!!!捻转补泻法与提插补泻法对青少年近视患者裸眼远视力影响的随机对照研究资料.docx

PAGE  PAGE 6 文章编号：0255-2930（2014） 中图分类号：A 文献标识码：R246 捻转补泻法与提插补泻法对青少年近视患者裸眼远视力影响的随机对照研究 陶晓雁第一作者：陶晓雁（1959－），女，副教授，副主任医师。研究方向：针灸教学、临床及科研。E-mail:taoxy1028@126.com 赵百孝1 韩笑1 董晓宇1 严安1 任绪茹2 刘彦汶1 曲畅1 夏淑芬3 杨佳乐1 （1.北京中医药大学针灸推拿学院，北京100029；2.北京国际职业学校医务室，北京100013；3.北京市和平里第二小学医务室，北京100013） [摘 要] 目的：观察捻转补泻法与提插补泻法对青少年近视患者裸眼远视力疗效差异及影响因素。方法：将120例（240只患眼）青少年近视患者随机分为捻转补泻组和提插补泻组，各60例（120只患眼），另设戴镜组60例（120只患眼），捻转补泻组和提插补泻组均针刺攒竹、鱼腰、丝竹空、太阳、风池、足三里、光明、三阴交穴，分别采取捻转补泻法和提插补泻法，戴镜组白昼戴镜，对比三组临床疗效和裸眼远视力变化。结果：捻转补泻组总有效率为87.50%，优于提插补泻组的69.17%（P＜0.001），捻转补泻组裸眼远视力提高0.25±0.09（P＜0.001），提插补泻组提高0.19±0.06（P＜0.001），戴镜组差值为0.00±0.05（P＜0.001）；对96例（192只）针刺治疗结束满3个月的患者进行随访，视力稳定在原水平者167只眼，占86.98%；年龄、基础视力、病程与治疗后视力密切相关（P＜0.001）。结论：针刺治疗青少年近视临床效果肯定而持久，且捻转补泻法优于提插补泻法，年龄、基础视力、病程对临床疗效有影响。 [关键词] 近视；针刺；捻转补泻法；提插补泻法 Randomized controlled observation on lifting-thrusting and rotating manipulation for uncorrected visual acuity Tao Xiao-yan1, Zhao Bai-xiao1, Han Xiao1, Dong Xiao-yu1, Yan An1, Ren Xu-ru2, Liu Yan-wen1, Qu Chang1, Xia Shu-fen3, Yang Jia-le1 （1. College of Acupuncture Moxibustion, Beijing University of TCM, Beijing 100029, China; 2. Beijing International Vocational Education School, Beijing 100013, China; 3. Beijing Hepingli Second Primary School, Beijing 100013, China) ABSTRACT Objective To observe the difference in therapeutic effect of lifting-thrusting and rotating manipulation and factors. Methods The patients were divided into a lifting-thrusting manipulation group (60 cases,120 eyes), a rotating manipulation group (60 cases,120 eyes) and a wearing glasses group (60 cases,120 eyes). Both the lifting-thrusting manipulation group and the rotating manipulation group were treated with Cuanzhu (BL2),Yuyao (EX-HN4), Sizhukong (TE23), Taiyang (EX-HN5), Fengchi (GB20), Zusanli (ST36), Guangming (GB37), Sanyinjiao (Sp6). The wearing glasses group was not treated with acupuncture, but with wearing glasses in daytime. To compare the improvement of vision in 3 groups and observe the therapeutic e