【作者】 童毅；

【导师】 杨光；

【作者基本信息】 天津中医学院 ， 中医五官， 2004， 硕士

【摘要】 目的：1、 探讨针药并用治疗麻痹性斜视的方法、临床疗效以及可能机理。2、 探讨麻痹性斜视的发病特点，为临床治疗提供依据。3、 针对麻痹性斜视诊治中存在的问题提出看法。方法：1、 按照麻痹性斜视的诊断标准、纳入标准和排除标准，筛选、收集2002年1月至2003年12月天津中医学院第一附属医院眼科麻痹性斜视患者的门诊、住院病例60例。2、 采用麻痹性斜视临床观察表，记录就诊时及治疗过程中的各种情况。3、 对已得到的数据进行统计分析。结果：1、 针药并用治疗麻痹性斜视的治愈率明显优于单纯中药治疗组(P<0． 05) 。提示针药并用治疗麻痹性斜视，可以疏通经络，运行气血，提高神经兴奋性，改善神经肌肉的营养，消除眼肌痉挛，从而使眼肌的运动功能得以康复，病情得到改善或治愈。2、 针药治疗以血管性因素为满意，病程越短，年龄越小，效果越显著。反之，年龄偏大，病程长者，则不甚理想。在临床观察中还注意到，斜视角度大者(15°-20°)，前期效果明显，恢复较快；后期，特别是斜视5°左右时，恢复缓慢。斜视角度小者恢复较快，治疗效果亦稳定。3、 从辨证分型与临床疗效看，风伤经络型病程短，病变轻浅，疗效最佳，外伤瘀滞型疗效次之，肝风内动型效果较差。结论：针药并用治疗麻痹性斜视的疗效可靠，能够缩短病程，改善症状，提高治愈率。更多还原

【Abstract】 Purpose1 .To discuss curative methods, mechanism and effect of paralytic strabismus of Chinese medicine and acupuncture.2.To provide reference to clinical therapy. To discuss clinical features of paralytic strabismus.3.Put forward some own attitude at clinical cure.Methodl.To choose hospitalization or outpatient cases of paralytic strabismus in department of ophthalmology of college of traditional Chinese medicine of Tianjin from 2002.1 to 2003.12 according to diagnostic standard .selective standard and suppressive eliminated standard.2.To register all kinds of things while being in hospital any in course of treatment adoption clinical questionary.3.To statistics and analyse the data.Result:1 .The cure rate of paralytic strabismus is better than simplex Chinese traditional medicine treat group(P<0.05).Treat by Chinese traditional medicine and acupuncture can dredge meridian,improve blood circulation,rise excitabilitv of nerves,ameliorate neuromuscular nutrient, preclude eye muscular spasm. Motor function of eye Muscles can get well. State of an illness will ameliorate or cure.2.When the course of diseases is short and the age is young,its effect is more markedness.But in old age ,long course , the result is bad. We all can see in big angle prophase effect is patency. At anaphase, especially in 5 angle of cockeye, recovery is tardiness. In small angle of cockeye , its recovery is very soon ,the treat result is stabilization.3.From bianzheng to clinical effect, course of fengshangjingluo type is short thanothers, its pathological changes is light,also its effect is best, trauma stasis type and ganfengneidong type are worse.conclusion:Curative effect by Chinese medicine and acupuncture is very well,it can shorten course of diseases, ameliorate symptom, improve healing rate.更多还原