针刺治疗伴有外隐斜的集合不足性视疲劳

目的：观察针刺对伴有外隐斜的集合不足性视疲劳的临床疗效。方法：将80例伴有外隐斜的集合不足性视疲劳患者随机分成2组，针刺组40例，眼药组40例。针刺组予针刺治疗，穴取睛明、太阳、承泣、合各；眼药组局部点用艾唯多眼液。治疗2周、4周后观察2组疗效及隐斜度数、集合近点、融合辐辏范围、眼部症状积分的变化。结果：治疗2周、4周后，针刺组总有效率分别为87．5％、92．5％，均优于眼药组的65．0%和70．0%（P〈0．01）；集合近点、融合辐辏范围、眼部症状积分两组均明显优于治疗前（P〈0．01）。其中在改善眼部症状方面，治疗2周后，针刺组即优于眼药组，在集合通点、融合辐辏范围方面，4周后，针刺组才优于眼药组。结论：针刺治疗伴有外隐斜的集合不足性视疲劳的临床疗效优于单纯点用艾唯多眼液。

Acupuncture for treatment of 40 cases of convergence insufficient asthenopia with exotropia

OBJECTIVE: To explore the therapeutic effect of acupuncture on convergence insufficient asthenopia with exotropia. METHODS: Eighty cases of convergence insufficient asthenopia with exotropia were randomly divided into an acupuncture group and an eye drug treatment group, 40 cases in each group. The acupuncture group were treated with acupuncture at Jingming (BL 1), Taiyang (EX-HN 5), Chengqi (ST 1), Hegu (LI4); the eye drug treatment group were treated with local dropping of Aiweiduo. The therapeutic effects and changes of exotropia degree, collecting near point, cumulative score of eye symptoms were observed after 2 and 4 weeks of treatment. RESULTS: after treatment for 2 and 4 weeks, the total effective rates were 87.5% and 92.5% in the acupuncture group which were significantly better than 65.0% and 70.0% in the eye drug treatment group (P<0.01); after treatment of 2 and 4 weeks, the collecting near point and the cumulative score of eye symptoms were significantly better than those before treatment (P<0.01); the acupuncture group in improvement of eye symptoms after treatment of 2 weeks and in collecting near point after treatment of 4 weeks was significantly better than the eye drug treatment group. CONCLUSION: The therapeutic effect of acupuncture on convergence insufficient asthenopia with exotropia is better than that of simple Aiweiduo treatment.