三部配穴法针刺治疗慢性中心性浆液性脉络膜视网膜病变的临床效果

目的 观察三部配穴法针刺治疗慢性中心性浆液性脉络膜视网膜病变（CSC）的临床效果。 方法 将2022年1月至12月于上海市第一人民医院就诊的84例慢性CSC患者按随机数字表法分为对照组（42例）与治疗组（42例），对照组予维生素B1片、肌苷片、三磷酸腺苷二钠片的基础治疗（40 d），治疗组在对照组的基础上联合三部配穴法针刺，隔天针刺1次，共20次（40 d）。比较两组临床疗效，比较两组治疗前后美国国立眼科研究院视功能问卷-25（NEI-VFQ-25）、中医症状证候量表、最佳矫正视力（BCVA）变化。 结果 对照组脱落3例，治疗组脱落4例。治疗组临床疗效优于对照组，差异有统计学意义（P＜0.05）。治疗后，两组NEI-VFQ-25评分、BCVA均高于治疗前，且治疗组高于对照组，差异有统计学意义（P＜0.05）。治疗后，治疗组中医症状证候量表评分低于本组治疗前及对照组，差异有统计学意义（P＜0.05）。 结论 三部配穴法针刺联合基础治疗慢性CSC效果显著，具有较高的临床推广及应用价值。

Clinical effect of three-position points combination acupuncture in the treatment of chronic central serous chorioretinopathy

Objective To observe the clinical effect of three- position points combination acupuncture in the treatment of chronic central serous chorioretinopathy (CSC). Methods A total of 84 patients with chronic CSC treated in Shanghai First People’s Hospital from January to December 2022 were divided into control group (42 cases) and treatment group (42 cases) according to random number table method. The control group was given basic treatment with Vitamin B1 Tablets, Inosine Tablets, and Adenosine Disodium Triphosphate Tablets (40 d). Based on the control group, the treatment group was combined with three- position points combination acupuncture therapy, once every other day, a total of 20 times (40 d). The clinical effects of the two groups were compared, and the changes of the National Eye Institute visual function questionnaire-25 (NEI-VFQ-25), traditional Chinese medicine symptom and syndrome scale, and best corrected visual acuity (BCVA) before and after treatment were compared between the two groups. Results Three cases dropped out of the control group and four cases dropped of the treatment group. The clinical effect of the treatment group was better than that of the control group, and the difference was statistically significant (P＜0.05). After treatment, NEI-VFQ-25 score and BCVA in two groups were higher than those before treatment, and those in treatment group were higher than those in control group, the differences were statistically significant (P＜0.05). After treatment, the score of traditional Chinese medicine symptom and syndrome scale in the treatment group was lower than that before treatment and control group, and the differences were statistically significant (P＜0.05). Conclusion The effect of three-position points combination acupuncture combined with basic treatment of chronic CSC is remarkable, and it has high clinical promotion and application value.