷滴眼液均可以改善近视青少年持久近距离工作所致视疲劳患者的自觉症状以及调节功能;但眼周穴位按摩联合中药敷贴法更有利于改善患者的调节灵敏度和调节滞后,推测眼周穴位按摩联合中药敷贴法对近视防控可能有一定作用.
目的 研究眼週穴位按摩聯閤中藥敷貼法治療近視中小學生持久近距離工作所緻視疲勞的臨床療效及其對調節功能的影響.方法 開放性隨機對照研究.納入2011年6-9月于溫州醫科大學附屬眼視光醫院就診患者107例,按治療方法及時長不同分為治療2週組、治療4週組和對照組,分彆為39、38、30例.治療組採用眼週穴位按摩聯閤中藥敷貼法分彆治療2週和4週,對照組採用七葉洋地黃雙苷滴眼液點眼4週,在治療前、治療後2週及治療後4週分彆評估患者主覺癥狀、UCVA及調節功能的變化.對所得數據採用重複測量方差分析進行比較.結果 3組治療後UCVA均有一定程度提高(F時同=39.66,P<0.01),但組間比較差異無統計學意義.3組患者治療後視疲勞評分減小(F時間=175.91,P<0.01),組間比較差異無統計學意義.3組治療後雙眼調節幅度以及負相對調節(NRA)、正相對調節(PRA)均有改善(F時間=24.80、10.34、31.68,P<0.01),但組間比較差異無統計學意義.3組治療後雙眼調節靈敏度和調節滯後均有改善(F時間=101.22、11.73,P<0.01),且組閱比較差異有統計學意義(F分組=3.66、4.73,P<0.05),以治療4週組療效最佳.結論 眼週穴位按摩聯閤中藥敷貼法與七葉洋地黃雙苷滴眼液均可以改善近視青少年持久近距離工作所緻視疲勞患者的自覺癥狀以及調節功能;但眼週穴位按摩聯閤中藥敷貼法更有利于改善患者的調節靈敏度和調節滯後,推測眼週穴位按摩聯閤中藥敷貼法對近視防控可能有一定作用.
목적 연구안주혈위안마연합중약부첩법치료근시중소학생지구근거리공작소치시피로적림상료효급기대조절공능적영향.방법 개방성수궤대조연구.납입2011년6-9월우온주의과대학부속안시광의원취진환자107례,안치료방법급시장불동분위치료2주조、치료4주조화대조조,분별위39、38、30례.치료조채용안주혈위안마연합중약부첩법분별치료2주화4주,대조조채용칠협양지황쌍감적안액점안4주,재치료전、치료후2주급치료후4주분별평고환자주각증상、UCVA급조절공능적변화.대소득수거채용중복측량방차분석진행비교.결과 3조치료후UCVA균유일정정도제고(F시동=39.66,P<0.01),단조간비교차이무통계학의의.3조환자치료후시피로평분감소(F시간=175.91,P<0.01),조간비교차이무통계학의의.3조치료후쌍안조절폭도이급부상대조절(NRA)、정상대조절(PRA)균유개선(F시간=24.80、10.34、31.68,P<0.01),단조간비교차이무통계학의의.3조치료후쌍안조절령민도화조절체후균유개선(F시간=101.22、11.73,P<0.01),차조열비교차이유통계학의의(F분조=3.66、4.73,P<0.05),이치료4주조료효최가.결론 안주혈위안마연합중약부첩법여칠협양지황쌍감적안액균가이개선근시청소년지구근거리공작소치시피로환자적자각증상이급조절공능;단안주혈위안마연합중약부첩법경유리우개선환자적조절령민도화조절체후,추측안주혈위안마연합중약부첩법대근시방공가능유일정작용.
Objective To study the clinical efficacy of periocular massage and point application with Chinese medicine in treating juvenile myopia patients with nearwork-induced asthenopia.Methods A clinical randomized,controlled study was performed on 107 juvenile myopia patients with asthenopia from June to September 2011.Thirty-nine patients were treated with periocular massage and point application for 2 weeks in the treated 2W group;38 patients received the same treatment for 4 weeks in the treated 4W group;30 patients were treated with esculin and digitalisglycosides eye drops for 4 weeks in the contrast group.Scores for asthenopia symptoms,UCVA (uncorrected vision acuity) and accommodative function were measured at the following time points:before treatment and 2 weeks and 4 weeks after treatment.Results ①UCVA:after 4 weeks,UCVA had improved to a certain extent (F=39.66,P<0.01),but there were no statistically significant differences among the groups.②Score for asthenopia symptoms:the score decreased significantly (F=175.91,P<0.01),but there were no significant differences among the groups.③Accommodative function:after 4 weeks,all parameters for accommodative function,including amplitude of accommodation,accommodative facility,accommodative lag and negative relative accommodation/positive relative accommodation (NRA/PRA) had improved significantly in all three groups (F=24.80,101.22,11.73,10.34,31.68,P<0.01).Moreover,the treated 4W group produced the best results for accommodative facility (F=3.66,P<0.05) and accommodative lag (F=4.73,P<0.01) compared to the other groups.However,there were no significant differences in amplitude of accommodation or NRA/PRA among the groups.Conclusion Periocular massage and point application with Chinese medicine and escuilin and digitalisglycosides eye drops all improved UCVA,asthenopia symptoms and accommodative function.But periocular massage and point application with Chinese medicine is more conducive to improve the patient's accommodative facility and accommodative lag.It may have a certain effectiveness for preventing myopia progression.