耳穴贴压疗法治疗儿童异常瞬目及其对泪膜破裂时间的影响
[Efficacy of auricular point sticking therapy for abnormal blink in children and impact on the breakup time of tear film].
作者信息
Feng Caixia, Zhang Jinghui, Lu Bingchen
机构信息
Luohe Medical College, Luohe 462002, Henan Province, China.
the Third Affiliated Hosptial of Luohe Medical College.
出版信息
Zhongguo Zhen Jiu. 2018 Jan 12;38(1):39-42. doi: 10.13703/j.0255-2930.2018.01.009.
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 (LO), pingjianqian (TG), pingjianhou (AT), gan (CO), pi (CO), wei (CO). 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 (<0.01), and lower significantly in subjects in the observation group compared to those in the control group (<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 (<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 (<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.
目的
观察耳穴贴压疗法治疗儿童异常瞬目症的疗效及对泪膜破裂时间的影响。
方法
将123例（246眼）异常瞬目症患儿随机分为两组，观察组62例（124眼），对照组61例（122眼）。观察组采用耳穴贴压配合西药治疗，每周治疗6天，次日不治疗并更换敷料。耳穴取眼（LO）、平喘前（TG）、平喘后（AT）、肝（CO）、脾（CO）、胃（CO）。西药组患儿每天口服1片多种维生素片，并交替使用透明质酸钠滴眼液和妥布霉素滴眼液，每日3次，7天为1个疗程，共治疗3个疗程。对照组仅采用西药治疗。观察患儿的瞬目频率评分及泪膜破裂时间，比较两组疗效。
结果
治疗后，两组患儿瞬目频率评分均显著降低（<0.01），且观察组低于对照组（<0.01）。对照组122眼中，治疗后泪膜破裂时间<10 s者51眼（41.8%），≥10 s者71眼（58.2%）；观察组124眼中，治疗后泪膜破裂时间<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（<0.01）。观察组总有效率为91.9%（114/124），高于对照组的65.6%（80/122），差异有统计学意义（<0.01）。
结论
耳穴贴压配合西药治疗儿童异常瞬目症疗效优于单纯西药治疗，可缩短泪膜破裂时间。提示泪膜稳定性降低是导致频繁瞬目的主要原因之一，泪膜破裂时间可作为检测指标。
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