| 引用本文: |
夏燕婷,韦企平,廖良,周剑,孙艳红,郑榆美.韦氏三联九针治疗视神经萎缩的视功能预后分析[J].湖南中医药大学学报,2020,40(10):1239-1243[点击复制] |
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| 韦氏三联九针治疗视神经萎缩的视功能预后分析 |
| 夏燕婷,韦企平,廖良,周剑,孙艳红,郑榆美 |
| (北京中医药大学东方医院, 北京 100078) |
| 摘要: |
| 目的 探讨韦氏三联九针治疗视神经萎缩的视功能预后效果。方法 将2018年3月至2019年12月就诊于北京中医药大学东方医院的90例视神经萎缩患者纳入本研究，采用随机数字表法分为试验组45例、对照组45例，试验组予韦氏三联九针加基础药物治疗，对照组予基础药物治疗，分析对比两组治疗前后最小分辨角对数（logarithm of mininal angle resolution，LogMAR）视力、视觉结果量表（visual outcome scale，VOS）评分、视野有效率。结果 治疗后，两组患者LogMAR视力均明显改善（P<0.01），试验组疗效优于对照组（P<0.05）；在VOS评分方面，试验组视力评分至少提高1分者合计26例，视力提高率为57.7%；Linear-by-Linear Association分析结果显示，试验组治疗前后视力评分变化呈显著线性相关（P<0.01），对照组治疗前后视力评分变化无线性相关（P>0.05）；视野有效率方面，试验组总有效率为53.3%，对照组总有效率为26.6%，试验组明显优于对照组（P<0.05）。结论 韦氏三联九针可明显提高视神经萎缩患者视力、改善患者视野，且对不同程度的视力损伤均有一定程度的疗效。 |
| 关键词: 视神经萎缩 视功能 韦氏三联九针 针刺 VOS评分 视野有效率 |
| DOI：10.3969/j.issn.1674-070X.2020.10.012 |
| 投稿时间：2020-03-29 |
| 基金项目:国家自然科学基金资助项目（81904258）；燕京韦氏眼科学术流派传承工作室（LPGZS2012-02）。 |
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| Prognostic Analysis of Visual Function of Wei's Triple Nine-needling Treatment of Optic Atrophy |
| XIA Yanting,WEI Qiping,LIAO Liang,ZHOU Jian,SUN Yanhong,ZHENG Yumei |
| (Dongfang Hospital, Beijing University of Chinese Medicine, Beijing 100078, China) |
| Abstract: |
| Objective To explore the prognosis of visual function of Wei's triple nine-needling therapy on optic atrophy. Methods A total of 90 patients with optic atrophy who were admitted to Dongfang Hospital of Beijing University of Chinese Medicine from March 2018 to December 2019 were brought into research. The random number table method was used to divide them into 45 cases in the experimental group and 45 cases in the control group. The experimental group was treated with Wei's triple nine-needling therapy and conventional drug therapy, while the control group was treated with conventional drug therapy. The logarithm of mininal angle resolution (logMAR) visual acuity, visual outcome scale (VOS) and visual field efficiency of the 2 groups were analyzed and compared before and after treatment. Results After treatment, the logMAR visual acuity of the 2 groups were significantly improved (P<0.01), and the improvement of visual acuity in the treatment group was superior to that of the control group (P<0.05). In terms of VOS scores, 26 cases were improved at least 1 point, and the overall rate of visual improvement was 57.7%. While, Linear-by-Linear correlation analysis showed a significant linear correlation between the scores of VOS before and after treatment in the experimental group (P<0.01), but not in the control group (P>0.05). The total effective rate of visual field was 53.3% in the experimental group and 26.6% in the control group. The curative effect of the experimental group was significantly superior to that of the control group (P<0.05). Conclusion Wei's triple nine-needling therapy can significantly improve the visual acuity and visual field of patients with optic atrophy,and have fairly clinical efficacy on different degrees of visual impairment. |
| Key words: optic atrophy visual function Wei's triple nine-needling therapy acupuncture VOS score visual field efficiency |
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