中国中医眼科杂志2025，Vol.35Issue(7)：619-625,7.DOI:10.13444/j.cnki.zgzyykzz.2025.07.004
探讨梅花针对内斜视术后儿童多焦视觉诱发电位的影响与疗效评估
To Investigate the Changes of Evoked Potentials in Multifocal Vision before and after Esotropia Surgery and in Combination with Plum Blossom Needle in the Treatment of Chil-dren and the Evaluation of the Efficacy after Esotropia
摘要
Abstract
OBJECTIVE To investigate the effect of Plum-blossom needle therapy on multifocal visual evoked potentials(mVEP)in children after esotropia surgery and to provide new evidence for postoperative efficacy evaluation.METHODS A total of 80 children(160 eyes)with alternating esotropia who underwent ophthalmic surgery at the 908th Hospital of the Joint Logistics Support Force of the Chinese People's Liberation Army from July 2022 to July 2024 were enrolled and randomly divided into a control group and a treatment group,both 40 cases(80 eyes).The control group was given conventional surgical treatment,while the treatment group received a course of plum blossom needle therapy before undergoing strabismus surgery.A multifocal electrophysiology instrument was used to detect and compare mVEP in both groups preoperatively and at one,three,and six months postoperatively.RESULTS(1)mVEP amplitude response density and latency at six eccentricities:In the treatment group,the retinal mVEP amplitude response density in the first and second rings at three and six months postoperatively significantly improved compared to preoperative values(P＜0.05).Intergroup comparisons showed that the treatment group had significantly higher amplitude response density in the first and second rings at three and six months postoperatively than the control group(P＜0.05).No statistically significant differences were observed in mVEP latency at six eccentricities between preoperative and postoperative time points or between the two groups(P>0.05).(2)Nasal and temporal retinal mVEP amplitude response density and latency:The treatment group showed significant improvements in nasal and temporal retinal mVEP amplitude response density at three and six months postoperatively(P＜0.05).The treatment group also outperformed the control group in these parameters(P＜0.05).No significant differences in latency were observed(P>0.05).(3)Upper and lower retinal mVEP amplitude response density and latency:The treatment group exhibited significant increases in upper and lower retinal mVEP amplitude response density at three and six months postoperatively(P＜0.05).The treatment group also demonstrated superior results compared to the control group(P＜0.05).No significant latency differences were noted(P>0.05).(4)Ocular alignment:Both groups maintained orthophoria at one month postoperatively.At six months postoperatively,the number of orthophoric cases in the treatment group(39 cases)was significantly higher than that in the control group(30 cases),with a statistically significant difference(χ²=8.537,P=0.003).CONCLUSIONS Postoperative visual conduction pathways in esotropia patients recover to varying degrees,and combined postoperative plum blossom needle therapy significantly enhances this recovery.关键词
多焦视觉诱发电位/梅花针/内斜视Key words
multifocal visual evoked potential/plum blossom needle/esotropia分类
医药卫生引用本文复制引用
付燕梅,巢艳,林川,胡扬涛..探讨梅花针对内斜视术后儿童多焦视觉诱发电位的影响与疗效评估[J].中国中医眼科杂志,2025,35(7):619-625,7.基金项目
第九〇八医院苗子基金课题(YNKT202427) （YNKT202427）
