辽宁中医杂志2025，Vol.52Issue(5)：168-171,4.DOI:10.13192/j.issn.1000-1719.2025.05.044
揿针推拿综合方案治疗学龄儿童低度近视的临床观察
Treatment of Low Myopia in School-Age Children with Press-Needle Therapy and Tuina
摘要
Abstract
Objective To explore the clinical efficacy of press-needle therapy and Tuina in the treatment of low myopia in school-age children.Methods One hundred and sixteen children with low myopia in Shanghai Baoshan Hospital from May 2022 to January 2023 were selected,and randomly assigned into two groups according to random number table methods,each with 58 cases.The control group received lens correction.Based on this,the treatment group was given press-needle therapy and Tuina on internal and external orbit,periocular point and face,in which Tuina was once a day at bedtime,and press-needle was twice a week for 3 months of treatment.Then the naked eye visual acuity,spherical equivalent,eye axis length,accommodation function and visual fatigue symptom scores before and after treatment were compared between two groups.Meantime,the adverse reaction rate was recorded in both groups.Results The spherical equivalent yielded no statistical difference between two groups before and after treatment(P＞0.05).There was an increase in eye axis length in both groups after treatment(P＜0.05),while the increase demonstrated no statistical difference between two groups(P＞0.05).Compared to that before treatment,the treatment group had increased naked eye visual acuity and amplitude of accommodation(AMP),decreased binocular cross-cylinder(BCC)and im-proved positive relative accommodation(PRA)and negative relative accommodation(NRA)after treatment,with statistical differ-ence(all P＜0.05).While the naked eye visual acuity,AMP,BCC,PRA and NRA in the control group before and after treatment presented no statistical difference(all P＞0.05).No statistical difference was found in eye fatigue symptom score between two groups before treatment(P＞0.05).After treatment,there was a decrease in the eye fatigue symptom score in the treatment group(P＜0.05),while there was no obvious changes in the control group(P＞0.05).The post-treatment eye fatigue symptom score of two groups had statistical difference(P＜0.05).Conclusion Application of press-needle therapy and Tuina in the treatment of low myopia in school-age children can effectively regulate the accommodation function parameters,including AMP,BCC,PRA and NRA,and can relieve the symptoms of visual fatigue.However,it has no greater advantage over pure optical correction in con-trolling the growth of the eye axis and spherical equivalent,so the combination applications may be considered clinically.关键词
揿针/推拿/学龄儿童/低度近视Key words
press-needle therapy/Tuina/school-age children/low myopia分类
医药卫生引用本文复制引用
顾春燕,俞岚筑,熊毅..揿针推拿综合方案治疗学龄儿童低度近视的临床观察[J].辽宁中医杂志,2025,52(5):168-171,4.基金项目
上海市卫生健康委员会中医药科研项目(2022QN103) （2022QN103）
