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[摘要]
目的:探讨在维持原有眼压控制方案后辅以针刺治疗对青光眼眼压控制稳定患者的矫正视力、视野平均光敏感度和视野平均缺损的影响。
方法:将我院2016-01/10收治的48例62眼青光眼眼压控制稳定的患者随机分为观察组和对照组,其中观察组25例31眼,对照组23例31眼。对照组继续保持原有眼压控制治疗方案治疗3个疗程,观察组除继续保持原有眼压控制治疗方案治疗外,辅以针刺治疗3个疗程,每个疗程12d。对比分析两组患者治疗前后矫正视力、视野平均光敏感度、视野平均缺损及综合疗效的差异。
结果:对照组患者治疗前后的矫正视力、视野平均光敏感度和视野平均缺损,组内配对样本t检验比较,无统计学差异(P>0.05); 观察组患者治疗后的矫正视力、视野平均光敏感度和视野平均缺损,显著优于治疗前,组内配对样本t检验比较,差异具有统计学意义(P<0.05); 且观察组患者治疗后矫正视力、视野平均光敏感度和视野平均缺损,显著优于对照组治疗后,组间独立样本t检验比较,差异具有统计学意义(P<0.05); 观察组治疗总有效率为74%,显著优于对照组的32%,两者比较差异具有统计学意义(χ2=9.329,P<0.05)。
结论:针刺对青光眼眼压控制稳定患者的矫正视力、视野平均光敏感度和视野平均缺损有一定的改善作用,其近期疗效优于单纯控制眼压者,但其远期疗效有待进一步探讨。
[Key word]
[Abstract]
AIM: To study the effect of acupuncture treatment on intraocular pressure(IOP)control, corrected visual acuity, light sensitivity and visual fields mean defect in patients with glaucoma beside the original treatment.
METHODS:Totally 48 cases(62 eyes)with glaucoma whose IOP were under control were randomly divided into two groups, the observation group and control group, from January to October 2016. Patients in control group were treated with the original therapy for 3 courses, while observation group were treated with acupuncture therapy for 3 courses, 12d as one course, beside original therapy. Corrected visual acuity, light sensitivity and visual fields mean defect of the two groups before and after treatment were analyzed.
RESULTS: Corrected visual acuity, light sensitivity and visual fields mean defect of control group had no differences between before and after treatment by paired t test(P>0.05), those of observation group were significantly different(P<0.05). The three examinations were significantly better of observation group than those of control group after treatment by independent t test(P<0.05). The total effective rate of observation group was 74%, which was significantly better than that of control group(32%)(χ2 = 9.329, P < 0.05).
CONCLUSION: For glaucoma patients, whose IOP were under control, acupuncture has some improvement on corrected visual acuity, light sensitivity and visual fields mean defect, and is better than single IOP-control therapy in short term effects, but a long-term effect is needed to be studied.
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