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| 耳穴压豆对改善青少年近视睫状肌痉挛的临床研究 |
| Clinical Study on Ear Acupoint Pressing Beans to Improve Ciliary Muscle Spasm in Adolescents with Myopia |
| 投稿时间：2024-10-29 修订日期：2024-10-29 |
| DOI： |
| 中文关键词: 耳穴压豆 青少年 近视 睫状肌痉挛 习行为惯指导 |
| 英文关键词: Ear acupoint pressing beans Teenagers Myopia Ciliary muscle spasm Compound Topicamide atropine |
| 基金项目: |
| 摘要点击次数: 5 |
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| 中文摘要: |
| 【】目的探讨耳穴压豆方式辅助药物治疗青少年近视睫状肌痉挛的效果。方法选取2022年9月～2024年5月在海宁市人民医院眼科门诊实施治疗的100例视睫状肌痉挛青少年,采用随机对照单盲临床试验方式将其分为试验组和对照组各50例,对照组采用眼习行为惯指导干预,试验组在对照组基础上同时采取耳穴压豆方式治疗,疗程为6个月；对比治疗前后两组患者裸眼视力、屈光度、眼轴长度、轴曲比、中医症状积分、临床疗效、不良反应率的发生情况。结果治疗前,试验组和对照组的左右眼视力测定结果差异无统计学意义(P>0.05)；治疗后,试验组的左右眼视力优于对照组且两组患者之间差异明显(P<0.05)。治疗前,试验组和对照组的左右眼屈光度测定结果在两组之间并无明显的差异性(P>0.05)；治疗后,试验组的左右眼屈光度高于对照组且差异具有统计学显著性(P<0.05)。治疗前,试验组和对照组的主证、次证中医症候积分评估结果差异不明显(P>0.05)；试验组患者在治疗后的主证、次证中医症候积分评估结果与对照组患者比较明显的降低(P<0.05)；治疗前,试验组和对照组的眼轴长度、轴曲比测定结果在两组患者之间并无明显的差异性(P>0.05)；试验组患者在治疗后的眼轴长度、轴曲比均低于对照组,两组患者之间的差异性非常明显(P<0.05)；试验组的总有效率76.00%高于对照组的36.00%对照组,差异具有统计学意义(P<0.05)。结论耳穴压豆方式结合行为干预治疗青少年近视睫状肌痉挛能显著改善视力、近视临床症状,提高临床疗效且安全性良好。 |
| 英文摘要: |
| 【】Objective Exploring the effect of ear acupoint pressure therapy on assisting medication in the treatment of myopic ciliary muscle spasms in adolescents. MethodsSelected 100 adolescents with ciliary muscle spasms who underwent treatment at the ophthalmology outpatient department of Haining People"sHospital from September 2022 to May 2024, a randomized controlled single blind clinical trial was conducted to divide them into an experimental group and a control group, with 50 cases in each group. The control group received eye habits and behavioral guidance intervention, while the experimental group received ear acupoint pressure therapy in addition to the control group, with a course of 6 months; Compare the incidence of naked eye vision, refractive index, axial length, axial curvature ratio, traditional Chinese medicine symptom score, clinical efficacy, and adverse reactions between the two groups of patients before and after treatment.ResultsBefore treatment, there was no significant difference between the test group and the control group (P>0.05). After treatment, the visual acuity of the left and right eyes of the experimental group was better than that of the control group, and the difference between the two groups was significant (P<0.05). Before treatment, there was no significant difference between experimental group and control group in the diopter of left and right eyes (P>0.05). After treatment, the left and right eye diopter of experimental group was higher than that of control group and the difference was statistically significant (P<0.05). Before treatment, there was no significant difference between test group and control group in the evaluation results of TCM syndrome scores of primary and secondary syndromes (P>0.05). After treatment, the scores of TCM syndrome scores of primary and secondary syndromes in experimental group were significantly lower than those in control group (P<0.05). Before treatment, there were no significant differences in axial length and axial curvature ratio between experimental group and control group (P>0.05). After treatment, the axial length and axial curvature ratio of experimental group were lower than those of control group, and the differences between the two groups were very significant (P<0.05). The total effective rate of the experimental group was 76.00% higher than that of the control group (36.00%), and the difference was statistically significant (P<0.05).Conclusion The treatment of ciliary muscle spasm in teenagers with myopia can significantly improve the clinical symptoms of vision and myopia, improve the clinical efficacy and have good safety. |
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