CAJ | 학술논문

目的：观察针刺综合治疗湿性年龄相关性黄斑变性的疗效，对针刺治疗该病的疗效进行系统客观的评价，探索针刺治疗该病的规范化方案，以供临床推广运用。方法共观察37例患者67眼，采用自身对照的方法，比较治疗3个月前后视力、Amsler方格表和视功能损害眼病患者生存质量量表指标的变化，并做临床疗效评定。结果治疗后视力和生存质量量表得分与治疗前相比差异有统计学意义(P＜0.05)；Amsler方格表检查总改善率79.2%；临床总有效率为77.6%；年龄和病程与疗效呈负相关性(P＜0.05)。结论针刺综合治疗湿性年龄相关性黄斑变性能明显改善视功能，提高患者生存质量，患者年龄越小、病程越短，疗效越好。
목적：관찰침자종합치료습성년령상관성황반변성적료효，대침자치료해병적료효진행계통객관적평개，탐색침자치료해병적규범화방안，이공림상추엄운용。방법공관찰37례환자67안，채용자신대조적방법，비교치료3개월전후시력、Amsler방격표화시공능손해안병환자생존질량량표지표적변화，병주림상료효평정。결과치료후시력화생존질량량표득분여치료전상비차이유통계학의의(P＜0.05)；Amsler방격표검사총개선솔79.2%；림상총유효솔위77.6%；년령화병정여료효정부상관성(P＜0.05)。결론침자종합치료습성년령상관성황반변성능명현개선시공능，제고환자생존질량，환자년령월소、병정월단，료효월호。
ObjectiveTo systematically and objectively evaluate the therapeutic efficacy of comprehensive acupuncture treatment in managing wet age-related macular degeneration (ARMD), and to seek a standard acupuncture protocol for this disease, for promoting the application in clinic.MethodTotally 37 patients (67 eyes) were observed to compare the vision, Amsler grid and rating scale of quality of life for visual impairment before and after the 3-month treatment. The clinical efficacy was then evaluated. ResultThe vision and score of quality of life were significantly changed after intervention (P<0.05); according to Amsler grid, the total improved rate was 79.2% and the total effective rate was 77.6%; age and disease duration were negatively correlated with the therapeutic efficacy (P<0.05).ConclusionComprehensive acupuncture treatment can significantly improve the vision and quality of life in patients with wet ARMD, and the younger the patients and the shorter the disease duration, the higher the therapeutic efficacy.