【作者】 杨继若； 杨侃； 彭小兰； 白晶梅； 汤志刚； 王朝阳； 王端义；

【Author】 Yang Jiruo;YangKan;Peng Xiaolan;Bai Jingmei;Tang Zhigang;Wang Chaoyang;Wang Duanyi;First People’s Hospital of Lanzhou;Beijing University of Chinese Medicine;Wangjing Hospital of CACMS;

【机构】 兰州市第一人民医院； 北京中医药大学； 中国中医科学院望京医院；

【摘要】 目的观察头针体针并用结合药物治疗眼外肌麻痹的临床疗效。方法采用随机对照临床研究。将186例患者(186眼)眼外肌麻痹患者随机分为针刺组、药物组和针药组。针刺组取头针的颅底带前1/3、颅底带中1/3、额中带、额顶带后1/3、顶枕带下1/3,体针取太阳、四白、攒竹、足三里等穴;药物组用甲钴胺注射液0.5mg、甲硫氨酸4 ml肌肉注射,红花注射液30-40ml静脉点滴;针药组采取针刺组和药物组相结合的治法,观察治疗前后睑裂宽度、眼球运动及眼位变化。结果 3组患者的疗效之间差异有统计学意义(x~2=89.12,P<0.05),痊愈率最高的为针药组患者,其痊愈率为79.03%,痊愈率最低的为药物组;3组患者的总有效率之间差异也有统计学意义(x~2=28.24,P<0.05),总有效率最高的为针药组(95.16%),最低的为药物组(58.06%);治疗后3组患者的斜视度之间差异有统计学意义(F=5.78,P<0.05),治疗后患者斜视度最小的为针药组(7.85±2.13度),偏斜度最大的为药物组(12.64±2.24度);治疗后3组患者睑裂大小之间差异有统计学意义(F=4.01,P<0.05),其中针药组患者经过治疗后睑裂最大(8.85±2.13 mm),最小的为药物组(5.64±0.24mm)。结论头针体针并用配合药物治疗眼外肌麻痹疗效确切,疗效优于单纯药物及针刺治疗。更多还原

【Abstract】 Purpose:Observation of scalp and body acupuncture clinical efficacy of the drug treatment of extra ocular muscle paralysis.Methods:A prospective randomized controlled study.The 186 cases of extra ocular muscle paralysis were randomly divided into an acupuncture treatment and drug treatment and acupuncture treatment.Scalp acupuncture treatment were the base of the skull with the first 1/3,1/3 with skull,frontal and front parietal zone with 1/3,1/3 parietooccipital vaginal discharge.Body acupuncture take the Temple,Sibai,Cuanzu,Zusanli and other points.Pharmaceutical treatment uses mecobalamin Injection 0.5 mg,uses methionine 4 ml to intramuscular injection,Uses safflower injection 30-40 ml static drops.Acupuncture treatment received acupuncture group and drug combination treatment group,observation after treatment palpebral width,eye movement and eye position change.Results:There were statistically significant differences between the 3 groups of patients(x~2=89.12,p<0.05).The cure rate was the highest in acupuncture group,the cure rate was 79.03%,the cure rate was lowest in drug group.3 groups of patients the difference between the total efficiency is statistically significant(x~2 = 28.24,p <0.05),The highest total efficiency for the acupuncture group,the total effective rate was95.16%,the lowest for the drug group,the total effective rate of 58.06%.After treatment,the difference between the three groups of patients skewness corner statistically significant(F = 5.78,p <0.05),After treatment,the patients eyes skewness minimum of acupuncture group,its value is 7.85 ± 2.13 degrees,skewness of the largest drug group,which is 12.64 ± 2.24 degrees.After treatment,the difference between the three groups was statistically significant eye crack size(F = 4.01,p <0.05),in which the acupuncture group patients after treatment biggest eye fissure,its value is 8.85 ± 2.13 mm,the smallest for the drug group,its value is 5.64 ± 0.24 mm.Conclusion:Scalp and body acupuncture combined with drug treatment with ophthalmoplegia effective,more effective than simple drug and acupuncture.更多还原