Nepp J, Wenzel T, Kuchar A, Steinkogler F J
Universitätsklinik für Augenheilkunde und Optometrie, Wien.
Wien Med Wochenschr. 1998;148(19):457-8.
Blepharospasm is a dystonia of the orbicularis muscle. The background is still unknown, but it appears together with organic and psychic diseases. The therapy with botulinum toxine is symptomatically but efficient. Because of the relaxing effect on the psychological and autonomous nervous disorders we performed a pilot study with acupuncture. There was a neurological observation first, then a ophthalmologic examination of the ocular surface. Blepharospasm was measured by the Visual Analogue Scale (VAS), the social disorders by the Elston-Score. We performed acupuncture treatment 10 times once weekly. The used points were local points with higher sensitivity, and points with empiric relaxation effect. 5 patients were included. The mean of Elston score was 3 before acupuncture and 4 after acupuncture. The VAS increased from 33.3 to 69/100 points. But there were fluctuations of dystonias. In conclusion acupuncture maybe a good method for this difficult disease additionally.
眼睑痉挛是眼轮匝肌的一种肌张力障碍。其病因尚不清楚，但常与器质性疾病和精神疾病并发。肉毒杆菌毒素治疗有症状缓解作用且效果显著。鉴于针刺对心理和自主神经紊乱有松弛作用，我们开展了一项针刺的初步研究。首先进行神经学检查，然后对眼表进行眼科检查。眼睑痉挛通过视觉模拟量表（VAS）测量，社会功能障碍通过埃尔森评分衡量。我们每周进行1次针刺治疗，共10次。所选用的穴位为敏感性较高的局部穴位以及有经验性松弛效果的穴位。纳入5例患者。针刺前埃尔森评分的平均值为3分，针刺后为4分。VAS评分从33.3分增至69/100分。但肌张力障碍存在波动。总之，针刺可能是治疗这种疑难疾病的一种好方法。
