CAJ | 학술논문

目的：观察针刺眼三针为主治疗后天性麻痹性斜视的临床疗效。方法将70例后天性麻痹性斜视患者随机等分为针刺组和西药组,两组患者均服用强的松、弥可保、维生素B1和维生素B12,针刺组另外加用针刺眼三针为主的治疗。治疗4星期、8星期后,观察两组临床疗效及不良反应。结果治疗4星期后,针刺组总有效率为75.0%,西药组为51.6%；治疗8星期后总有效率分别为90.6%和77.4%,两组比较差异有统计学意义(P＜0.05)。针刺组患者偶有晕针、局部瘀血,两组均无特殊不适。结论眼三针用于后天性麻痹性斜视治疗,起效迅速,疗效肯定。
목적：관찰침자안삼침위주치료후천성마비성사시적림상료효。방법장70례후천성마비성사시환자수궤등분위침자조화서약조,량조환자균복용강적송、미가보、유생소B1화유생소B12,침자조령외가용침자안삼침위주적치료。치료4성기、8성기후,관찰량조림상료효급불량반응。결과치료4성기후,침자조총유효솔위75.0%,서약조위51.6%；치료8성기후총유효솔분별위90.6%화77.4%,량조비교차이유통계학의의(P＜0.05)。침자조환자우유훈침、국부어혈,량조균무특수불괄。결론안삼침용우후천성마비성사시치료,기효신속,료효긍정。
ObjectiveTo investigate the clinical efficacy of Jin’s eye three-needle acupuncture as main therapy for acquired paralytic strabismus.MethodSeventy patients with acquired paralytic strabismus were randomly allocated to acupuncture and Western medication groups. Both groups of enrolled patients took prednisone,methycobal, vitamin B1and vitamin B12. In addition, theacupuncture group received Jin’s eye three-needle acupuncture as main therapy. The clinical therapeutic effects and adverse reactions were observed after four and eight weeks of treatment.ResultThe total efficacy rate was 75.0% in the acupuncture group and 51.6% in the Western medication group after four weeks of treatment and 90.6% in the acupuncture group and 77.4% in the Western medication group after eight weeks of treatment. There were statistically significant differences between the two groups (P<0.05). Patients in the acupuncture group occasionally had acupuncture syncope and local blood stasis. Both groups had no special discomforts.ConclusionJin’s eye three-needle acupuncture has a quick and definite therapeutic effect on acquired paralytic strabismus.