【摘要】 目的:观察捻转泻法重度刺激眼周腧穴治疗青少年近视的临床疗效及影响因素,比较轻度、重度2种不同刺激强度及白昼戴镜的临床疗效差异。方法:根据知情、同意原则,采用随机、对照方法,将120例(240只患眼)青少年近视患者随机分为重度刺激组(60例,120只患眼)、轻度刺激组(60例,120只患眼),另设戴镜组(60例,120只惠眼)对比。重度刺激组、轻度刺激组均选攒竹、鱼腰、丝竹空、四白、太阳穴,采用捻转泻法,重度刺激组各穴捻转幅度360°、90次/分,轻度刺激组各穴捻转90°、60次/分;戴镜组不进行针刺治疗,只需白昼戴镜。比较各组视力改善情况。结果:捻转泻法治疗后视力有所提高(P<0.01),且重度刺激组较轻度刺激组视力提高明显(P<0.01),戴镜组视力无变化。患者年龄、治疗前近视程度均与治疗后视力变化差值有密切关系(P<0.01)。结论:捻转泻法治疗青少年近视临床疗效肯定;重度刺激优于轻度刺激;年龄、近视程度对临床疗效有影响。更多还原

【Abstract】 Objective To observe the therapeutic effect and influential factors of strong stimulation of acupoints around eyes by reducing method of twisting the needle for treatment of adolescent myopia,and to compare the dif- ferent curative effects of both weak and strong stimulus intensities and wearing glasses in daytime.Methods Ac- cording to the principle of knowing and permission,the patients were divided into a strong stimulation group(60 ea- ses,120 eyes),a weak stimulation group(60 cases,120 eyes)and a wearing glasses group(60 cases,120 eyes). Both the strong stimulation group and the weak stimulation group were treated by reducing method of twisting the needle,with Cuanzhu(BL 2),Yuyao(EX-HN 4),Sizhukong(TE 23),Sibai(ST 2)and Taiyang(EX-HN 5)se- lected.Each acupoint was twisted 360°and 90 times per min for the strong stimulation group,and 90°and 60 times per rain for the weak stimulation group;the wearing glasses group were not treated with acupuncture,but with wearing glasses in daytime.Results After treatment with the reducing method of twisting the needle,the vision improved(P<0.01),with more obviously increased in the strong stimulation group than the weak stimulation group(P<0.01),and there was no significant change of vision in the wearing glasses group.The age and the my- opic degree of the patient before treatment were closely related with the change of vision after treatment(P<0.01). Conclusion The reducing method of twisting the needle has a definite clinical therapeutic effect on adolescent myopi- a;strong stimulation has a better effect than the weak one;the age and the myopic degree of the patient possibly in- fluence the therapeutic effect.更多还原