【摘要】 目的观察针刺窍明穴治疗闭角型青光眼视神经萎缩的临床疗效。方法将55眼闭角型青光眼视神经萎缩患者随机分为治疗组(28眼)和对照组(27眼)。治疗组采用针刺窍明穴为主配合药物治疗,对照组采用单纯药物治疗。观察两组治疗前后视野平均缺损、视野平均光敏度及P-VEP指标,比较两组临床疗效。结果治疗组总有效率为82.1%,对照组为70.4%,两组比较差异具有统计学意义(P<0.05)。两组治疗后视野平均缺损和平均光敏度与同组治疗前比较,差异均具有统计学意义(P<0.05)。治疗组治疗后P-VEP指标与同组治疗前比较,差异具有统计学意义(P<0.05)。治疗组治疗后视野平均缺损、视野平均光敏度及P-VEP指标与对照组比较,差异均具有统计学意义(P<0.05)。结论针刺窍明穴是一种治疗闭角型青光眼视神经萎缩的有效方法。更多还原

【Abstract】 Objective To observe the clinical efficacy of acupuncture at Qiaoming point in treating optic atrophy following angle-closure glaucoma. Method Fifty-five patients with optic atrophy following angle-closure glaucoma were randomized into a treatment group(28 eyes) and a control group(27 eyes). The treatment group was intervened by predominantly puncturing Qiaoming plus medications, while the control group was by medications alone. The mean defect of visual field, mean visual sensitivity, and pattern visual evoked potential(P-VEP) were observed before and after treatment, and the clinical efficacies were compared. Result The total effective rate was 82.1% in the treatment group versus 70.4% in the control group, and the difference was statistically significant(P<0.05). After treatment, the mean defect of visual field and visual sensitivity were significantly different from that before treatment in both groups(P<0.05). The P-VEP value was significantly changed after intervention in the treatment group(P<0.05). After intervention, there were significant differences in comparing the mean defect of visual field, mean visual sensitivity, and P-VEP between the two groups(P<0.05). Conclusion Acupuncture at Qiaoming is an effective method in treating optic atrophy following angle-closure glaucoma.更多还原