摘要
目的:观察耳穴贴压对儿童异常瞬目的疗效及对泪膜破裂时间(BUT)的影响。方法:将异常瞬目症患儿123例(246眼)随机分为观察组62例(124眼)和对照组61例(122眼)。观察组采用耳穴贴压联合西药治疗,耳穴取眼、屏间前、屏间后、肝、脾、胃,连续贴压6 d,间隔1 d,7 d为一疗程,同时口服复合维生素片,每天1片,玻璃酸钠眼液和妥布霉素眼液交替点眼,每天3次,7 d为一疗程,连续3个疗程;对照组单用与观察相同的西药。观察两组患儿治疗前后眨眼频率评分和BUT,并比较两组的临床疗效。结果:(1)观察组治疗后眨眼频率评分明显低于治疗前(P<0.01);治疗后,观察组眨眼频率评分明显低于对照组(P<0.01)。(2)治疗后,对照组122眼中,<10 s者51眼(41.8%),≥10 s者71眼(58.2%);观察组124眼中,<10 s者13眼(10.5%),≥10 s者111眼(89.5%),两组比较差异有统计学意义(P<0.01)。(3)观察组有效率为91.9%(114/124),明显高于对照组的65.6%(80/122),差异有统计学意义(P<0.01)。结论:耳穴贴压联合西药治疗儿童异常瞬目症效果优于单用西药,可不同程度缩短BUT,提示泪膜稳定性降低是导致频繁瞬目的主要病因之一,可将BUT检测作为检验的标准。
Objective To observe the efficacy of auricular point sticking therapy for abnormal blink in children and the impact on the breakup time of tear film. Methods A total of 123 cases （246 eyes） with abnormal blink were randomly assigned into two groups, 62 cases （124 eyes） to an observation group, 61 cases （122 eyes） to a control group. The observation group received auricular point sticking therapy with western medicine;the treatment was given 6 d per week;the next day received no treatment and changed dressing. The auricular points were yan （LO5）, pingjianqian （TG2i）, pingjianhou （AT1 i）, gan （CO12）, pi （CO13）, wei （CO4）. The western medicine pateints took 1 oral multivitamins tablets per day, and received sodium hyaluronate eye drops and tobramycin eye drops in turn, 3 times per day, 7 day as a course;treatment was lasting 3 courses. Patients in the control group only received western medicine. The blink frequency score and breakup time of tear film of children were observed, the curative effect of the two groups was compared. Results After treatment, the blink frequency score was lower significantly （P〈0.01）, and lower significantly in subjects in the observation group compared to those in the control group （P〈0.01）. After treatment, less than 10 s were 51 eyes （41.8%） and greater than 10 s （including 10 s） were 71 eyes （58.2%） in the 122 eyes from the control group;in the observation group, less than 10 s were 13 eyes （10.5%） and greater than 10 s （including 10 s） were 111 eyes （89.5%）;there was significant difference between the two groups （P〈0.01）. The effective rate of the observation group was 91.9%（114/124）, which was higher than the control group 65.6% （80/122）; the difference was statistically significant （P〈0.01）. Conclusion The efficacy of auricular point sticking therapy combine western medicine is better in treating children with abnormal blink compared to western medicine by reducing the breakup time of tear film. This suggests that reduction of tear film stability is one of the main reasons which causes frequent eye blink, and breakup time of tear film can be used as the testing standard.
出处
《中国针灸》
CAS
CSCD
北大核心
2018年第1期39-42,共4页
Chinese Acupuncture & Moxibustion
