中国中医眼科杂志2025，Vol.35Issue(11)：1024-1027,1080,5.DOI:10.13444/j.cnki.zgzyykzz.2025.11.004
基于"精筋失衡"探究眼周刮痧防治青少年低度近视的效果观察
Observation on the Effect of Periocular Scraping in Preventing and Treating Low-degree Myopia in Adolescents Based on the"Essence-tendon imbalance"Theory
摘要
Abstract
OBJECTIVE To observe the preventive and therapeutic effect of periocular scraping on low-degree myopia in adolescents based on the"essence-tendon imbalance"theory.METHODS One hundred adolescents(200 eyes)with low-degree myopia who presented at Shenzhen Eye Hospital from June 2023 to December 2023 were enrolled and randomly divided into a treatment group(TG)and a control group(CG),with 50 cases(100 eyes)in each group.Finally,49 cases(98 eyes)in each group were included.The control group received self-wearing of frame myopia glasses and health prevention education for patients'families.The treatment group received periocular scraping in addition to the control group's treatment.The total treatment period was 6 months.Uncorrected visual acuity(UCVA),spherical equivalent(SE),and axial length(AL)were measured before treatment,and at 3 and 6 months after treatment in both groups.Clinical efficacy was calculated.RESULTS(1)UCVA:In the treatment group,there was no significant difference in UCVA at 3 months compared to before treatment(P>0.05),while UCVA at 6 months was significantly improved compared to before treatment(t=3.806,P=0.000).In the control group,there were no significant differences in UCVA at 3 and 6 months compared to before treatment(P>0.05).The UCVA in the treatment group was significantly higher than that in the control group at both 3 and 6 months(t3 mon=6.502,t6 mon=7.610,both P=0.000).(2)SE:There were no significant differences in SE at 3 months compared to before treatment in either group(P>0.05).The SE at 6 months was significantly higher than before treatment in both groups(tTG=11.010,tCG=20.975,both P=0.000).The SE in the treatment group was significantly lower than that in the control group at both 3 and 6 months(t3 mon=-2.121,P=0.036;t6 mon=-4.881,P=0.000).(3)AL:There were no significant differences in AL at 3 months compared to before treatment in either group(P>0.05).The AL at 6 months was significantly longer than before treatment in both groups(tTG=17.998,tCG=17.933,both P=0.000).The AL in the treatment group was significantly shorter than that in the control group at both 3 and 6 months(t3 mon=2.126,P=0.036;t6 mon=3.730,P=0.000).(4)Clinical Efficacy:The total effective rate in the treatment group(79.59%)at 6 months was significantly higher than that in the control group(53.06%)(χ2=7.721,P=0.005).CONCLUSIONS Periorbital scraping can delay the diopter progression of mild myopia in adolescents and control the elongation of axial length under the theory of"imbalance of essence and tendon".关键词
青少年低度近视/精筋失衡/眼周刮痧/中医适宜技术Key words
teenagers mild myopia/imbalance of essence and tendon/periorbital scraping/Traditional Chinese Medicine appropriate technology分类
医药卫生引用本文复制引用
辛娜,贾茜钰,孟德莉,魏银平,刘军..基于"精筋失衡"探究眼周刮痧防治青少年低度近视的效果观察[J].中国中医眼科杂志,2025,35(11):1024-1027,1080,5.基金项目
1广东省中医药局科研基金项目(20232153)2深圳市"医疗卫生三名工程"项目(SZZYSM202411007)3广东省中医药局"十四五"中医药重点专科建设项目 4深圳市名中医传承工作室项目 5深圳市中医重点专科专项 （20232153）
