中医药学报2026，Vol.54Issue(4)：45-50,6.DOI:10.19664/j.cnki.1002-2392.260074
眶内电针治疗糖尿病性动眼神经麻痹的疗效及相关因素分析
Analysis of the Efficacy and Related Factors of Intraorbital Electroacupuncture in the Treatment of Diabetic Oculomotor Nerve Palsy
摘要
Abstract
Objective:To explore the efficacy and influencing factors of intraorbital electroacupuncture in the treatment of diabetic oculomotor nerve palsy.Methods:The clinical data of patients with diabetic oculomotor nerve palsy who received intraorbital electroacupuncture therapy in the First Affiliated Hospital of Harbin Medical University from January 2020 to November 2024 were retrospectively analyzed.Demographic characteristics,ocular motor nerve palsy score,glycosylated hemoglobin,course of oculomotor nerve palsy,course of diabetes,number of treatments,and maximum deflection angle of diplopia in horizontal and vertical directions were extracted from the electronic medical record system.The T test/Mann-Whitney U test was used to compare the difference between the cured group and the non-cured group,and the binary logistic regression was used to analyze the influencing factors of the curative effect.Results:Of the 167 patients,67 were cured,96 were effective,and 4 were ineffective.The overall cure rate was 40.1%,and the total effective rate was 97.6%.The symptoms of diplopia were alleviated after treatment.There was a statistically significant difference in the median value of the maximum horizontal(α)and maximum vertical(β)diplopia angle before and after treatment(P<0.001).After treatment,the maximum value of α in67 cured patients was6°,and the minimum value was 0°,with a confidence interval of 1.289-2.598.The maximum value of β is 5°,the minimum value is 0°,and the confidence interval is 1.113～2.462.Univariate analysis showed that there were significant differences in ocular motor nerve palsy score,glycosylated hemoglobin,treatment times and treatment days between the cured group and the non-cured group(P<0.05).Regression analysis showed that the number of treatments was an effective protective factor for acupuncture(β=0.050,P<0.001).Glycosylated hemoglobin was a risk factor(β=-0.248,P=0.026).Conclusion:Intraorbital electroacupuncture can effectively improve the symptoms of ptosis,diplopia and eye movement disorder in patients with diabetic oculomotor nerve palsy.The curative effect is positively correlated with the mild degree of oculomotor nerve palsy,stable blood glucose control and sufficient course of treatment.关键词
糖尿病/动眼神经麻痹/复视/电针/康复Key words
Diabetes/Oculomotor nerve palsy/Diplopia/Electroacupuncture/Rehabilitation分类
医药卫生引用本文复制引用
刘宇菲,何兵兵,李元,栗雪梅,刘铁镌,周凌云..眶内电针治疗糖尿病性动眼神经麻痹的疗效及相关因素分析[J].中医药学报,2026,54(4):45-50,6.基金项目
国家自然科学基金项目(82074524) （82074524）
