中国中医眼科杂志
中國中醫眼科雜誌
중국중의안과잡지
Chinese Journal of Chinese Ophthalmology
2015年
4期
236-240
,共5页
视神经萎缩%针刺治疗%眶内穴位%视野%视觉诱发电位
視神經萎縮%針刺治療%眶內穴位%視野%視覺誘髮電位
시신경위축%침자치료%광내혈위%시야%시각유발전위
optic atrophy%acupuncture treatment%intraorbital acupoints%visual field%visual evoked potential
目的：观察针刺眶内穴位结合头针治疗视神经萎缩的疗效。方法将90例视神经萎缩患者（111只眼）随机分为2组，治疗组30例（36只眼）采用针刺眶内穴位结合头针治疗；眶内对照组30例（38只眼）单用针刺眶内穴位治疗；头针对照组30例（37只眼）单用针刺头部穴位治疗。各组均以2周（14 d）为1个疗程，连续观察2个疗程。结果治疗组总有效率83.33%，眼针对照组总有效率60.53%，头针对照组总有效率64.86%，治疗组总有效率明显好于眶内对照组和头针对照组，差异有统计学意义（P<0.05）；治疗后，治疗组视力、视野的平均光敏感度和平均缺损以及视觉诱发电位P100波的振幅和潜伏期的改善程度均明显优于眶内对照组和头针对照组，差异有统计学意义（P<0.05）。结论针刺眶内穴位结合头针治疗视神经萎缩具有较好的临床疗效，在改善患眼视力、视野及提高视神经传导功能方面，好于普通针刺或头针治疗。
目的：觀察針刺眶內穴位結閤頭針治療視神經萎縮的療效。方法將90例視神經萎縮患者（111隻眼）隨機分為2組，治療組30例（36隻眼）採用針刺眶內穴位結閤頭針治療；眶內對照組30例（38隻眼）單用針刺眶內穴位治療；頭針對照組30例（37隻眼）單用針刺頭部穴位治療。各組均以2週（14 d）為1箇療程，連續觀察2箇療程。結果治療組總有效率83.33%，眼針對照組總有效率60.53%，頭針對照組總有效率64.86%，治療組總有效率明顯好于眶內對照組和頭針對照組，差異有統計學意義（P<0.05）；治療後，治療組視力、視野的平均光敏感度和平均缺損以及視覺誘髮電位P100波的振幅和潛伏期的改善程度均明顯優于眶內對照組和頭針對照組，差異有統計學意義（P<0.05）。結論針刺眶內穴位結閤頭針治療視神經萎縮具有較好的臨床療效，在改善患眼視力、視野及提高視神經傳導功能方麵，好于普通針刺或頭針治療。
목적：관찰침자광내혈위결합두침치료시신경위축적료효。방법장90례시신경위축환자（111지안）수궤분위2조，치료조30례（36지안）채용침자광내혈위결합두침치료；광내대조조30례（38지안）단용침자광내혈위치료；두침대조조30례（37지안）단용침자두부혈위치료。각조균이2주（14 d）위1개료정，련속관찰2개료정。결과치료조총유효솔83.33%，안침대조조총유효솔60.53%，두침대조조총유효솔64.86%，치료조총유효솔명현호우광내대조조화두침대조조，차이유통계학의의（P<0.05）；치료후，치료조시력、시야적평균광민감도화평균결손이급시각유발전위P100파적진폭화잠복기적개선정도균명현우우광내대조조화두침대조조，차이유통계학의의（P<0.05）。결론침자광내혈위결합두침치료시신경위축구유교호적림상료효，재개선환안시력、시야급제고시신경전도공능방면，호우보통침자혹두침치료。
OBJECTIVE To observe the therapeutic effect of intraorbital acupuncture combined with scalp acupuncture to treat optic atrophy. METHODS Ninety optic atrophy patients (111 eyes) were randomized divided into 3 groups. The treatment group (30 cases, 36 eyes) was treated by intraorbital acupuncture and scalp acupunc-ture, the intraorbital acupuncture control group (30 cases, 38 eyes) was treated only by intraorbital acupuncture, and the scalp acupuncture control group (30 cases, 37 eyes) was treated only by scalp acupuncture. All groups treated 2 weeks (14 days) as a course, continuous observation of 2 courses. RESULTS The total effective rate was 83.33%in the treatment group, 60.53%in the intraorbital acupuncture control group and 64.86%in the scalp acupuncture con-trol group, and the total effective rate of treatment group was significantly superior to that of the other 2 groups (P<0.05). Of treatment group,the improvement of vision, average light sensitivity and defects of visual field, amplitude and peak latencies of visual evoked potential (VEP) P100 wave after treatment were significantly better than the other 2 groups (P<0.05). CONCLUSIONS Intraorbital acupuncture combined with scalp acupuncture had better efficacy for optic atrophy, and was effective in improving the vision, average light sensitivity and defects of visual field, en-hancing the optic nerve fiber conduction velocity and the strength of the excitement of visual impulse.
