中国中医眼科杂志2025，Vol.35Issue(4)：314-321,8.DOI:10.13444/j.cnki.zgzyykzz.2025.04.003
针刺联合角膜塑形镜防控儿童青少年近视的疗效观察
Efficacy Observation of Acupuncture Combined with Orthokeratology Lenses in the Prevention and Control of Myopia in Children and Adolescents
摘要
Abstract
OBJECTIVE To observe the efficacy of acupuncture combined with orthokeratology lenses in the prevention and control of myopia in children and adolescents and its influence on the ocular accommodation function.METHODS A total of 80 cases(80 eyes)of myopic children and adolescents who visited the department of ophthalmology of the First Affiliated Hospital of Heilongjiang University of Chinese Medicine from January 2023 to December 2023 were included,and all the right eyes were included.They were randomly divided into the experimental group and the control group.Finally,38 cases(38 eyes)were included in the experimental group and 39 cases(39 eyes)in the control group.The cases in control group were treated with orthokeratology lenses,and those in the experimental group were treated with acupuncture in addition to the treatment of the control group.The axial length(AL),uncorrected distance visual acuity(UCDVA),amplitude of accommodation(AMP),and accommodative response(BCC)of the subjects were detected before the first wearing of the lenses and at two weeks,one,three,six months,and one year after treatment.The data were recorded and statistically analyzed.RESULTS(1)AL:Compared to before treatment,the AL in the experimental group increased at three months,six months,and one year post-treatment,while the AL in the control group increased at one month,three months,six months,and one year post-treatment,with statistically significant differences(P<0.05).There were no significant differences in AL between the two groups at any time point post-treatment(P>0.05).The increase in AL in the experimental group at one month,three months,six months,and one year post-treatment was less than that in the control group,with statistically significant differences(P<0.05).(2)UCDVA:Compared to before treatment,UCDVA improved at all time points post-treatment in both groups,with statistically significant differences(P<0.05).The UCDVA in the experimental group was better than that in the control group at two weeks and one month post-treatment,with statistically significant differences(P<0.05).(3)AMP:When comparing before and after treatment,the levels of AMP at each time point after treatment in both groups were higher than those before treatment,and the differences were statistically significant(P<0.05).When comparing between the two groups after treatment,there were no statistically significant differences in the levels of AMP at each time point after treatment between the two groups(P>0.05);The increase in the levels of AMP at each time point after treatment in the experimental group was greater than that in the control group when compared with those before treatment,and the differences were statistically significant(P<0.05).(4)BCC:When comparing before and after treatment,the levels of BCC in the experimental group at one,three,six months and one year after treatment were lower than those before treatment;The levels of BCC in the control group at two weeks and one month after treatment were lower than those before treatment,and the differences were statistically significant(P<0.05).When comparing between the two groups after treatment,there were no statistically significant differences in the levels of BCC at each time point after treatment between the two groups(P>0.05);The decrease in the levels of BCC in the experimental group at six months and one year after treatment were greater than those in the control group when compared with those before treatment,and the differences were statistically significant(P<0.05).CONCLUSIONS The comprehensive treatment of acupuncture combined with orthokeratology lenses can more effectively improve UCDVA and delay the increase of AL in children and adolescents with myopia.The possible mechanism of action is to improve the accommodation function in children and adolescents,so that the combined treatment has a synergistic effect,takes effect faster,and has a better effect on controlling myopia.关键词
近视/角膜塑形镜/针刺/调节幅度/调节反应/随机对照Key words
myopia/orthokeratology lenses/acupuncture/amplitude of accommodation/ac-commodative response/randomized controlled分类
医药卫生引用本文复制引用
樊晓瑞,孙河..针刺联合角膜塑形镜防控儿童青少年近视的疗效观察[J].中国中医眼科杂志,2025,35(4):314-321,8.基金项目
黑龙江省中医药科研项目(ZHY2022-144) （ZHY2022-144）
