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“三九针法”联合药物治疗视神经萎缩的疗效观察

[Therapeutic effect of 's triple nine needling combined with medication on optic atrophy].

作者信息

Xia Yan-Ting, Liao Liang, Wei Qi-Ping, Zhou Jian, Sun Yan-Hong, Zheng Yu-Mei, Hou Xin-Yue

机构信息

Dongfang Hospital, Beijing University of CM, Beijing 100078, China.

Eye Hospital, China Academy of Chinese Medical Sciences.

出版信息

Zhongguo Zhen Jiu. 2021 Feb 12;41(2):171-4. doi: 10.13703/j.0255-2930.20200220-k0003.

Abstract

OBJECTIVE

To explore the effect of 's triple nine needling on visual acuity and visual field in patients with optic atrophy.

METHODS

A total of 90 patients with optic atrophy were randomized into an observation group and a control group, 45 cases in each one. Treatment of 's triple nine needling combined with conventional medication were adopted in the observation group, conventional medication was given in the control group. Treatment for 4 weeks was required in both groups. Before treatment and 2, 4 weeks into treatment, the visual acuity and visual field were observed, and the clinical efficacy was evaluated in both groups.

RESULTS

The total effective rate was 57.8% (26/45) in the observation group, which was superior to 28.9% (13/45) in the control group (<0.05). After 2-week and 4-week treatment, the visual acuity was improved (<0.01), the mean defect (MD) of visual field was decreased (<0.01), the mean sensitivity (MS) of visual field was increased in the observation group (<0.05, <0.01). After 2-week and 4-week treatment, the visual acuity and the MD of visual field were improved (<0.01, <0.05), while the difference of MS of visual field compared before treatment had no statistical significance in the control group (>0.05). The improvement of visual acuity, MD and MS of visual field after 2-week and 4-week into treatment in the observation group were superior to those in the control group (<0.05, <0.01).

CONCLUSION

's triple nine needling can effectively improve the visual acuity and the defect of visual field in patients with optic atrophy.

摘要

目的

探讨“三九”针法对视神经萎缩患者视力及视野的影响。

方法

将90例视神经萎缩患者随机分为观察组和对照组,每组45例。观察组采用“三九”针法联合常规药物治疗,对照组给予常规药物治疗。两组均治疗4周。分别于治疗前及治疗2、4周时观察两组患者的视力及视野情况,并评价临床疗效。

结果

观察组总有效率为57.8%(26/45),优于对照组的28.9%(13/45)(P<0.05)。治疗2周及4周后,观察组视力提高(P<0.01),视野平均缺损(MD)减小(P<0.01),视野平均敏感度(MS)增加(P<0.05,P<0.01)。治疗2周及4周后,对照组视力及视野MD改善(P<0.01,P<0.05),但视野MS与治疗前比较差异无统计学意义(P>0.05)。观察组治疗2周及4周后视力、视野MD及MS的改善情况均优于对照组(P<0.05,P<0.01)。

结论

“三九”针法能有效提高视神经萎缩患者的视力及改善视野缺损。

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