主 办:北 京 中 医 药 大 学
ISSN 1006-2157 CN 11-3574/R

北京中医药大学学报 ›› 2014, Vol. 37 ›› Issue (6): 420-423.doi: 10.3969/j.issn.1006-2157.2014.06.014

• 临床研究 • 上一篇    下一篇

针刺眼周三穴联合风池穴治疗视神经萎缩的临床疗效分析

闫晓玲, 韦企平, 李丽, 周剑   

  1. 北京中医药大学东方医院眼科 北京 100078
  • 收稿日期:2014-01-12 出版日期:2014-06-30 发布日期:2014-06-30
  • 通讯作者: 周剑,男,硕士,教授,主任医师,E-mail:zhj9667@126.com
  • 作者简介:闫晓玲,女,硕士,住院医师
  • 基金资助:
    首都医学发展基金资助项目(No.SF-2009-Ⅲ-15)

Curative effect of needling in 3 acupoints around eye and Fengchi (GB20) on optic atrophy

YAN Xiao-ling, WEI Qi-ping, LI Li, ZHOU Jian   

  1. Department of Ophthalmology, Dongfang Hospital, Beijing University of Chinese Medicine, Beijing 100078
  • Received:2014-01-12 Online:2014-06-30 Published:2014-06-30

摘要: 目的 研究针刺眼周三穴(睛明、承泣、上明)联合风池穴治疗视神经萎缩的临床疗效。方法 采用前瞻性随机对照方法,将40例患者随机分为治疗组和对照组,每组20例。对照组辨证给予口服中药汤剂、神经营养支持疗法,治疗组在对照组治疗基础上,针刺睛明穴、承泣穴、上明穴、风池穴,1次/d,4周后观察视力、视野和视觉诱发电位变化。结果 治疗组总有效率为81%,对照组总有效率为52%。治疗组与对照组治疗后比较,视力明显改善,平均光敏感度(MS)显著增加,平均缺损值(MD)显著降低,诱发电位振幅明显增加(P<0.05)。治疗组临床疗效明显优于对照组(P<0.05)。结论 针刺眼周三穴联合风池穴治疗视神经萎缩有较好的临床疗效。

关键词: 视神经萎缩, 针刺, 眼周三穴, 风池穴, 视力, 视野, 视觉诱发电位

Abstract: Objective To study the curative effect of needling in 3 acupoints around eye [Jingming (BL1), Chengqi (ST1) and Shangming] and Fengchi (GB20) on optic atrophy. Methods The patients (n=40) were randomly divided into treatment group and control group (each n=20) by applying prospective randomized controlled method. Control group was given Chinese medicinal decoction and support therapy of nerve nutrition, and treatment group was given acupuncture in Jingming (BL1), Chengqi (ST1), Shangming and Fengchi (GB20) once a day besides of the same treatment as control group. After 4 w, the changes of vision, visual field and visual evoked potential (VEP) were observed in two groups. Results The total effective rate was 81% in treatment group and 52% in control group. After treatment and in treatment group, vision was significantly improved, mean light sensitivity (MS) increased significantly, mean defect (MD) decreased significantly and evoked potential amplitude increased significantly(P<0.05). Conclusion Needling in 3 acupoints around eye and Fengchi (GB20) has good curative effect on optic atrophy.

Key words: optic atrophy, acupuncture, three acupoints around eye, Fengchi (GB20), vision, visual field, visual evoked potential

中图分类号: 

  • R245.3